Every Peddler Praises His Own Needle: Have Clinical Rules in the Diagnosis of Subarachnoid Hemorrhage Supplanted Lumbar Punctures Yet? Answers to the July 2013 Journal Club Questions

摘要

Editor's Note: You are reading the 34th installment of Annals of Emergency Medicine Journal Club. This Journal Club refers to the Mark et al article published in the July 2013 edition. Information about Journal Club can be found at http://www.annemergmed. com/content/journalclub. Readers should recognize that these are suggested answers. We hope they are accurate; we know that they are not comprehensive. There are many other points that could be made about these questions or about the article in general. Questions are rated "novice," "intermediate," and "advanced so that individuals planning a journal club can assign the righVquestion to the right student. The "novice" rating does not imply that a novice should be able to spontaneously answer the question. "Novice" means we expect that someone with little background should be able to do a bit of reading, formulate an answer, and teach the material to others. Intermediate and advanced questions also will likely require some reading and research, and that reading will be sufficiently difficult that some background in clinical epidemiology will be helpful in understanding the reading and concepts. We are interested in receiving feedback about this feature.