2005, Stroke and Wellness - Emergency Care Today

The AcT Trial: Tenecteplase vs Alteplase for Acute Ischemic Stroke

RebelEM

FEBRUARY 1, 2024

Background : Alteplase, a class of medication that converts plasminogen to plasmin leading to fibrin degradation and subsequent clot lysis, has been the standard of care for acute ischemic stroke (AIS) patients that meet eligibility criteria. mg/kg non-inferior to alteplase in the treatment of acute ischemic stroke? vs Alteplase 34.8%

Stroke

Stroke Blood Transfusions Outcomes EMS

Blood Pressure Management in Neurologic Emergencies: What Does the Evidence Say?

EMDocs

JANUARY 29, 2024

This article will discuss blood pressure goals and preferred pharmacotherapy for non-traumatic ischemic and hemorrhagic strokes. Ischemic Strokes: Ischemic stroke is characterized by a blockage of a blood vessel in the brain. The BP targets for patients with ischemic strokes depend on the available therapeutic options.

Stroke

Stroke Outcomes EMS Seizures

The Latest in Critical Care, 1/22/24 (Issue #26)

PulmCCM

JANUARY 22, 2024

This was in large part due to the recommendations from a task force of the International Liaison Committee on Resuscitation (ILCOR) , and their enshrinement in the American Heart Association’s 2005, 2010 and 2015 post-cardiac arrest management guidelines. that would create a rationale strong enough to justify the downsides of cooling?

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Outcomes Research Hospitals

Targeted temperature management for post-cardiac arrest is officially over (for now)

PulmCCM

JANUARY 24, 2024

This was in large part due to the recommendations from a task force of the International Liaison Committee on Resuscitation (ILCOR) , and their enshrinement in the American Heart Association’s 2005, 2010 and 2015 post-cardiac arrest management guidelines. that would create a rationale strong enough to justify the downsides of cooling?

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Outcomes Hospitals Stroke

Glasgow Coma Scale in Children

Pediatric EM Morsels

JULY 21, 2023

2005): 814–819. Epub 2016 Aug 1. PMID: 27197686. Holmes, James F et al. Performance of the Pediatric Glasgow Coma Scale in Children with Blunt Head Trauma.” Academic emergency medicine 12.9 Chung CY, Chen CL, Cheng PT, See LC, Tang SF, Wong AM. Critical score of Glasgow Coma Scale for pediatric traumatic brain injury. Pediatr Neurol.

Head Injuries

Head Injuries Pediatrics Outcomes Shock

The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

RebelEM

FEBRUARY 29, 2024

3, 6 Among patients with stroke or traumatic brain injury (TBI), the risk may be as high as 28%-76% and 23%-60%, respectively. Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. Post-stroke infection: a systematic review and meta-analysis.

CDC

CDC Outcomes Radiology Radiology

Diagnostics: Inflammatory Markers

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. 2005 Nov;6(11):1045-56. 2005 Feb 15;53(1):33-8. They are used clinically to detect pathological inflammation or measure response to treatment [1-2]. PMID: 28778870; PMCID: PMC6071487. Gruys E, Toussaint MJ, Niewold TA, Koopmans SJ.

Infectious Diseases

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing

Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

OCTOBER 30, 2023

3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. Some institutions developed a tier-based system for outpatient imaging as well which was updated in real-time.

Radiology

Radiology Radiology Emergency Department Hospitals

CT Angiography Head and Neck: Indications and Limitations

EMDocs

NOVEMBER 13, 2023

2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al. Stroke Authors’ Recommendation: CTA head/neck should be acquired in patients with stroke symptoms presenting within 24 hours of symptom onset.

Stroke

Stroke Radiology Radiology Emergency Department

What will you do for this patient transferred to you who is now asymptomatic?

Dr. Smith's ECG Blog

MARCH 6, 2019

There is a new Q-wave in aVL, with STE and large T-wave as well. She requires maximal medical management per all current guidelines (including heparin and P2Y12 inhibitor per cardiology), as well as consideration for emergent cath in the case of persistent ischemia. The patient did well. V2 still has STE and hyperacute T-waves.

EKG/ECG

EKG/ECG Outcomes Hospitals Wellness

MI in Children

Pediatric Emergency Playbook

JUNE 1, 2017

This child is at risk for expected complications, as well as overdiagnosis and iatrogenia. These children depend on their preload to run blood passively into the pulmonary circuit; afterload reduction is also important to compensate for a poor left ejection fraction, as well as to avoid the development of pulmonary hypertension.

Pediatrics

Pediatrics EKG/ECG Wellness Seizures

Adventures in RSI

Pediatric Emergency Playbook

NOVEMBER 1, 2015

Paralytic Agent in Sepsis The succinylcholine versus rocuronium debate… Succinylcholine and its PROS 82% of RSI in the ED used succinylcholine (According to the National Emergency Airway Registry, in 2005). Ketamine is reasonable as well: there is no contraindication to ketamine except for known hydrocephalus.

Shock

Shock Sepsis Airway Management Pediatrics

Episode 28 - Depressed and Suicidal Patients in the Emergency Department: An Evidence-Based Approach

EB Medicine

MAY 3, 2019

Based on 2005 data, the prevalence of 1 month MDD was 5% with a lifetime prevalence of major depression of 13%. The PSS-3 assesses for depression/hopelessness and suicidal ideations in the past 2 weeks as well as lifetime history of suicide attempt. Nachi: I think that’s good for definitions, let’s discuss some more epidemiology.

Emergency Department

Emergency Department Psychiatric Documentation/Coding Outcomes

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

APRIL 8, 2015

True Syncope: If, on the other hand, the patient is well, had no other serious symptoms , has a normal sinus rhythm, and normal physical exam , then you need to be certain the syncope was not due to a dangerous brady- or tachydysrhythmia that could recur. Vasovagal syncope is generally benign. g/dL Hypotension (obviously!)

Emergency Department

Emergency Department EKG/ECG Outcomes Seizures

Emergency Care Today

The AcT Trial: Tenecteplase vs Alteplase for Acute Ischemic Stroke

Blood Pressure Management in Neurologic Emergencies: What Does the Evidence Say?

Trending Sources

The Latest in Critical Care, 1/22/24 (Issue #26)

Targeted temperature management for post-cardiac arrest is officially over (for now)

Glasgow Coma Scale in Children

The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

Diagnostics: Inflammatory Markers

Contrast Media Shortage of 2022 – Lessons Learned

CT Angiography Head and Neck: Indications and Limitations

What will you do for this patient transferred to you who is now asymptomatic?

MI in Children

Adventures in RSI

Episode 28 - Depressed and Suicidal Patients in the Emergency Department: An Evidence-Based Approach

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

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