TY - CHAP M1 - Book, Section TI - Lumbar Puncture A1 - Nakitende, Damali N. A1 - Gottlieb, Michael A1 - Sundaram, Tina A2 - Reichman, Eric F. PY - 2018 T2 - Reichman's Emergency Medicine Procedures, 3e AB - Meningitis and subarachnoid hemorrhage (SAH) are serious, life-threatening conditions. They require prompt and accurate diagnosis in the Emergency Department (ED) due to their significant morbidity and mortality.1 There are many diagnostic modalities available to the Emergency Physician (EP) to assist in the diagnosis. However, the lumbar puncture (LP) is still considered the gold standard. The LP is a procedure that is often performed in the ED to obtain information about the cerebrospinal fluid (CSF) to aid in the diagnosis of a variety of medical conditions. Knowledge about the proper indications, contraindications, various techniques, equipment, and recognition and treatment of potential complications is vital to any EP who performs this procedure. It is important to perform a thorough neurologic examination prior to the LP, as significant neurologic deficits may suggest increased intracranial pressure (ICP). Significant morbidity and mortality can result if the procedure is performed on the wrong patient. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1159804490 ER -