#Spinal tap procedure skin
Cellulitis or abscess of skin over the procedure site.Known intracranial process causing mass effect.Thrombocytopenia (typically platelets less than 20,000 warrant transfusion before the procedure).Coagulopathy (including oral anticoagulants).Symptoms of multiple sclerosis or Guillan-Barre syndrome.Altered mental status without other clear etiology.Signs and symptoms concerning for meningitis (bacterial, viral, fungal, and tubercular).Recognize special considerations in select patients.Order and interpret lab studies on the CSF.Explain the risks and benefits involved in obtaining informed consent.As with any procedure, good preparation is key to a successful Before performing a lumbar puncture providers must be well versed in different approaches to the procedure and be aware of potential complications. It can also be therapeutic in patients with idiopathic intracranial hypertension
It is most commonly used diagnostically to detect CNS infections, subarachnoid hemorrhage, and inflammatory processes. Lumbar puncture is a common emergency department procedure. SAEMF/CDEM Innovations in Undergraduate Emergency Medicine Education GrantĬareer Development and Mentorship CommitteeĬommunications and Social Media CommitteeĪuthor: Julia Dixon MD and David Richards MD Presidential Address: Where Do We Go From Here?ĮMF/SAEMF Medical Student Research Training Grant Virtual Rotation and Educational ResourcesĬommittee Update: NBME EM Advanced Clinical Examination Task Force Visit us on Twitter LinkedIn Facebook YouTubeĮffective Consultation in Emergency Medicine Video
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