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Challenge of intravascular volume assessment in acute ischemic stroke
Retrospective data indicates that dehydration in acute ischemic stroke patients may be common, even though these patients frequently have elevated blood pressure. We sought to evaluate clinical and laboratory measures of intravascular volume status compared to more objective measures using ultrasound measurements of the inferior vena cava (IVC).
Source: The American Journal of Emergency Medicine - February 2, 2018 Category: Emergency Medicine Authors: Joseph B. Miller, Alexander Lee, Julian P. Suszanski, Madison Tustian, Jessica Levely Corcoran, Steven Moore, Lauren Rodriguez, Christopher A. Lewandowski Source Type: research

National trends in stroke and TIA care in U.S. emergency departments and inpatient hospitalizations (2006 –2014)
We examine recent trends in U.S. emergency department (ED) and hospital care for stroke and transient ischemic attack (TIA).
Source: The American Journal of Emergency Medicine - August 8, 2018 Category: Emergency Medicine Authors: Islam I. Bedaiwi, Sukayna Z. Alfaraj, Jesse M. Pines Source Type: research

Pharmacoeconomic impact of an alternative workflow process for stroke
The objective of this study was to evaluate a new multidisciplinary process in which intravenous alteplase (tPA) waste, used for acute ischemic stroke (AIS), was salvaged in an attempt to maximize cost effectiveness without impacting door-to-needle (DTN) administration times.
Source: The American Journal of Emergency Medicine - October 16, 2018 Category: Emergency Medicine Authors: Brian W. Gilbert, Joel B. Huffman, Joe Slechta, Christine Porter, John M. Gallagher Source Type: research

Acute ischemic stroke in a trauma cohort: Incidence and diagnostic challenges
We report its incidence in trauma patients following their presentation at our institution.
Source: The American Journal of Emergency Medicine - November 3, 2018 Category: Emergency Medicine Authors: Kevin Yeboah, Aakash Bodhit, Ali Al Balushi, Erik Krause, Abhay Kumar Source Type: research

Tenecteplase utility in acute ischemic stroke patients: A clinical review of current evidence
Acute ischemic stroke is leading cause of disability in the United States. Treatment is aimed at reducing impact of cerebral clot burden and life-long disability. Traditional fibrinolytic treatment with recombinant tissue plasminogen activator (tPA) has shown to be effective but at high risk of major bleeding. Multiple studies have evaluated tenecteplase as an alternative to tPA.
Source: The American Journal of Emergency Medicine - November 14, 2018 Category: Emergency Medicine Authors: Amelia Nelson, Gregory Kelly, Richard Byyny, Catherine Dionne, Candice Preslaski, Kevin Kaucher Source Type: research

Optimal treatment modality for coexisting acute myocardial infarction and ischemic stroke
We present a rare case of coexisting thrombosis of the coronary artery and mid cerebral artery that was managed successfully with tissue plasminogen activator thrombolytic therapy.
Source: The American Journal of Emergency Medicine - December 31, 2018 Category: Emergency Medicine Authors: Fatih Gungoren, Feyzullah Besli, Zulkif Tanriverdi, Ozcan Kocaturk Source Type: research

Financial relationships with industry among guideline authors for the management of acute ischemic stroke
To characterize the prevalence of industry relationships among authors of acute ischemic stroke (AIS) guidelines and its association with graded evidence.
Source: The American Journal of Emergency Medicine - January 24, 2019 Category: Emergency Medicine Authors: Joshua D. Niforatos, Richard M. Pescatore Source Type: research

Prehospital time intervals and management of ischemic stroke patients
Quantify prehospital time intervals, describe prehospital stroke management, and estimate potential time saved if certain procedures were performed en route to the emergency department (ED).
Source: The American Journal of Emergency Medicine - February 6, 2020 Category: Emergency Medicine Authors: Timmy Li, Jeremy T. Cushman, Manish N. Shah, Adam G. Kelly, David Q. Rich, Courtney M.C. Jones Source Type: research

The impact of helicopter emergency medical service on acute ischemic stroke patients: A systematic review
Helicopter emergency medical services (HEMS) is commonly elected transport for acute ischemic stroke (AIS) known as a time-critical illness.
Source: The American Journal of Emergency Medicine - February 14, 2020 Category: Emergency Medicine Authors: Shachar Tal, Saban Mor Source Type: research

Does prolonged emergency department length of stay(EDLOS) affect the outcomes of acute ischemic stroke patients?
The effect of emergency department length of stay (EDLOS) on outcomes of patients with acute ischemic stroke (AIS) remains largely unexamined. We aimed to investigate the association between EDLOS and outcomes in AIS patients.
Source: The American Journal of Emergency Medicine - August 30, 2020 Category: Emergency Medicine Authors: Yan Wu, Xuechun Wu, Hong Pan, Yafang Zhu, Yan Qin, Yongrong Sun, Chun-Feng Liu, Yongjun Cao, Rongfang Shi, Xia Zhang Source Type: research

Inter-facility transfer for patients with acute large vessel occlusion stroke receiving mechanical thrombectomy
Mechanical thrombectomy (MT) is the preferred treatment for large vessel occlusion (LVO) ischemic stroke, and neurological outcome improves with earlier treatment. Patients with LVO frequently require inter-facility transfer to access MT but delays at transferring EDs may worsen neurological outcomes.
Source: The American Journal of Emergency Medicine - September 20, 2020 Category: Emergency Medicine Authors: William L. Scheving, Michael Froehler, Kimberly Hart, Candace D. McNaughton, Michael J. Ward Source Type: research

Language preference does not influence stroke patients' symptom recognition or emergency care time metrics
Our objective was to determine whether acute ischemic stroke (AIS) patients' language preference is associated with differences in time from symptom discovery to hospital arrival, activation of emergency medical services, door-to-imaging time (DTI), and door-to-needle (DTN) time.
Source: The American Journal of Emergency Medicine - November 2, 2020 Category: Emergency Medicine Authors: Kori S. Zachrison, Shaw Natsui, Betty M. Luan Erfe, Nicte I. Mejia, Lee H. Schwamm Source Type: research

Simultaneous thrombosis of 2 vascular territories: is thrombolytic therapy a better option?
We have read with great interest the article by Akyuz and colleagues in the American Journal of Emergency Medicine and congratulate them for their observation. Their case exemplifies the concurrent occurrence of ST-segment elevation myocardial infarction (STEMI) and posterior circulation stroke that was eventually managed with thrombolytic therapy. Simultaneous thrombosis of 2 distant vascular territories is a rare and complicated clinical scenario. In these instances, there is usually an underlying cause linking both thrombotic events rather than being a mere coincidence. We have previously described the myocardial infarc...
Source: The American Journal of Emergency Medicine - July 1, 2013 Category: Emergency Medicine Authors: Hesham R. Omar, Devanand Mangar, Enrico M. Camporesi Tags: Correspondence Source Type: research

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