The Neurologic Examination In The Emergency Setting

Hubert S. Mickel

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The emergency neurologic assessment is focused on obtaining the information that is needed to make rapid management decisions, establish the priorities in examination and management, and assist in making a decision regarding intervention, further examination, and disposition. Stated simplistically, the emergency physician's responsibility, once any immediate threat to life has been addressed, is primarily to determine that a neurologic problem potentially exists and that the critical conditions associated with that problem are identified or excluded; the neurologist or neurosurgeon often subsequently determines what the problem is. This chapter describes the elements of the basic neurologic examination appropriate to the emergency department.

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