Emergency Medicine Ireland

FEBRUARY 6, 2023

Has the poor soul now had a big embolic stroke in addition to his SAH? While this is definitely cerebral ischaemia it is not stroke and instead rejoices in the name of “Delayed cerebral ischaemia” or DCI to its friends or “vasospasm” to the people it knew in high school but haven’t bothered to stay in touch.

Stroke 52

Stroke EMS Radiology Radiology 52

Pediatric Education

FEBRUARY 18, 2024

Later the senior resident had heard from another pediatric resident in the emergency room that they were treating the child for a diagnosis of probable seizures as the radiologic evaluation of head imaging was normal and it didn’t appear that the child had other problems such as respiratory causes.

Seizures 40

Seizures Pediatrics Psychiatric Radiology 40

ACEP Now

MARCH 14, 2024

15,19 Endovascular intervention depends upon the patient’s hemodynamic stability and availability of interventional radiology. Tracheo-innominate artery fistula after stroke. This may be via a right brachial artery approach to cover the fistula point and avoid the entrance of the common carotid artery. NMC Case Report Journal.

Operations 52

Operations Pediatrics Radiology Radiology 52

Life in the Fast Lane

JUNE 1, 2024

Jennifer Davidson, Parvathy Suresh Kochath, Georgina Beech and Leon Lam CT Case 061 A 36-year-old female presents with sudden onset right sided facial drop, right hemiparesis and dysarthria.

Stroke 52

Stroke Radiology Radiology 52

PulmCCM

APRIL 10, 2025

Pennsylvania’s advisory (many other states have issued these) STROKE Nerinetide for acute ischemic stroke (FRONTIER and ESCAPE-NEXT) Nerinetide is a neuroprotective agent that inhibits neuronal excitotoxicity. That left open the possibility of a benefit of nerinetide if administered much earlier in the course of ischemic stroke.

CDC 40

CDC Stroke Sepsis Radiology 40

RebelEM

FEBRUARY 29, 2024

3, 6 Among patients with stroke or traumatic brain injury (TBI), the risk may be as high as 28%-76% and 23%-60%, respectively. Post-stroke infection: a systematic review and meta-analysis. 1, 2 Its occurrence often portends worse outcomes in intubated patients, whose projected hospital course was already tenuous. Westendorp, W.

CDC 119

CDC Radiology Radiology Head Injuries 119

Taming the SRU

SEPTEMBER 18, 2024

They set out to create a risk score to apply to patients who present to the ED with vertigo which would identify the patients at risk for serious pathology (which they defined as stroke, TIA, vertebral artery dissection, or brain tumor). Another limitation that is discussed is how “stroke” and “TIA” were determined in the study.

Stroke 88

Stroke Emergency Department Outcomes Radiology 88

Don't Forget the Bubbles

FEBRUARY 5, 2025

E.g. burns, neurosurgery, interventional radiology. It can cause significant internal injuries, including carotid artery dissection, stroke, and acquired brain injury, but in 50% of patients, there are no external signs of injury. Clinical Radiology: Major paediatric trauma radiology guidance. link] Sardinha, L.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

RebelEM

JUNE 26, 2023

Severe acute traumatic coagulopathy = PT >1.5 to 3.33; P = 0.72 NOT STATISTICALLY SIGNIFICANT Also no difference in individual components given Thromboembolic Events: 4F-PCC: 35% Placebo: 24% Absolute Diff: 11%; 95% CI 1 to 21% Relative Risk 1.48; 95% CI 1.04 to 2.10; P = 0.03 Severe acute traumatic coagulopathy = PT >1.5 to 3.33; P = 0.72

Administration 143

Administration Outcomes Resuscitation Radiology 143

Sensible Medicine

APRIL 16, 2024

The idea was that the software would examine patients’ medical records – the entire medical record: clinical notes; labs; radiology; and their admission histories – and learn to stratify people in terms of their risk for readmission. The idea was that interventions could then be tested in the high-risk groups.

Radiology 101

Radiology Radiology Stroke Hospitals 101

Northwestern EM Blog

MAY 16, 2022

vs. It is worth mentioning that this study was a multicenter study based in the US with representation from ED, Radiology, and Urology. Third, for those with proper training, and with some exceptions (see the systematic review paper for case vignettes that highlight these), POCUS is non-inferior to radiology-performed US.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

Don't Forget the Bubbles

JUNE 30, 2023

Again, there was no increase in thrombotic stroke in the TXA group – TXA looks safe. She’s wheeled to radiology. in the TXA group vs 53.7% in the placebo group). This study moves trauma care beyond just ‘survival’. What about head injury , though? Brakes off.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

Pediatric Emergency Playbook

JUNE 1, 2017

The previously well child now decompensated: undiagnosed thrombophilia Asymptomatic patent foramen ovale (PFO) is the cause of some cases of cryptogenic vascular disease, such as stroke and MI. However, the presence of PFO alone does not connote higher risk. Meningococcemia Presenting as a Myocardial Infarction. Case Reports in Critical Care.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EMDocs

JULY 3, 2023

National Institutes of Health Stroke Scale (NIHSS) is 13; vital signs include pulse 86 beats/minute (bpm), blood pressure 164/94 mmHg, and saturation of 98% on room air. 14 The American Stroke Association (ASA) and American Heart Association (AHA) recommend SBP <160 mmHg until definitive management of the bleed is completed.

Seizures 98

Seizures Stroke Outcomes EMS 98

Don't Forget the Bubbles

FEBRUARY 7, 2024

“Time is brain” urges us to think about thrombolysis or clot retrieval in acute strokes. The cremasteric reflex The cremasteric reflex is a superficial reflex in males, triggered by lightly stroking the inner part of the thigh. Pediatric radiology , 48 , pp.735-744. Bandarkar, A.N. and Blask, A.R., Barbosa, J.A.,

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

EMDocs

NOVEMBER 13, 2023

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. Stroke Authors’ Recommendation: CTA head/neck should be acquired in patients with stroke symptoms presenting within 24 hours of symptom onset.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

EB Medicine

FEBRUARY 1, 2019

Nachi: And patients with neurologic deficits or severe sudden-onset headaches, should be transported immediately to the nearest available stroke center. Let’s talk radiology. Jeff: The next pathology to discuss is cervical artery dissections, which account for 2% of all strokes and nearly 20% of strokes in those 50 and under.

Emergency Department 40

Emergency Department Stroke Outcomes Ultrasounds 40

EM Literature of Note

FEBRUARY 17, 2025

A Nice Win for Radiology AI Where Endovascular Treatment Fails Even the Best Make Terrible Alerts The Future of AI is FUTURE-AI? Reviving High-Dose Oxygen Therapy After Stroke Do Facial Fractures Require Antibiotic Prophylaxis?

Anaphylaxis 57

Anaphylaxis Radiology Radiology Stroke 57

Taming the SRU

JUNE 6, 2023

MULLEN Case #1 Young male presenting with a left eye injury with concerns of wood particles in his eye On exam, reduced visual acuity and small amount of fluorescein uptake noted Initial concern for corneal FB First attempt for removal with a cotton swab Then called ophthalmology, who had concern for corneal laceration & subtle positive Seidel's (..)

Documentation/Coding 65

Documentation/Coding Seizures Psychiatric Wellness 65