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Sickle Cell Disease and Stroke

Pediatric EM Morsels

Unfortunately, it can cause so many other complications – Sepsis , acute chest syndrome , and hepatopathy.

Stroke 130
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EM@3AM: Brainstem Strokes

EMDocs

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 111
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For undifferentiated strokes, should blood pressure be aggressively managed pre-hospital?

PulmCCM

Uncontrolled hypertension is a major risk factor for both ischemic and hemorrhagic strokes. Maintaining blood pressure at or near the normal range (again, over long periods) reduces the risk of stroke. Once an acute stroke is underway, however, the calculus changes.

Stroke 52
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Blood Pressure Management in Neurologic Emergencies: What Does the Evidence Say?

EMDocs

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 101
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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

Of course, there are other methods of assessing fluid tolerance : Capillary refill evaluation, passive leg raise, central venous pressure measurement, pulmonary artery wedge pressures, stroke volume variation, pulse pressure variation, etc. Oct 2013; PMID: 24079262 Gohar E, et al. Mar 2004; PMID: 15090949. Marik P, et al.

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emDOCs Videocast: EBM Update – IV BP Meds in NV Emergencies

EMDocs

Study inclusion criteria: RCT or nonrandomized comparative observational studies Neurologic emergencies defined as: Hypertensive encephalopathy Ischemic stroke Hemorrhagic stroke Subarachnoid hemorrhage TBI Anti-hypertensive agents included nicardipine, clevidipine, labetalol, and nitroprusside. 2013 Jun 20;368(25):2355-65.

Stroke 105
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Grand Rounds Recap 7.10.24

Taming the SRU

Femoral nerve block case review - morbidity & mortality - community practice - r2 Clinical pathologic case - visual diagnosis - when time matters - operational aspects of stroke care Femoral nerve Block Case Review WITH dr. stolz Why do we care about regional anesthesia, specifically femoral nerve blocks? for obstructive CAD, OR 1.8

Stroke 98