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2025 AHS Guidelines for Parenteral Migraine Treatment in the ED

2025 AHS Guidelines for Parenteral Migraine Treatment in the ED

by Miguel Cortel-LeBlanc | Jan 15, 2026 | Featured

Migraine is among the most common presentations to emergency departments (EDs), yet its management remains highly variable. Despite strong evidence supporting specific parenteral therapies, ineffective treatments persist while high-value procedural options remain...
Randomized Trial Comparing Low- vs High-Dose IV Dexamethasone for Patients With Moderate to Severe Migraine

Randomized Trial Comparing Low- vs High-Dose IV Dexamethasone for Patients With Moderate to Severe Migraine

by Amanda Mattice, Hans Rosenberg, Jeff Perry | Jan 22, 2024 | Journal Club, Neurology

Methodology: 3.5/5 Usefulness: 4/5 Friedman BW, et al. Neurology. 2023 Oct 3;101(14):e1448-e1454.  Question and Methods: This double-blinded RCT of 209 patients presenting to the ED with moderate to severe migraines compared high- to low- dose dexamethasone (16 mg vs...
Boiling Point: Approach to Hypertension in th ED

Boiling Point: Approach to Hypertension in th ED

by Emma Ferguson, Josee Malette | Apr 15, 2021 | Cardiology, Grand Round Summaries

It is not uncommon to see patients present to the Emergency Department with Hypertension. One in 4 Canadians has a diagnosis of hypertension, and chronic hypertension is the leading cause of disability-adjusted life expectancy (which considers for the quality of life...
Diagnostic Accuracy of Symptoms, Physical Signs, and Laboratory Tests for Giant Cell Arteritis: A Systematic Review and Meta-analysis

Diagnostic Accuracy of Symptoms, Physical Signs, and Laboratory Tests for Giant Cell Arteritis: A Systematic Review and Meta-analysis

by Hans Rosenberg | Mar 29, 2021 | Full Article, Journal Club, Rheumatology

Methodology: 2/5 Usefulness: 2/5 van der Geest KSM, et al. JAMA Intern Med. 2020 Oct 1;180(10):1295-1304.  Question and Methods: Systematic review and meta-analysis of 68 studies to identify clinical and laboratory findings that can help identify patients with GCA...
Subarachnoid Hemorrhage in the ED- What a Headache!

Subarachnoid Hemorrhage in the ED- What a Headache!

by Michael Hale, Kate O'Connell | Nov 5, 2020 | Featured, Grand Round Summaries, Neurosurgery, Radiology

  The diagnosis of subarachnoid hemorrhage (SAH) carries with it remarkable morbidity and mortality. Case fatality rates approach 50% 1,2 Of those who survive, half will experience chronic disability and a significant reduction in health-related quality of...
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