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Screening for Delirium in EDs: Seeking Validation

About 10% of older adults who seek care in EDs throughout the United States experience delirium. The condition can foretell other health issues and causes distress to patients and caregivers. Delirium also puts patients at increased risk for poor outcomes. Studies indicate that the condition adds between $38 billion and $152 billion annually to healthcare expenditures in the U.S.…

An Update on Secondary Stroke Prevention

The American Heart Association and American Stroke Association have updated guidelines for secondary prevention in patients with stroke or transient ischemic attack. The update includes new sections on nutrition and sleep apnea and revises other sections, including those concerning hypertension, dyslipidemia, diabetes, carotid stenosis, and atrial fibrillation.

Refining Neurosurgery Practices

The American Association of Neurological Surgeons and the Congress of Neurological Surgeons recently joined the American Board of Internal Medicine’s Choosing Wisely campaign with their own list of five practices to avoid in neurosurgery. “The purpose,” says Daniel K. Resnick, MD, “is to alert patients and physicians to common practices that may not be necessary or efficacious.”

The Recommendations

1) Do not administer steroids after severe traumatic brain injuries.…

Neck Manipulation & Stroke Risk

A scientific statement from the American Heart Association has found that manipulating the neck may lead to cervical dissection, a type of arterial tear that can lead to stroke. Healthcare providers are urged to inform patients of this association before they undergo neck manipulation.

Diagnosing Stroke in the ED

Studies suggest that there are missed opportunities to diagnose cerebrovascular causes for stroke symptoms. “While traditional stroke symptoms are rarely missed,” says David E. Newman-Toker, MD, PhD, “clinicians can sometimes overlook or discount non-specific symptoms, such as dizziness or headache.”

Quantifying Misdiagnoses

In the journal Diagnosis, Dr.…

CHEST 2014: CPAP & Sexual Quality of Life

The Particulars: Previous studies have found that patients who use a continuous positive airway pressure (CPAP) device often feel it makes them less sexually attractive and are therefore less likely to use the device. However, data are lacking on whether sexual quality of life actually differs between CPAP-compliant and noncompliant patients.…


Medicine 2064

Medicine 2064 With Dr. Daniel Kraft

Curing half of the world’s known cancers, granting movement to the paralyzed, preventing Alzheimer’s. Visionary medical expert Dr. Daniel Kraft believes all of this and more can happen by 2064. In this first film in our “Conversations with Tomorrow” series, take a glimpse at the future of medicine and its impact on our lives.…

Linking Vitamin D to Dementia

Adults who were moderately deficient or severely deficient in vitamin D had a 53% and 125% increased risk of developing dementia, respectively, in the largest study examining the link between low vitamin D levels and dementia published this month in Neurology.…

First Comprehensive Guidelines for Pediatric Concussion

The first comprehensive pediatric concussion guidelines were launched by pediatric emergency medicine researchers at the Children’s Hospital of Eastern Ontario and the Ontario Neurotrauma Foundation. The guidelines provide healthcare providers with evidence-based recommendations to standardize the diagnosis and management of concussion in children aged 5 to 18 years old, from the initial assessment through to the period of recovery, which can last months.…

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