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?
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?
RebelEM
MARCH 8, 2023
CRAO is a stroke of the eye; patients should be considered for a complete stroke work up. Signs Shafer’s sign (tobacco dust) May see a Weiss ring when the posterior vitreous (PV) detaches from the optic disc margin Visualization with ultrasound. Philadelphia: Elsevier, 2013 (Ch) 26: p. >10 floaters, (+) LR 8.1-36
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PulmCCM
JULY 10, 2023
Read in JAMA When to start anticoagulation after ischemic stroke from atrial fibrillation It’s been unclear when to start anticoagulation after an ischemic stroke presumed due to thromboembolism from atrial fibrillation. Aspirin is sometimes given during the waiting period. Heparin infusions are usually avoided.
Taming the SRU
OCTOBER 7, 2024
history of VTE, increased calf circumference, pain and swelling), then the next step is to attain a compressible ultrasound of the affected leg. However, if clinical suspicion is high enough, doppler ultrasound, MR venography, or serial compressive ultrasound imaging can all be considered. 2013 Apr;98(4):545-8.
Taming the SRU
FEBRUARY 5, 2024
It is most helpful to do the ultrasound immediately before needle insertion, as movement of the patient may shift cutaneous landmarks from underlying bony structures. This resource offers additional information on ultrasound assisted LP’s. WHY - Why Not? REFERENCES 1. Zambito Marsala, S., Gioulis, M., & Pistacchi, M. Glimåker, M.,
Pediatric Emergency Playbook
OCTOBER 1, 2017
Also used for severe MS, stroke, TBI, chronic pain. 2013; 49:138–144. Ultrasound-guided refilling of an intrathecal baclofen pump—a case report. 2013; 29:347–349. Are VNS safe in everyday life? Verify the medication and identify the toxidrome if symptomatic. Pediatr Neurosurg. Yang TF, Wang JC, Chiu JW et al.
PulmCCM
SEPTEMBER 13, 2021
This is analogous to a left ventricle with constant stroke volume and heart rate, respectively. Taylor KJW, Burns PN, Wells PNT: Clinical Applications of Doppler Ultrasound. Tedford RJ: Determinants of right ventricular afterload (2013 Grover Conference series). Pulmonary circulation 2014, 4(2):211-219.
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