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Traumatic Brain Injuries: A (m)BIG Headache

Traumatic Brain Injuries: A (m)BIG Headache

by Camille Dagenais | Apr 23, 2026 | Critical Care, Featured, Grand Round Summaries, Neurology, Neurosurgery, Resuscitation, Trauma

Traumatic brain injury (TBI) is a common yet challenging presentation in emergency medicine. As CT imaging becomes increasingly sensitive, clinicians are identifying more subtle intracranial injuries. The Brain Injury Guidelines (BIG) and Modified Brain Injury...
EMOttawa Podcast Episode 3: Thunderclap Headache

EMOttawa Podcast Episode 3: Thunderclap Headache

by Michael Hale, James Gilbertson, Rajiv Thavanathan | Apr 8, 2021 | Featured, Podcast

Listen on Apple PodcastsListen on SpotifyListen on Google PodcastsListen on Stitcher On episode three of the Ottawa EM Podcast, Dr. Rajiv Thavanathan (R5) interviews Dr. Michael Hale (R5), on the ED presentation and diagnosis of subarachnoid hemorrhage in the context...
Prospective Implementation of the Ottawa Subarachnoid Hemorrhage Rule and 6-Hour Computed Tomography Rule

Prospective Implementation of the Ottawa Subarachnoid Hemorrhage Rule and 6-Hour Computed Tomography Rule

by Hans Rosenberg | Jan 3, 2021 | Full Article, Journal Club, Neurosurgery

Methodology: 4/5 Usefulness: 4/5 Perry JJ, et al. Stroke. 2020 Feb;51(2):424-430. doi: 10.1161/STROKEAHA.119.026969. Question and Methods: Prospective, multi-center before and after study looking at the implementation of the Ottawa Subarachnoid Hemorrhage Rule and...
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...
Identifying stroke mimics in the ED

Identifying stroke mimics in the ED

by Katherine Soucie, Richard Hoang, Shankar Sethuraman | Feb 14, 2019 | Featured, Grand Round Summaries

In this post, we will aim to review the literature looking at identifying clinical and historical features that can help differentiate stroke mimics from strokes. We will also discuss the safety of the administration of IV tPA to misdiagnosed stroke mimics. This post...
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