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Grand Rounds Recap 12.6.23

Taming the SRU

Leadership in times of crisis is key. artiga and stothers After concern for stroke is identified, pursue neuroimaging (non-contrast CT head and CT angio head/neck) within 25 minutes of patient arrival to the ED to differentiate between a hemorrhagic or ischemic process. Think, act, and innovate.

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Top 10 Things I Learned at #ALLOhioEM19

All Ohio EM

It’s still going to take a while for this product to make its way to all emergency departments. Dr. Mike Pallaci covered endovascular therapy for stroke with a quick review of some very relevant studies that put endovascular therapy on the map. Even once it arrives, it will cost upwards of $25k per dose! Image from R.E.B.E.L

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Big Labs, Little People

Pediatric Emergency Playbook

Less common causes of troponemia are: Kawasaki disease, pediatric stroke, or neuromuscular disease. used BNP in the emergency department to differentiate heart failure from respiratory causes in infants and children with heart failure and those with no past medical history. Cohen et al. Later, Maher et al. Pediatr Crit Care Med.

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CT Angiography Head and Neck: Indications and Limitations

EMDocs

The use of CTA (computed tomography angiography) in the emergency department (ED) has increased dramatically in the past 20 years. 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.

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