New Faculty/Resident emDocs Publication

Check out Drs. Flower and Bronner’s publication on
 Lumbar Puncture and the Anticoagulated Patient


  • Lumbar puncture is a diagnostic gold standard for several serious pathologies, but is not always emergent.
  • Consider thrombosis vs hemorrhage risk.


  • Obtain accurate medication list and last dose history in all patients before LP.
  • Coagulation studies alone may not identify all patients at risk for bleeding complications.
  • Do not delay abx, for CT or LP, in patients with high suspicion for meningitis.
  • Do not restart anticoagulants immediately after LP.
  • Do not let diagnostic testing obscure clinical judgement.

 Congratulations Drs. Flower and Bronner!



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