Neurocritical care
The most recent articles from:
Neurocrit Care
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Editorial Comment
Serum Glial Fibrillary Acidic Protein in Acute Stroke.
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Editorial Comment
"Take a Number"-Precision Monitoring Directs Precision Therapy.
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A clinical history leads to an examination, tests and a diagnosis. This time-honored sequence in medicine remains valid in critical illness, but in the heat of the moment there is a quickly appearing inevitable sketchiness. Intensivists should never be too unquestioning, too comfortable with incomplete information, or too unwilling to start over if information is muddled or contradictory. ⋯ I review the essentials of history taking in a neurocritically ill patient. Examples of the value of a good medical history are shown but also the familiar biases when asking questions. There are obstacles, errors of commission and omission, and the importance of recognition of a clinical trajectory.