The Horror, the horror | Famous collections of neurons and some other stuff | My *%$^'?* head (and neck?) | And of course in the end you end up dead | I'm Spinning Like a Ballerina |
---|---|---|---|---|
What is true?
True or false? A recent study in Chest suggested that a significant portion of ED intubations (7.4%) were associated with awareness with paralysis.
|
Who is Stephen Hawking?
This primary proponent of the idea that black holes emit radiation was diagnosed with early-onset slowly progressing ALS at the age of 21.
|
What is ketorolac?
A recent review in Acad Emerg Med comprising 13 trials found no difference between phenothiazines or metoclopramide and this medicine in treating migraines.
|
What is PNES?
A 2020 study in Neurology suggested that this entity could be deadly. It was associated with a 2.5x increase in mortality over the general population. When associated with epilepsy that rate was 3.7x.
|
What is continuous symptoms?
An article in Acad Emerg Med suggested that EPs use HINTS on the wrong patients. It should only be used in patients with nystagmus, unsteady gait, and this?
|
What is droperidol?
A recent systematic review in Academic Emergency Medicine suggested that this much lauded medication was safe and effective in treating pediatric agitation.
|
What is Parkinson's disease?
Muhammad Ali and Linda Ronstadt share this malady known to cause tremor, bradykinesia, rigidity, and postural instability.
|
What is spontaneous intracranial hypotension?
This entity causes a severe headache within several minutes of being upright, is not associated with a lumbar puncture and can also cause vertigo, hearing changes, nausea, neck pain, cognitive slowing, or rarely parasthesias or 6th nerve palsy.
|
What is anorexia nervosa?
This disease entity has a 5.6% mortality per decade. An EP might look at an EKG or a chemistry panel to help determine whether an acute intervention is needed.
|
What is 80%
A recent meta analysis suggests that early MR (<48 hours) is 60,80,95, or 98% sensitive for posterior circulation stroke.
|
What is IM olanzapine?
Another recent study in Academic Emergency Medicine suggested that this intramuscular medication had similar time to sedation as IM droperidol.
|
What is Asperger's (Autism)?
The new owner of Twitter who was romantically linked with Grimes said on SNL that he was the first host with this neuro-developmental disorder?
|
What is cavernous sinus thrombosis?
This disease is associated with a headache that is behind the eyes or in the forehead, chemosis, and cranial nerve dysfunction.
|
What are autism spectrum disorder and ADHD?
People with these 2 neurodevelopment disorders have significantly higher all cause mortality.
|
What is STANDING?
A recent study suggested that with training EPs could reliably distinguish peripheral from central vertigo with HINTS or this exam?
|
What is Columbia Suicide Severity Rating Scale?
This JHACO mandated screening tool was shown to be just 18% sensitive in predicting the outcome it screens for in a 2020 study.
|
Who is John Nash?
This Nobel prize winner in economics and subject of the movie A Beautiful Mind suffered from paranoid schizophrenia.
|
What is not non-inferior?
Non-inferior or not non-inferior? That is the question A trial published in Lancet Neurology in 2021 came to this conclusion when comparing ASA to VKA.
|
Who are opiate overdose patients?
This patient population often is treated by medics and come to us doing much better. In the next year they are 13x more likely to die than the general population.
|
What is 3?
According to a recent review the Employ maneuver has an NNT of 2,3,5,10 or 100.
|
What are previous substance use and a mental health diagnosis?
A recent meta-analysis suggested that male sex, age < 40, and these 2 factors made it more likely that a patient would misuse opiates.
|
What is multiple sclerosis?
Slouching Toward Bethlehem author Joan Didion wrote about her own diagnosis of this autoimmune disorder that causes episodic neurologic dysfunction that is most often of the relapsing remitting variety.
|
What is true?
MAGraine cocktail anyone? Magnesium was found to be non-inferior when compared to either meotclopramide or procholperazine. True or false?
|
What are gabapentinoids?
A recent population-based cohort study published in BMJ showed a correlation between these adjuncts to pain medicine and suicidal behavior, unintentional OD, injuries, traffic accidents, and violent crime.
|
What is timing and triggers?
The modern method of asking about symptoms of dizziness eschews the usual 'what do you mean by dizzy?' for these two T's.
|