Filtered By:
Specialty: Emergency Medicine
Condition: Ischemic Stroke

This page shows you your search results in order of relevance.

Order by Relevance | Date

Total 599 results found since Jan 2013.

Patient behaviour at the time of stroke onset: a cross-sectional survey of patient response to stroke symptoms
Conclusions This study provides insights into patient response when a stroke occurs, with the presence and action of others highlighted as critical in fast response to stroke symptoms. Knowledge of stroke warning signs and risk factors was low among stroke survivors. Findings highlight the complexity of changing help-seeking behaviour during stroke onset, and provide directions for public education efforts to reduce prehospital delay.
Source: Emergency Medicine Journal - May 18, 2016 Category: Emergency Medicine Authors: Mellon, L., Doyle, F., Williams, D., Brewer, L., Hall, P., Hickey, A. Tags: Stroke, Radiology, Clinical diagnostic tests Original article Source Type: research

The face arm speech test: does it encourage rapid recognition of important stroke warning symptoms?
Conclusions The survey has confirmed the effectiveness of the recent FAST campaign in raising public awareness of stroke and stroke warning signs, though poorest penetration was seen in the black and minority ethnic population. However, important stroke symptoms, including leg weakness and visual loss, were poorly recognised. This may lead to delays in presentation, specialist assessment and secondary prevention, and such stroke warning signs should be included in future public health campaigns.
Source: Emergency Medicine Journal - May 13, 2013 Category: Emergency Medicine Authors: Robinson, T. G., Reid, A., Haunton, V. J., Wilson, A., Naylor, A. R. Tags: Stroke Original article Source Type: research

Reasons and evolution of non-thrombolysis in acute ischaemic stroke
Conclusion Onset-to-admission delays remain the main exclusion criterion for thrombolysis. Among early arrivals, relative contraindications such as minor stroke severity and advanced age were frequent. Thrombolysis rate increased with the reduction of thrombolysis restrictions (eg, age and stroke severity).
Source: Emergency Medicine Journal - March 23, 2017 Category: Emergency Medicine Authors: Reiff, T., Michel, P. Tags: Open access, Stroke, Radiology, Clinical diagnostic tests Original article Source Type: research

A multi-modal approach to quality improvement: reducing 'door-to-ct' time in potenitally thombolysable stroke patients
Conclusion Early thrombolysis has been shown to improve outcomes in patients with ischaemic stroke.2 Reducing ‘Door-to-CT' scan time in the ED is an important step in enabling a reduction in the overall DTN time. This can be achieved by stream-lining key processes in the patient journey through the ED. A multi-modal approach ensured this change was introduced safely and effectively whilst re-enforcing a core change to standard working practice. Further work on process mapping and the delivery of thrombolysis is the next obvious step in further reduction in DTN time. Figure 1Quality Improvement Run Chart 'Door-t...
Source: Emergency Medicine Journal - November 17, 2016 Category: Emergency Medicine Authors: Waterson, F., Braithwaite, I., Tuck, I., Alcock, R. Tags: Stroke, Radiology, Clinical diagnostic tests, Radiology (diagnostics) RCEM Lightning presentations Source Type: research

Validity of a computerised five-level emergency triage system for patients with acute ischaemic stroke
Conclusion Acuity measured by the computerised TTAS demonstrated good validity in facilitating acute care of stroke patients with special regard to thrombolytic therapy.
Source: Emergency Medicine Journal - May 13, 2013 Category: Emergency Medicine Authors: Sung, S.-F., Huang, Y.-C., Ong, C.-T., Chen, W. Tags: Drugs: cardiovascular system, Stroke, Radiology, Adult intensive care, Clinical diagnostic tests Original article Source Type: research

Prehospital delay in acute stroke and TIA
Conclusions Severe strokes, use of ambulance and lower age are associated with reduced prehospital delay. The present study shows that more than half of the delay is caused by the hesitation to contact medical services. Public information campaigns should focus on fast symptom recognition and the importance of immediately contacting the Emergency Medical Services upon symptom onset.
Source: Emergency Medicine Journal - July 19, 2013 Category: Emergency Medicine Authors: Faiz, K. W., Sundseth, A., Thommessen, B., Ronning, O. M. Tags: Stroke Original article Source Type: research

Stroke Care: A Balanced Approach to the tPA Debate
In conclusion, alteplase is the only treatment available for acute ischemic stroke that is effective in some patients. In order to improve tPA effectiveness and minimize risks, patients with symptoms suggestive of an AIS should get rapid assessment and treatment with tPA after careful review of the contraindications. Given that smaller strokes can still be associated with considerable long term neurological morbidity, treatment should still be considered in those patients after weighing the risks and benefits and in consultation with the patient and family. Advanced age should also not be a limiting factor. Although the NI...
Source: EPMonthly.com - December 31, 2016 Category: Emergency Medicine Authors: Logan Plaster Tags: Uncategorized Source Type: news

A Pediatric and Neonatal Critical Care Transport Team's Standard of Care for Suspected Stroke of a Pediatric Patient
ConclusionThere has been an increase in rapid diagnosis, early recognition and treatment of pediatric patients with acute ischemic stroke and other stroke mimickers that required emergent intervention following implementation of our Stroke Alert Protocol, Clinical Practice Guideline, Suspected Stroke Checklist and tPA Administration and monitoring Guideline for Pediatric and Neonatal Critical Care Transport.
Source: Air Medical Journal - October 13, 2018 Category: Emergency Medicine Source Type: research

Abstract 5: Prevalence, Characteristics, and Accuracy of Stroke Diagnosis for Scene Transports to a Comprehensive Stroke Center by Helicopter Emergency Medical Services: A One Year Retrospective Evaluation
Publication date: July–August 2019Source: Air Medical Journal, Volume 38, Issue 4Author(s): Ekta Panjrolia, Anne Jackson, Stacie Stevens, Lorie Selleck, V. Ramana Feeser, Bert Bogue, Kathy Baker, Harinder DhindsaIschemic strokes affect 795,000 people per year in the US and are a major cause of long-term disability and mortality. These patients are often assessed by EMS at the scene and transported to appropriate centers of care for further evaluation and treatment. Utilization of helicopter emergency medical services (HEMS) greatly improves access to comprehensive stroke centers (CSC). However, the number of patients who...
Source: Air Medical Journal - June 25, 2019 Category: Emergency Medicine Source Type: research

Ischemic and Hemorrhagic Stroke Among Critically Ill Patients With Coronavirus Disease 2019: An International Multicenter Coronavirus Disease 2019 Critical Care Consortium Study*
CONCLUSIONS: In an international registry of ICU patients with coronavirus disease 2019, stroke was infrequent. Hemorrhagic stroke, but not ischemic stroke, was associated with increased mortality. Further, both hemorrhagic stroke and ischemic stroke were associated with traditional vascular risk factors. Extracorporeal membrane oxygenation use was strongly associated with both stroke and death.
Source: Critical Care Medicine - November 22, 2021 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research

Identification of acute stroke using quantified brain electrical activity.
CONCLUSIONS: Despite a small population and the use of a classifier without the benefit of training on a stroke population, these data suggest that a rapidly acquired, easy-to-use system to assess brain electrical activity at the time of evaluation of acute stroke could be a valuable adjunct to current clinical practice. PMID: 25565489 [PubMed - in process]
Source: Accident and Emergency Nursing - January 1, 2015 Category: Emergency Medicine Authors: Michelson EA, Hanley D, Chabot R, Prichep LS Tags: Acad Emerg Med Source Type: research

Risk of developing pleural empyema in patients with stroke: a propensity-matched cohort study
In conclusion, patients with stroke are at an elevated risk of developing pleural empyema. The risk is greater for those with hemor rhagic stroke than for those with ischemic stroke. The risk increases further for patients who undergo VP shunt implantation.
Source: Internal and Emergency Medicine - July 11, 2017 Category: Emergency Medicine Source Type: research

Stroke Triage: EMS needs a diagnostic tool that goes beyond a simple history & physical exam
As a young EMT and paramedic, I had relatively little education about acute myocardial infarctions. In the age of the 3-lead ECG, education was largely focused on arrhythmia detection and how to differentiate heart blocks, tachycardia and bradycardia. Detection of heart attack was largely based upon history and physical exam findings. Three decades later, the thought of relying on a physical exam to diagnose a ST- elevation myocardial infarction (STEMI) is hard to imagine. Although we’ve made remarkable progress in the prehospital detection of STEMI, we’ve made significantly less progress in the diagnosis of acute stro...
Source: JEMS Patient Care - May 2, 2018 Category: Emergency Medicine Authors: Mark E.A. Escott, MD, MPH, FACEP, NRP Tags: Patient Care Columns Source Type: news