Another “worst headache of my life”?

In the evaluation of SAH in the ED, does everyone with a negative head CT require subsequent LP?

On 1/29/14!, we’ll review Perry’s study in BMJ on CT performed within 6 hours of headache onset.

Practice-changing?  Peruse and decide.

Enjoy! and please post your thoughts, comments and questions below.

http://www.bmj.com.newproxy.downstate.edu/content/343/bmj.d4277?view=long&pmid=21768192

If your downstate library access is limited, here’s the citation.

Perry JJ , Stiell IG , Sivilotti ML , et al.  Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study . BMJ . 2011;343:d4277

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• Bio
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Jay Khadpe MD

• Editor in Chief of "The Original Kings of County"
• Assistant Professor of Emergency Medicine
• Assistant Residency Director
• SUNY Downstate / Kings County Hospital

Latest posts by Jay Khadpe MD (see all)

• Save of the Month! December 2015 - December 23, 2015
• Morning Report: Unprovoked First Seizure in Adults - September 11, 2015
• Morning Report: Extramural Deliveries in the Emergency Room - September 10, 2015