2007, Outcomes and Stroke - Emergency Care Today

EM@3AM: Brainstem Strokes

EMDocs

MAY 11, 2024

Answer : Brainstem stroke specifically in the pons resulting in locked in syndrome. CT head without contrast 1 is performed and reveals the following: Question: What is the diagnosis?

Stroke

Stroke EMS EKG/ECG Radiology

Tasty Morsels of Critical Care 008 | Decompressive Craniectomy for Stroke

Emergency Medicine Ireland

NOVEMBER 30, 2020

Just to be clear up front we’re going to be talking about taking the lid off for stroke, NOT taking the lid off for TBI. Just to be clear up front we’re going to be talking about taking the lid off for stroke, NOT taking the lid off for TBI. I will get to TBI. I will get to TBI but they are really quite different topics.

Stroke

Stroke 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

EM@3AM: Basilar Artery Occlusion

EMDocs

OCTOBER 21, 2023

Answer : Basilar Artery Occlusion Epidemiology:  Basilar artery occlusion (BAO) is a subset of the posterior circulation strokes. Posterior circulation strokes are estimated to account for 20% of all strokes, with BAO accounting for ~1% of all strokes. Symptoms may range from days to months prior to stroke onset.

EMS

EMS Stroke Outcomes Hospitals

Glasgow Coma Scale in Children

Pediatric EM Morsels

JULY 21, 2023

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. A practical scale. PMID: 4136544.

Head Injuries

Head Injuries Pediatrics Outcomes Shock

Rapid Blood Pressure Lowering in Patients with Acute Intracerebral Hemorrhage

All Ohio EM

SEPTEMBER 16, 2019

By Mike Pallaci, DO Research Question: Does rapid lowering of blood pressure improve the outcome in patients with intracerebral hemorrhage? The primary outcome was determined for 2794 of these; 45 patients (1.6%) lost to follow-up. How Many Patients: The investigators enrolled 2839 patients.

Stroke

Stroke Outcomes Research Hospitals

Putting Clinical Gestalt to Work in the Emergency Department

ACEP Now

OCTOBER 29, 2024

4 However, emergency physicians rely on gestalt to predict outcomes well. The externally validated Canadian Syncope Risk Score (CSRS) demonstrated no better prediction of 30-day adverse outcomes for “very low” and “low” risk patients than clinical judgment alone of emergency physicians. Mary’s Hospital in Leonardtown, Maryland.

Emergency Department

Emergency Department Mass Casualty Incidents Documentation/Coding Sepsis

Brain Trauma Guidelines for Emergency Medicine

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations.

Fluid Resuscitation

Fluid Resuscitation Documentation/Coding Resuscitation EMS

EM@3AM: Hyperthermia

EMDocs

DECEMBER 16, 2023

Both can result in heat exhaustion and heat stroke and have many overlapping symptoms. Patients with heat stroke have hot, dry skin and altered mental status (e.g., C, and heat stroke occurs at a core temperature > 40°C. C, and heat stroke occurs at a core temperature > 40°C. Temps greater than 41.5C Bendall, J.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia EMS Stroke Seizures

What Happened to Phenylephrine?

ACEP Now

DECEMBER 11, 2023

These included oral and nasal spray formulations of these two decongestants, but a third, phenylpropanolamine, was excluded due to safety concerns relating to hemorrhagic strokes. These changes are of note because data regarding limited efficacy were presented to the FDA in 2007 and 2015.

Administration

Administration Outcomes Research Stroke

Dilated Cardiomyopathy in Children

Don't Forget the Bubbles

AUGUST 21, 2023

Stimulation of baroreceptors results in a catecholamine-mediated increase in heart rate , stroke volume, contractility, and systemic vascular resistance (SVR). What are the long-term outcomes for children with dilated cardiomyopathy? Outcomes at 1 year seem to be influenced by the severity of illness at presentation.

Pediatrics

Pediatrics Outcomes Research Sepsis

Testicular torsion

Don't Forget the Bubbles

FEBRUARY 7, 2024

This week, NCEPOD (National Confidential Enquiry into Patient Outcomes and Death) produced a much-anticipated report on how we manage acute testicular torsion in young people. “Time is brain” urges us to think about thrombolysis or clot retrieval in acute strokes. Frontiers in Pediatrics , 8 , p.601892. MacDonald, C.,

Pediatrics

Pediatrics Ultrasounds Operations Hospitals

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

EB Medicine

MAY 3, 2019

Jeff: And finally, how many of you wish there was a clearly outlined evidence-based approach to managing such patients to improve care and outcomes? The strongest predictor for suicide-related outcomes is history of prior suicidal ideation or suicide attempt. Show More v Nachi: Again, just about all of our listeners I’m sure!

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

Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS. Abnormal ECG – looks for cardiac syncope. Hemoglobin less than 10 (SF rule) 6. Syncope with Exertion (EGSYS) 7. S yncope while supine (EGSYS) 8.

Emergency Department

Emergency Department EKG/ECG Outcomes Seizures

EM@3AM: Brainstem Strokes

Tasty Morsels of Critical Care 008 | Decompressive Craniectomy for Stroke

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

EM@3AM: Basilar Artery Occlusion

Glasgow Coma Scale in Children

Rapid Blood Pressure Lowering in Patients with Acute Intracerebral Hemorrhage

Putting Clinical Gestalt to Work in the Emergency Department

Brain Trauma Guidelines for Emergency Medicine

EM@3AM: Hyperthermia

What Happened to Phenylephrine?

Dilated Cardiomyopathy in Children

Testicular torsion

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.

Stay Connected