PulmCCM

OCTOBER 30, 2024

A majority of patients with significant strokes experience fever within the first week after their vascular injury. The presence, intensity, and persistence of fevers are associated with worse outcomes after strokes of any type. Stroke guidelines advise treating and preventing fever, but only based on observational evidence.

Stroke 52

Stroke Outcomes 52

PulmCCM

OCTOBER 23, 2024

Endovascular thrombectomy became standard care for ischemic strokes resulting from large vessel occlusion (LVO) in the anterior cerebral circulation after randomized trials published in the mid-2010s showed improved outcomes with the intervention. Multiple randomized trials have been performed testing thrombectomy for large ischemic strokes.

Stroke 52

Stroke Outcomes 52

EM Literature of Note

SEPTEMBER 11, 2023

MARISS tried to ascertain predictors of poor outcome in mild stroke, and intravenous thrombolysis was not associated with an effect on the primary outcome. Now, again, we examine thrombolysis in “mild” stroke, in this case, NIHSS ≤3 – and fail. Well, PRISMS demonstrated unfavorable results.

Stroke 112

Stroke Outcomes Wellness 112

EMDocs

JUNE 3, 2023

Answer : Cerebellar Stroke Epidemiology: 1-4% of cerebrovascular accidents occur in the cerebellum. 2 In the United States, approximately 795,000 people suffer from strokes every year. 3 Cerebellar strokes are associated with high morbidity and mortality. CT head without contrast 1 reveals the following: What is the diagnosis?

Stroke 74

Stroke EMS Pediatrics EKG/ECG 74

The Skeptics' Guide to EM

APRIL 13, 2024

Tenecteplase for Stroke at 4.5 He is an assistant professor in Emergency […] The post SGEM#436: For the Longest Time – To Give TNK for an Acute Ischemic Stroke first appeared on The Skeptics Guide to Emergency Medicine. Tenecteplase for Stroke at 4.5 Reference: Albers GW et al. TIMELESS Investigators. TIMELESS Investigators.

Stroke 114

Stroke Documentation/Coding Emergency Department EMS 114

PEMBlog

APRIL 24, 2024

Pediatric strokes are rare and challenging to diagnose. There is a validated Pediatric Stroke Scale from the NIH that can be used in conjunction with a stroke protocol that involves Neurology, Radiology, and a local/regional Stroke Team. Early consultation with a pediatric hematologist and neurologist is mandatory.

Stroke 59

Stroke Pediatrics Blood Transfusions Radiology 59

PulmCCM

SEPTEMBER 21, 2023

Blood pressure often rises during acute ischemic strokes, in what is widely held to be a natural protective mechanism: increased blood pressure pushes more blood through and around stenotic blood vessels into areas of injured, oxygen-starved brain.

Stroke 105

Stroke Outcomes 105

ACEP Now

MAY 9, 2024

The clinical policy on the management of adult patients presenting to the emergency department (ED) with acute ischemic stroke, was approved by the ACEP Board of Directors in April 2023. Approximately 800,000 people in the United States are diagnosed with a stroke each year at an estimated cost of approximately 46 billion dollars.

Stroke 52

Stroke Wellness Emergency Department Hospitals 52

Board Bombs

JUNE 3, 2024

Now it's time to recognize the 5 D's of posterior circulations strokes and fast facts to not miss them. The Deadly D's: cerebellar strokes. Now it's time to recognize the 5 D's of posterior circulations strokes and fast facts to not miss them. The Deadly D's: cerebellar strokes. Cite this podcast as: Briggs, Blake.

Stroke 52

Stroke 52

PulmCCM

MAY 3, 2024

While outcomes from acute ischemic stroke due to large vessel occlusion in the anterior circulation have improved substantially in the era of thrombolytics and mechanical thrombectomy, overall outcomes remain poor. Studies in animal models have suggested corticosteroids might reduce infarct size or extension of subsequent cerebral edema.

Stroke 52

Stroke Outcomes Hospitals 52

RebelEM

JULY 27, 2023

Background: Current stroke guidelines recommend IV alteplase for patients with acute ischemic stroke presenting within 4.5hrs of symptom onset based on the NINDS and ECASS III publications. Both NINDS and ECASS III excluded patients with mild stroke symptoms but failed to clearly define a threshold for mild stroke.

Stroke 98

Stroke Outcomes EMS Hospitals 98

PEMBlog

JULY 1, 2024

Heat Stroke is a serious medical diagnosis that can be differentiated from other forms of heat illness. Got to cool them down How these videos were produced This song and video were created using Artificial Intelligence programs: I began by writing custom lyrics inspired by notable genres and music artists.

Stroke 52

Stroke 52

EB Medicine

JANUARY 18, 2024

In this episode, Sam Ashoo, MD, interviews Vasisht Srinivasan, MD, FACEP one of the authors of the December 2023 Emergency Medicine Practice EXTRA article, Emergency Department Management of Stroke in Pregnant and Postpartum Patients  Epidemiology Evidence Causes Risk Factors Differential Diagnosis Prehospital Care ED History and Physical Exam (..)

Stroke 83

Stroke Emergency Department 83

Emergency Live

AUGUST 9, 2024

“Heat stroke” lethal for our body […] The post Heat stroke: a serious risk for the liver appeared first on Emergency Live. Besides causing the most well-known headaches, nausea and dizziness, they can have very serious consequences, especially on the liver.

Stroke 52

Stroke Wellness 52

PulmCCM

JUNE 28, 2024

Alteplase (recombinant tissue plasminogen activator or r-tPA) has been widely used for many years as a reperfusion therapy for ischemic stroke.

Stroke 52

Stroke 52

EM Ottawa

JANUARY 2, 2024

Question: Do early vs delayed blood pressure management in patients with mild-moderate acute ischemic strokes decrease death or dependency at 90 days? Methods: Randomization to early (24 hrs) vs delayed treatment (after 7 days) of blood pressure.

Stroke 98

Stroke 98

EM SIM Cases

NOVEMBER 20, 2023

WHY IT MATTERS Classic heat stroke is a potentially deadly diagnosis that effects some of the most vulnerable of our populations. There are some key differences between exertional and classic heat stroke management and this case gives the opportunity to practice and discuss these skills.

Stroke 52

Stroke Hyperthermia / Hypothermia EMS EKG/ECG 52

EM Ottawa

MAY 20, 2024

Question and Methods: RCT at 103 sites to compare outcomes at 30 days for early versus late DOAC initiation among patients with ischemic stroke and atrial fibrillation.

Stroke 56

Stroke Outcomes 56

American Medical Compliance

APRIL 17, 2024

The following Effective Management of Dysphagia in Stroke Patients Training educates healthcare providers (HCP) on the structures involved in swallowing. million stroke survivors in the US. Aspiration pneumonia is the most common consequence of dysphagia following a stroke.

Stroke 52

Stroke Dehydration Outcomes 52

Emergency Live

AUGUST 2, 2024

A large-scale study, conducted in the United Kingdom and published in the prestigious journal Nature Communications, revealed a surprising link between vaccination and a […] The post Decrease in heart attacks and strokes after anti-Covid vaccination appeared first on Emergency Live.

Stroke 52

Stroke Research 52

PulmCCM

MAY 27, 2024

Uncontrolled hypertension is a major risk factor for both ischemic and hemorrhagic strokes. Maintaining blood pressure at or near the normal range (again, over long periods) reduces the risk of stroke. Once an acute stroke is underway, however, the calculus changes.

Stroke 52

Stroke Hospitals 52

PulmCCM

MAY 12, 2024

Endovascular thrombectomy became standard care for ischemic strokes resulting from large vessel occlusion (LVO) in the anterior cerebral circulation after randomized trials published in the mid-2010s showed improved outcomes with the intervention. The LASTE Trial: Thrombectomy f… Read more

Stroke 52

Stroke Outcomes 52

Sensible Medicine

JUNE 16, 2024

The other unbelievable thing about TAVR is that strokes are less common than you’d think. Early studies show that the device catches debris that would have occluded blood vessels in the brain—iow, caused stroke. lower rate of stroke in the treatment arm. The verbs squishing or smooshing come to mind.

Stroke 73

Stroke Shock Wellness Outcomes 73

PulmCCM

AUGUST 24, 2024

Thrombolysis with alteplase (tPA) or tenecteplase (TNK) has become standard care for moderate-to-severe ischemic strokes presenting within 4.5 Patients with the mildest strokes were excluded from the trials that established the bene… Read more

Stroke 40

Stroke Outcomes 40

ACEP Now

APRIL 2, 2024

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.

Stroke 40

Stroke Documentation/Coding Poisoning Emergency Department 40

PulmCCM

APRIL 19, 2024

There were lingering hopes that for patients with ischemic stroke, adding parenteral anticoagulation after thrombolytic therapy might improve outcomes.

Stroke 52

Stroke Outcomes 52

EM Ottawa

MAY 6, 2024

Editorial: Expanding Treatment for Acute Ischemic Stroke beyond Revascularization.

Stroke 60

Stroke Outcomes 60

PulmCCM

JULY 28, 2024

Tenecteplase (TNK) has become standard therapy at many centers for ischemic stroke presenting within 4.5 hours of symptom onset.

Stroke 52

Stroke Administration 52

Emergency Medicine Journal

SEPTEMBER 25, 2024

Ambulance crew’s main focus during stroke care is symptom recognition and rapid transport to specialist units to maximise access to and effectiveness of time-critical treatments. 4 In 2022, the Getting It Right First Time (GIRFT) stroke report 5 recommended an OST of less than 30 min for English ambulance services.

Stroke 52

Stroke Ambulance Services Hospitals 52

EMergucate

JULY 18, 2024

Intensive Ambulance-Delivered Blood- Pressure Reduction in Hyperacute Stroke Li, Y. Anderson, C. … Continue reading →

Stroke 52

Stroke 52

Board Bombs

APRIL 2, 2023

What if we told you there was a type of stroke that affected young people, caused more seizures than "typical arterial strokes", and the typical ED imaging does not diagnose it. Cerebral Venous Thrombosis: Sneaky Stroke. Cerebral Venous Thrombosis: Sneaky Stroke. Scared yet? You should be. Episode 171. Scared yet?

Stroke 52

Stroke Seizures 52

Medagadget

JULY 19, 2023

Researchers at Florida Atlantic University have developed a soft robotic glove that can assist stroke patients to relearn how to perform dexterous tasks with their hands. The glove contains soft actuators that helps patients to move their fingers as they perform tasks, and sensors that help to create tactile sensations.

Stroke 68

Stroke Research 68

Pediatric Education

APRIL 30, 2023

She had a history of neonatal stroke for which she had received physical and occupational therapy. The mother and medical records confirmed that a cause had not been determined but the child had a neonatal arterial ischemic stroke. The mother had been evaluated for hypercoagulability which was negative.

Stroke 52

Stroke Seizures Pediatrics Hyperthermia / Hypothermia 52

AENJ: Current Issue

JULY 31, 2024

Stroke-like symptoms are a common complaint in the emergency department; however, signs of an acute cerebrovascular event in a patient under the age of 50 can be both alarming and unexpected. Originally deemed a “stroke code” in the field, the patient was immediately transferred to the computerized tomography scanner.

Stroke 43

Stroke Documentation/Coding Emergency Department Wellness 43

Emergency Medicine Journal

SEPTEMBER 25, 2024

Severe disability due to large vessel occlusion (LVO) stroke can be avoided by emergency mechanical thrombectomy (MT) 1 but provision varies nationally and internationally according to the availability of specialist facilities.

Stroke 52

Stroke Hospitals 52

EMDocs

JUNE 8, 2023

This week we cover the EXTEND trial looking at thrombolysis up to 9 hours after stroke onset. and 9 hours of symptom onset; stroke symptoms that started during sleep were assumed to have started halfway between the actual last known well and the time of wake-up. Intervention: Alteplase 0.9 in alteplase group versus 0.9%

Stroke 78

Stroke Administration Documentation/Coding Outcomes 78

University of Maryland Department of Emergency Med

NOVEMBER 2, 2023

With respect to stroke identification and treatment, ea. BACKGROUND: Prehospital (EMS) clinicians are positioned on the front lines of health care. Click to view the rest

Stroke 64

Stroke Documentation/Coding EMS 64