Dizziness…the good and the ugly…

The differential diagnosis of vertigo can be broken into peripheral and central causes. It is imperative the Emergency Physician consider central causes of vertigo. Signs/ Symptoms Differentiating Peripheral and Central Vertigo   Peripheral Central Onset Sudden or Insidious Sudden Severity of Vertigo Intense Spinning Ill-defined, may be severe or less intense Prodromal Dizziness Occurs in […]

Oxygen therapy for acutely ill medical patients: a clinical practice guideline

What you need to know It is a longstanding cultural norm to provide supplemental oxygen to sick patients regardless of their blood oxygen saturation A recent systematic review and meta-analysis has shown that too much supplemental oxygen increases mortality for medical patients in the hospital For patients receiving oxygen therapy, aim for peripheral capillary oxygen […]

Bad Headaches

A thunderclap headache (TCH) has been defined as a “headache that reaches 7 (out of 10) or more in intensity within less than one minute.”

TIA (Transient Ischaemic Attack)

TIA is defined as a brief episode of neurologic dysfunction with no permanent infarction. Head CT noncontrast is not reliable for acute ischemia, but it can find alternative conditions necessitating management. MRI with DWI displays greater diagnostic ability. Risk scores that predict future stroke are not reliable when used alone. Patients are typically admitted for […]

Emergency Medicine Kenya Foundation

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