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Condition: Hemorrhagic Stroke
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Total 250 results found since Jan 2013.

Characteristics and Outcomes of Candidemia in Patients with Durable Left Ventricular Assist Device Support
In conclusion, fungemia is a rare and severe complication in LVAD patients occurring early postimplant.
Source: ASAIO Journal - August 1, 2022 Category: Medical Devices Tags: Adult Circulatory Support Source Type: research

Ticagrelor or Clopidogrel as Antiplatelet Agents in Patients with Chronic Kidney Disease and Cardiovascular Disease: A Meta-analysis
ConclusionsWhen compared with clopidogrel, even though ticagrelor was not associated with higher risk of adverse cardiovascular outcomes in these patients with CKD, it was associated with significantly higher BARC bleeding. Therefore, the safety outcomes of ticagrelor still require further evaluation in patients with CKD. Nevertheless, this hypothesis should only be confirmed with more powerful results that could usually only be achieved using large-scale randomized trials.
Source: American Journal of Cardiovascular Drugs - August 2, 2023 Category: Cardiology Source Type: research

Validation of the San Francisco Syncope Rule in Two Hospital Emergency Departments in an Asian Population
ConclusionsIn this study, SFSR rule had a sensitivity of 94.2%. This suggests caution on the strict application of the rule to all patients presenting with syncope. It should only be used as an aide in clinical decision‐making in this population. Resumen Validación en una Población Asiática de la Escala de Síncope de San Francisco en Dos Servicios de Urgencias HospitalariosObjetivesValidar externamente la capacidad de la Escala de Síncope de San Francisco (San Francisco Syncope Rule (SFSR)) para identificar con certeza los pacientes que experimentarán un evento clínico grave a los 7 días siguientes en una poblac...
Source: Academic Emergency Medicine - May 14, 2013 Category: Emergency Medicine Authors: Camlyn Tan, Tiong Beng Sim, Shin Ying Thng Tags: Original Research Contribution Source Type: research

Clinical Experience of Life-Threatening Dabigatran-Related Bleeding at a Large, Tertiary Care, Academic Medical Center: a Case Series.
CONCLUSION: Reversal strategies for dabigatran-related bleeding events at our institution are highly variable. Intracranial hemorrhage in patients on dabigatran was associated with 43 % mortality. Patients with severe dabigatran-related bleeding may benefit from a standardized approach to treatment. PMID: 24385325 [PubMed - as supplied by publisher]
Source: Journal of Medical Toxicology - January 3, 2014 Category: Toxicology Authors: Ross B, Miller MA, Ditch K, Tran M Tags: J Med Toxicol Source Type: research

Discharge Delays on an Inpatient Neurology Service (P6.006)
Conclusions: More than half of patients admitted to our inpatient neurology ward services experienced discharge delays of one or more days, with the majority due to placement at inpatient rehabilitation facilities.Disclosure: Dr. Batra has nothing to disclose. Dr. Salinas has nothing to disclose. Dr. Cohen has received personal compensation for activities with EM Gladiators LLC.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Batra, A., Salinas, J., Cohen, A. Tags: General Neurology V Source Type: research

Diagnostic Value of S100B Protein in the Differential Diagnosis of Acute Vertigo in the Emergency Department / El Valor Diagnóstico de la Proteína S100B en el Diagnóstico Diferencial del Vértigo Agudo en el Servicio de Urgencias
ConclusionsTo the best of our knowledge this is the first study assessing the utility of serum S100B levels for diagnosis of acute‐onset vertigo. Serum S100B levels are associated with the presence of central causes of vertigo on cranial MRI. However, serum S100B levels are not sufficiently sensitive to exclude candidates from cranial MRI. Resumen ObjetivosEl vértigo es un motivo de consulta frecuente y es consecuencia de una etiología central o periférica. Debido a que las causas centrales pueden ser de riesgo vital, la determinación de la naturaleza del vértigo es crucial en el servicio de urgencias (SU). Con un ...
Source: Academic Emergency Medicine - August 13, 2014 Category: Emergency Medicine Authors: Aslı Gülfer Kartal, Serkan Yılmaz, Elif Yaka, Murat Pekdemir, Hasan Tahsin Sarısoy, Mustafa Baki Çekmen, Melih Yüksel Tags: Original Contribution Source Type: research

Spot Sign on 90-Second Delayed Computed Tomography Angiography Improves Sensitivity for Hematoma Expansion and Mortality: Prospective Study Clinical Sciences
Conclusions— We demonstrate improved sensitivity for predicting hematoma expansion and poor outcome by adding a 90-second delayed CTA, which may enhance selection of patients who may benefit from hemostatic therapy.
Source: Stroke - October 27, 2014 Category: Neurology Authors: Ciura, V. A., Brouwers, H. B., Pizzolato, R., Ortiz, C. J., Rosand, J., Goldstein, J. N., Greenberg, S. M., Pomerantz, S. R., Gonzalez, R. G., Romero, J. M. Tags: Intracerebral Hemorrhage Clinical Sciences Source Type: research

Computed Tomography Abnormalities and Epidemiology of Adult Patients Presenting With First Seizure to the Emergency Department in Qatar / Epidemiología y Alteraciones en la Tomografía Computarizada de los Pacientes Adultos Atendidos por una Primera Crisis Epiléptica en un Servicio de Urgencias en Qatar.
ConclusionsAdults who presented with first seizure to the ED in Qatar had a young male predominance, and a high proportion of brain CT scans were reported as abnormal. It is recommended that all such patients in this population should undergo prompt CT scanning in the ED, but the utility of routine electrolyte tests requires further investigation. Resumen ObjetivosExisten poco datos de la región del Medio Este del mundo en pacientes atendidos con una primera crisis epiléptica. Los objetivos de este estudio fueron describir las características epidemiológicas de los pacientes atendidos en el servicio de urgencias (SU) ...
Source: Academic Emergency Medicine - November 6, 2014 Category: Emergency Medicine Authors: Sameer A. Pathan, Salem Abosalah, Sana Nadeem, Amjad Ali, Asma A. Hameed, Mandar Marathe, Peter A. Cameron Tags: Original Contribution Source Type: research

Cost‐effectiveness of Quantitative Pretest Probability Intended to Reduce Unnecessary Medical Radiation Exposure in Emergency Department Patients With Chest Pain and Dyspnea
ConclusionsWidespread use of a combined qPTP for both ACS and PE has the potential to decrease costs by reducing diagnostic testing, while improving most long‐term outcomes in emergency patients with chest pain and dyspnea.
Source: Academic Emergency Medicine - April 21, 2015 Category: Emergency Medicine Authors: Jennifer L. Troyer, Alan E. Jones, Nathan I. Shapiro, Alice M. Mitchell, Ian Hewer, Jeffrey A. Kline Tags: Original Contribution Source Type: research

CT within 6 hours of headache onset to rule out subarachnoid hemorrhage in nonacademic hospitals
Conclusions: Our results support a change of practice wherein a lumbar puncture can be withheld in patients with a head CT scan performed <6 hours after headache onset and reported negative for the presence of SAH by a staff radiologist in the described nonacademic setting.
Source: Neurology - May 11, 2015 Category: Neurology Authors: Blok, K. M., Rinkel, G. J. E., Majoie, C. B. L. M., Hendrikse, J., Braaksma, M., Tijssen, C. C., Wong, Y. Y., Hofmeijer, J., Extercatte, J., Kerklaan, B., Schreuder, T. H. C. M. L., ten Holter, S., Verheul, F., Harlaar, L., Pruissen, D. M. O., Kwa, V. I. Tags: All Headache, Diagnostic test assessment, CT, Subarachnoid hemorrhage ARTICLE Source Type: research

Management of Bleeding Complications in Patients Taking Direct Oral Anticoagulants at a Large Tertiary Academic Medical Center
Abstract Direct oral anticoagulants (DOACs) offer a fixed-dose alternative to warfarin for stroke prevention in patients with atrial fibrillation. However, there is minimal evidence to guide the management of bleeding in patients taking a DOAC. We retrospectively evaluated the acute management of major bleeding in this patient population at a large, tertiary academic medical center. We evaluated various strategies of management including dialysis, transfusions, pharmacologic agents, surgical intervention, and reinitiation of anticoagulation. We also assessed length of intensive care unit and hospital stay, mor...
Source: Current Emergency and Hospital Medicine Reports - June 13, 2015 Category: Emergency Medicine Source Type: research

Location, Infarct Load, and 3-Month Outcomes of Delayed Cerebral Infarction After Aneurysmal Subarachnoid Hemorrhage Clinical Sciences
Conclusions— Middle cerebral artery cortical and perforator zone infarct loads are potential surrogate marker to assess the severity of delayed cerebral ischemia.
Source: Stroke - October 26, 2015 Category: Neurology Authors: Wong, G. K. C., Nung, R. C. H., Sitt, J. C. M., Mok, V. C. T., Wong, A., Ho, F. L. Y., Poon, W. S., Wang, D., Abrigo, J., Siu, D. Y. W. Tags: Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage Clinical Sciences Source Type: research

Perceived Appropriateness of Shared Decision‐Making in the Emergency Department: A Survey Study
ConclusionsAcceptance of SDM among emergency physicians appears to be strong across management categories (diagnostic testing, treatment, and disposition) and in a variety of clinical scenarios. SDM is perceived by most EPs to be medicolegally protective.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - January 25, 2016 Category: Emergency Medicine Authors: Marc A. Probst, Hemal K. Kanzaria, Dominick L. Frosch, Erik P. Hess, Gary Winkel, Ka Ming Ngai, Lynne D. Richardson Tags: Original Contribution Source Type: research

Perceived Appropriateness of Shared Decision-Making in the Emergency Department: A Survey Study.
CONCLUSIONS: Acceptance of SDM among emergency physicians appears to be strong across management categories (diagnostic testing, treatment, and disposition) and in a variety of clinical scenarios. SDM is perceived by most EPs to be medicolegally protective. This article is protected by copyright. All rights reserved. PMID: 26806170 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - January 25, 2016 Category: Emergency Medicine Authors: Probst MA, Kanzaria HK, Frosch DL, Hess EP, Winkel G, Ngai KM, Richardson LD Tags: Acad Emerg Med Source Type: research

Novel Treatments in Neuroprotection for Aneurysmal Subarachnoid Hemorrhage
Opinion statement New neuroprotective treatments aimed at preventing or minimizing “delayed brain injury” are attractive areas of investigation and hold the potential to have substantial beneficial effects on aneurysmal subarachnoid hemorrhage (aSAH) survivors. The underlying mechanisms for this “delayed brain injury” are multi-factorial and not fully understood. The most ideal treatment strategies would have the potential for a pleotropic effect positively modulating multiple implicated pathophysiological mechanisms at once. My personal management (RFJ) of patients with aneurysmal subarachnoid hemorrhage...
Source: Current Treatment Options in Neurology - June 19, 2016 Category: Neurology Source Type: research