Template:Head CT seizure - Revision history

Neil.m.young at 22:45, 21 July 2016

2016-07-21T22:45:14Z

← Revisión anterior		Revisión del 22:45 21 jul 2016
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	====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====		====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====
	*If patient has returned to a normal baseline: <br>		*If patient has returned to a normal baseline: <br>
	#When feasible, perform a neuroimaging of the brain in the ED on patients with a first-time seizure		*#When feasible, perform a neuroimaging of the brain in the ED on patients with a first-time seizure
	#Deferred outpatient neuroimaging may be used when reliable follow-up is available		*#Deferred outpatient neuroimaging may be used when reliable follow-up is available

Neil.m.young: Never mind, my bad, misread the ref.

2016-07-21T22:44:57Z

Never mind, my bad, misread the ref.

← Revisión anterior		Revisión del 22:44 21 jul 2016
Línea 1:		Línea 1:
	====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====		====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====
			*If patient has returned to a normal baseline: <br>
	If patient has returned to a normal baseline: <br>		#When feasible, perform a neuroimaging of the brain in the ED on patients with a first-time seizure
	1. When feasible, perform a neuroimaging of the brain in the ED on patients with a first-time seizure~~. <br>~~		#Deferred outpatient neuroimaging may be used when reliable follow-up is available
	2. Deferred outpatient neuroimaging may be used when reliable follow-up is available.

Neil.m.young: Reverted edits by Neil.m.young (talk) to last revision by Qsmith

2016-07-21T22:44:16Z

Reverted edits by Neil.m.young (talk) to last revision by Qsmith

← Revisión anterior		Revisión del 22:44 21 jul 2016
Línea 1:		Línea 1:
	====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====		====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====
	*Consider CT head in the followin situations:
	**First seizure if age older than 40		If patient has returned to a normal baseline: <br>
	**History of acute head trauma		1. When feasible, perform a neuroimaging of the brain in the ED on patients with a first-time seizure. <br>
	**History of malignancy		2. Deferred outpatient neuroimaging may be used when reliable follow-up is available.
	**Immunocompromised status
	**Suspect Intracraneal Process
	**History of anticoagulation
	**New focal neurologic deficit
	**Focal onset before generalization
	**Persistently altered mental status
	*If patient has returned to a normal baseline ~~with nonfocal neuro exam~~:
	**When feasible, perform a neuroimaging of the brain in the ED on patients with a first-time seizure
	**Deferred outpatient neuroimaging may be used when reliable follow-up is available

Neil.m.young: In the guidelines, the criteria for ct head (>40 yrs, malignancy, etc) precedes the advice "when feasible...". As such, have both bits of information would probably be most helpful.

2016-07-21T22:42:01Z

In the guidelines, the criteria for ct head (>40 yrs, malignancy, etc) precedes the advice "when feasible...". As such, have both bits of information would probably be most helpful.

← Revisión anterior		Revisión del 22:42 21 jul 2016
Línea 1:		Línea 1:
	====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====		====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====
			*Consider CT head in the followin situations:
	If patient has returned to a normal baseline: ~~<br>~~		**First seizure if age older than 40
	1. When feasible, perform a neuroimaging of the brain in the ED on patients with a first-time seizure~~. <br>~~		**History of acute head trauma
	2. Deferred outpatient neuroimaging may be used when reliable follow-up is available.		**History of malignancy
			**Immunocompromised status
			**Suspect Intracraneal Process
			**History of anticoagulation
			**New focal neurologic deficit
			**Focal onset before generalization
			**Persistently altered mental status
			*If patient has returned to a normal baseline with nonfocal neuro exam:
			**When feasible, perform a neuroimaging of the brain in the ED on patients with a first-time seizure
			**Deferred outpatient neuroimaging may be used when reliable follow-up is available

Qsmith: /* Indications for Head CT due to SeizureACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625 */

2016-07-21T22:02:59Z

Indications for Head CT due to SeizureACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625

← Revisión anterior		Revisión del 22:02 21 jul 2016
Línea 1:		Línea 1:
	====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====		====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====
	1. When feasible, perform a neuroimaging of the
	brain in the ED on patients with a first-time seizure.		If patient has returned to a normal baseline: <br>
	2. Deferred outpatient neuroimaging may be used		1. When feasible, perform a neuroimaging of the brain in the ED on patients with a first-time seizure. <br>
	when reliable follow-up is available.		2. Deferred outpatient neuroimaging may be used when reliable follow-up is available.

Qsmith: Indications listed before were from the 1996 ACEP guidelines, rather than the cited 2004 guidelines. Edit reflects the 2004 guideline.

2016-07-21T21:59:17Z

Indications listed before were from the 1996 ACEP guidelines, rather than the cited 2004 guidelines. Edit reflects the 2004 guideline.

← Revisión anterior		Revisión del 21:59 21 jul 2016
Línea 1:		Línea 1:
	====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====		====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====
	*First seizure if age older than 40		1. When feasible, perform a neuroimaging of the
	*History of ~~acute head trauma~~		brain in the ED on patients with a first-time seizure.
	*History of malignancy		2. Deferred outpatient neuroimaging may be used
	*Immunocompromised status		when reliable follow-up is available.
	*Suspect Intracraneal Process
	*History of anticoagulation
	*New focal neurologic deficit
	*Focal onset before generalization
	*Persistently altered mental status

Rossdonaldson1: /* Indications for Head CT due to SeizureACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625 */

2015-08-25T12:01:07Z

← Revisión anterior		Revisión del 12:01 25 ago 2015
Línea 1:		Línea 1:
	===Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>===		====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====
	*First seizure if age older than 40		*First seizure if age older than 40
	*History of acute head trauma		*History of acute head trauma

Rossdonaldson1: Created page with "===Indications for Head CT due to SeizureACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency departme..."

2015-08-25T11:59:53Z

Created page with "===Indications for Head CT due to Seizure<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency departme..."

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===Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>===
*First seizure if age older than 40
*History of acute head trauma
*History of malignancy
*Immunocompromised status
*Suspect Intracraneal Process
*History of anticoagulation
*New focal neurologic deficit
*Focal onset before generalization
*Persistently altered mental status