RebelEM

FEBRUARY 1, 2024

Background : Alteplase, a class of medication that converts plasminogen to plasmin leading to fibrin degradation and subsequent clot lysis, has been the standard of care for acute ischemic stroke (AIS) patients that meet eligibility criteria. mg/kg non-inferior to alteplase in the treatment of acute ischemic stroke? vs Alteplase 34.8%

Stroke 134

Stroke Blood Transfusions Outcomes EMS 134

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 137

Stroke Documentation/Coding Emergency Department EMS 137

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 114

Stroke Outcomes Wellness 114

Emergency Live

JANUARY 23, 2024

A Guide to Stroke Symptoms and Actions to Take Recognizing Stroke Signs: Symptoms Not to Ignore A stroke, or cerebrovascular accident, is a serious medical condition that occurs when the blood flow to a part of the brain is interrupted or reduced, depriving the brain tissues of oxygen and nutrients.

Stroke 98

Stroke 98

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 88

Stroke Emergency Department 88

The Trauma Pro

AUGUST 12, 2024

A patient found at the bottom of a flight of stairs with blood in their head did not have a stroke and then fall down. Injury can and does kill people more quickly that an MI or a stroke, especially if it was never suspected. A spot in the liver after blunt trauma is not a cyst or hemangioma; it is a laceration until proven otherwise.

Stroke 203

Stroke 203

Emergency Medicine Cases

JUNE 6, 2023

The post EM Quick Hits 49 Stroke Management Update, Intussusception, 5 Penetrating Trauma Tips, Skin Foreign Body Hack, CT Radiation Risk, Emergency Fund appeared first on Emergency Medicine Cases.

Stroke 94

Stroke EMS Pediatrics 94

EM Ottawa

MAY 6, 2024

Editorial: Expanding Treatment for Acute Ischemic Stroke beyond Revascularization.

Stroke 65

Stroke Outcomes 65

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 80

Stroke Shock Wellness Outcomes 80

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

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

Sensible Medicine

FEBRUARY 12, 2024

Neurologist Hooman Kamel from the Weil Cornell Medical Center in NY had an idea about atrial fibrillation and stroke. Stroke came when these clots moved northward to the brain. One of the big issues with this theory was that studies had failed to show a strong relationship in time between the stroke and the irregular rhythm.

Wellness 136

Wellness Stroke EKG/ECG Academics 136

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

ACEP Now

APRIL 22, 2025

On a recent shift, I cared for a stroke patient with a story that, on the surface, was one that we hear all too often in Emergency Medicine. As my Creole translator and I chatted with him, my mind drifted back to Mrs. A, my stroke patient from Indonesia. She had yet to be seen in any health care setting in the U.S.,

Mobile Clinics 98

Mobile Clinics Stroke Ultrasounds Leadership 98

Ultrasound Gel

NOVEMBER 23, 2020

This article presents a novel strategy for searching for embolic etiologies in the acute phase of ischemic strokes (which means even climbing into CT with a handheld device!). Well - that very well may be the case, but hear me out- this is a fascinating idea. you may rightfully ask. That is a really great question, and I'm glad you asked.

Stroke 52

Stroke Wellness 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 60

Stroke Documentation/Coding Emergency Department Wellness 60

Ken Grauer, MD

JUNE 22, 2024

As another alternative consideration — Diffuse ST-T wave abnormalities ( including T wave inversion ) as are seen in ECG #1 could be the result of a non -cardiac condition — including marked metabolic and/or electrolyte disturbance, CNS catastrophe (ie, stroke, intracerebral or subarachnoid bleed, trauma, tumor ), severe anemia, "sick" patient, etc.

EKG/ECG 429

EKG/ECG Stroke Documentation/Coding Wellness 429

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

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

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

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

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

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

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

Sensible Medicine

NOVEMBER 6, 2023

Many doctors believe that closing the left atrial appendage (with a device) will help reduce stroke and bleeding. The idea behind stroke reduction is that occluding the appendage takes away a common area where clots form. I’ve already told you that peri-device leaks are associated with an increase in stroke risk.

Stroke 136

Stroke Outcomes Ultrasounds Wellness 136

Sensible Medicine

NOVEMBER 20, 2023

That means reducing events caused by clots—like stroke. The OCEANIC AF trial enrolled patients with AF who had stroke risk factors. The primary outcome was stroke or systemic embolism. Things like survival and stroke. Here’s the thing: an espresso would lead to less bleeding than any anticoagulant.

Stroke 128

Stroke Outcomes Wellness 128

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

The Skeptics' Guide to EM

AUGUST 20, 2022

Fragility Index Meta-Analysis of Randomized Controlled Trials Shows Highly Robust Evidential Strength for Benefit of The post SGEM Xtra: Are tPA Stroke Trials Really Fragile? I knew about Jeff from his multiple publications in the stroke literature. first appeared on The Skeptics Guide to Emergency Medicine. This is an SGEM Xtra.

Stroke 52

Stroke Best Practices EMS Research 52

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 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

JournalFeed

APRIL 19, 2025

Thursday Spoon Feed: The authors created The Sudbury Vertigo Risk Score for ED patients presenting with vertigo that may better identify those at risk for serious neurologic conditions like stroke. The scoring system has remarkable sensitivity for serious neurolgic pathology, but it has yet to be validated.

Stroke 52

Stroke 52

EMergucate

JULY 18, 2024

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

Stroke 52

Stroke 52

EMCrit

MARCH 20, 2024

This may result from non-dominant hemispheric strokes. Eyelid opening apraxia refers to a specific inability to open the eyelids. On superficial examination it will mimic unconsciousness, but upon further examination the patient is awake and able to respond to stimuli with their extremities.

Stroke 138

Stroke 138

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

First 10 EM

AUGUST 28, 2023

Katie Lin is an Assistant Professor of Emergency Medicine at the University of Calgary, a Stroke Attending with the Calgary Stroke Program, and a critical care Flight Transport Physician with STARS Air Ambulance in Alberta.

Stroke 98

Stroke 98

EMDocs

MARCH 19, 2024

Thromboembolism can lead to stroke (and this is a more common cause of stroke in the setting of sCAD than hypoperfusion). Epidemiology Common cause of strokes in young people; sCAD accounts for 15-24% of strokes in patients < 45 years. Rare cause of stroke overall – incidence is 1.72

Stroke 106

Stroke EMS Administration Ultrasounds 106

St. Emlyn

MAY 22, 2024

St.Emlyn's - Emergency Medicine #FOAMed Paediatric Stroke, Bronchiolitis, and tips and tricks for paediatric procedures The post Paediatric Emergencies Update – Noosa Day 1 appeared first on St.Emlyn's.

Stroke 102

Stroke 102