Does Magnetic Resonance Imaging Change Disposition?
How many times have you ordered an MRI from the ED while contemplating admission for stroke? This four-month observational study sought to assess whether MRI altered disposition decisions from the EM physician viewpoint. The authors found that disposition was changed from admit to discharge in 30%, and discharge to admit in 7% while remaining the same in 63%. Disposition changed in 67% of those with a normal neurological exam and 28% of those with an abnormal neurological exam. While not yet widely available, time-consuming MRIs may soon be a useful adjunct to determining which stroke patients require admission for further testing. Abstract # 540 | Parenteral Dexamethasone for Preventing Recurrent Migraine Headaches: A Systematic Review of the Literature Recurrent migraine headaches are a common ED chief complaint. While many effective abortive migraine therapies exist, all produce a number of patients returning with recurrent migraines. These investigators conducted a systematic revie
