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Grand Rounds Recap 2.14.24

Taming the SRU

ENRICH Trial - the leadership journey - EMS grand rounds - r4 capstone - r1 clinical knowledge - pediatric lecture ENRICH Trial WITH visiting professor Dr. david wright ICH makes up only 10-15% of all strokes yet has a higher mortality than ischemic strokes and SAH Current 2022 AHA/ASA guidelines for spontaneous ICH (prior to ENRICH Trial) minimally-invasive (..)

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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

Dr. Mike Pallaci covered endovascular therapy for stroke with a quick review of some very relevant studies that put endovascular therapy on the map. The MR CLEAN trial showed improved functional outcome if endovascular therapy was initiated within 6 hrs. Check out the link for the original NEJM article on andexanet-alfa. NNT 7, NNH 19.

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Big Labs, Little People

Pediatric Emergency Playbook

Less common causes of troponemia are: Kawasaki disease, pediatric stroke, or neuromuscular disease. We could use it to track treatment , and see if we can clear the lactate; decreased lactate levels are associated with a better outcome in adults. Myopericarditis in Children: Elevated Troponin I Level Does Not Predict Outcome.

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CT Angiography Head and Neck: Indications and Limitations

EMDocs

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. demonstrating that functional outcome at 3 months did not differ between the CTA and MRI groups (38.5% 8 The data in Mayer et al.

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