Journal Club Is

lumbar puncture still needed in suspected subarachnoid hemorrhage after a negative head computed tomographic scan? David Claveau, MD*; Jerrald Dankoff, MDCM3 Clinical question: Is lumbar puncture still needed in suspected subarach-noid hemorrhage with a negative head computed tomographic scan performed within 6 hours of headache onset? Article chosen: Perry JJ, Stiell IG, Sivilotti ML, et al. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study. BMJ 2011;343:d4277. Objective: To determine whether lumbar puncture can be safely omitted after a negative head computed tomographic scan in the workup of a suspected subarachnoid hemorrhage