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How Not To Miss Posterior Circulation Stroke

ACEP Now

Posterior circulation strokes make up 20 percent of all strokes but account for 40 percent of stroke misdiagnoses. Dizziness is especially tricky, with up to 40 percent of strokes presenting with dizziness being missed. Bilateral symptoms are more frequent in posterior circulation strokes and can be deceptive.

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2024 Emergency Medicine Research Highlights: Forced Air, Sepsis, and More

ACEP Now

One of the paradoxical oddities of treatment for acute stroke is the reversal of anticoagulation to enable treatment with thrombolysis. Use of Bones Although the topic hardly rises to the level of serious controversy, the best protocol for vascular access in the context of out-of-hospital cardiac arrest is an ongoing unanswered question.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. When is it useful and what does it tell us? 2008 Apr;39(4):1347-8. 107.498345.

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How To Handle Medical Emergencies: A Guide For Everyone

Ziqitza HealthCare Ltd

Difficulty speaking Sudden speech difficulties, weakness, or numbness could be an emergency medical warning sign of a stroke. Major issues like stroke, internal bleeding, low blood sugar levels, and sudden drops in blood pressure could all accompany this warning sign. These also require emergency medical intervention at the earliest.

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Fourteen Emergency Medicine Research Gems from 2023

ACEP Now

What’s New in Stroke Care? The simplicity of tenecteplase administration makes its use likely the preferred agent for treating acute ischemic stroke. the “ARAMIS” trial throws up another red flag for patients suffering mild stroke. the “ARAMIS” trial throws up another red flag for patients suffering mild stroke.

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Grand Rounds Recap 4.19.23

Taming the SRU

Subsequent exposure results in a T-cell mediated response (Type IV hypersensitivity reaction) Plants: Toxicodendron species (poison ivy, poison oak, poison sumac) Also present in foods, including pistachio, cashew, and mango.

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Seizure in a 30 something

Dr. Smith's ECG Blog

En route to the hospital the patient experienced multiple short-lasting episodes, with cramping and loss of consciousness. I find it is easier to measure the QTc when the paper speed is 50mm/s , as it is in the image above. I measure the RR interval at 795ms and the QT interval at 475ms. The QTc comes out at 533ms, dangerously prolonged.

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