Subarachnoid Hemorrhage and Intracranial Aneurysms

Aneurysms develop at sites of developmental defects in the media and elastica of the cerebral arteries. Often they are multiloculated and sometimes, multiple. These are called berry aneurysms. They are usually located at bifurcations and branching of the vessels. Approximately 90% of the aneurysms are located on the anterior part of the circle of Willis.…

Continuous Integrated Triage

The concept of resource-based decision making would seem to be basic to the practice of medicine and especially emergency medicine and disaster medicine. Unfortunately the reality is that in the United States of America and, actually in most industrialized nations, medical care decisions are not resourced-based, they are emotionally-based. And this works in all but…

What You Need To Know About Intestinal Biopsies

Failure to obtain biopsies during endoscopy misses important treatable intestinal conditions Thousands of people are undergoing endoscopic exams daily without having tissue samples obtained. Sadly, though their exams may visually appear normal, under the microscope there are often microscopic findings that explain the symptoms that will respond to directed therapy. The gut is lined with…