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Specialty: Emergency Medicine
Condition: Stroke

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Total 1739 results found since Jan 2013.

Cooling Methods in Heat Stroke
Heat stroke is an illness with a high risk of mortality or morbidity, which can occur in the young and fit (exertional heat stroke) as well as the elderly and infirm (nonexertional heat stroke). In the United States, from 2006 to 2010, there were at least 3332 deaths attributed to heat stroke.
Source: The Journal of Emergency Medicine - October 31, 2015 Category: Emergency Medicine Authors: Flavio G. Gaudio, Colin K. Grissom Tags: Clinical Review Source Type: research

Clinical Predictors of Accurate Prehospital Stroke Recognition
Acute ischemic stroke is a time-sensitive diagnosis. Much effort and attention have gone towards improving early stroke recognition and expediting care in the emergency department; however, less is known about the effectiveness of prehospital stroke recognition and what impact this has on stroke care.
Source: The Journal of Emergency Medicine - November 1, 2015 Category: Emergency Medicine Authors: Kathryn Majors-Foley Tags: Abstract Source Type: research

When stroke is more than stroke
We describe a case of aortic dissection presenting as right middle cerebral artery syndrome who received intravenous thrombolysis complicated by aortic rupture with a fatal outcome. A Medline search shows that this is the first report of aortic rupture since the inception of thrombolysis for acute stroke.
Source: The American Journal of Emergency Medicine - November 18, 2015 Category: Emergency Medicine Authors: Shing Ching, Soo Moi Ting Tags: Case Report Source Type: research

The incidence and significance of acute kidney injury following emergent contrast administration in patients with STEMI and stroke
Abstract The authors have investigated the incidence of acute kidney injury (AKI) and short-term mortality following an activated STEMI and stroke alert at a tertiary referral and academic center. A single center, retrospective chart review of STEMI and stroke activation patients from January 2010 to March 2012. Data was collected and reviewed from an institutional database following IRB-approval. Inclusion criteria were STEMI patients taken for cardiac catheterization, excluding patients receiving hemodialysis due to end-stage renal disease (ESRD). Primary outcome measures were the incidence of AKI using the RIFL...
Source: Internal and Emergency Medicine - February 24, 2016 Category: Emergency Medicine Source Type: research

Acute Stroke: Current Evidence-based Recommendations for Prehospital Care. Glober, Nancy K.; Sporer, Karl A.; Guluma, Kama Z.; Serra, John P.; Barger, Joe A.; Brown, John F.; Gilbert, Greg H.; Koenig, Kristi L.; Rudnick, Eric M.; Salvucci, Angelo A.
Introduction: In the United States, Emergency Medical Services (EMS) protocols vary widely across jurisdictions. We sought to develop evidence-based recommendations for the prehospital evaluation and treatment of a patient with a suspected stroke and to compare these recommendations against the current protocols utilized by the 33 EMS agencies in the State of California. Methods: We performed a literature review of the current evidence in the prehospital treatment of a patient with a suspected stroke and augmented this review with guidelines from various national and international societies to create our evidence...
Source: Western Journal of Emergency Medicine - January 1, 2016 Category: Emergency Medicine Source Type: research

Patient and process factors associated with type of first neuroimaging and delayed diagnosis in childhood arterial ischemic stroke
ConclusionsStrategies to improve rapid diagnosis of pediatric stroke should include shared regional hospital networks protocols to optimize local imaging strategies, and where possible rapid transfer to the tertiary center. Future priorities should include development of pediatric ED physician decision support tools to differentiate stroke from mimics, and the development and implementation of rapid ED imaging stroke protocols to improve access to confirmatory MRI scanning.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - May 6, 2016 Category: Emergency Medicine Authors: Marco Daverio, Silvia Bressan, Dario Gregori, Franz E. Babl, Mark T. Mackay Tags: Original Contribution Source Type: research

Telemedicine in Prehospital Stroke Evaluation and Thrombolysis: Taking Stroke Treatment to the Doorstep
Acute ischemic stroke is a time sensitive diagnosis, yet many patients cannot or do not access acute care services within the 3 hour window during which intravenous (IV) tissue plasminogen activator (tPA) is thought to be most effective. There is increasing national interest in mobile stroke treatment units (MSTU), in the hope of decreasing time-to-treatment in stroke.
Source: The Journal of Emergency Medicine - June 18, 2016 Category: Emergency Medicine Authors: Kathryn Majors-Foley Tags: Abstract Source Type: research

Rapid intervention with glyceryl trinitrate in hypertensive stroke trial-2 (right-2): safety and efficacy of transdermal glyceryl trinitrate, a nitric oxide donor
Rationale High blood pressure (BP) is common in acute stroke and is associated with poor outcome. Previous hospital-based trials testing the effects of BP lowering on functional outcome have been inconclusive. The PIL-FAST and RIGHT pilot trials confirmed the feasibility of performing single-centre ambulance-based stroke trials in the UK. In both RIGHT and a subgroup of patients recruited within 6 hours into the large ENOS trial, transdermal glyceryl trinitrate (GTN), a nitric oxide donor, lowered BP and reduced death or disability. Based on these results, RIGHT-2 aims to test the safety and efficacy of transdermal GTN in ...
Source: Emergency Medicine Journal - August 17, 2016 Category: Emergency Medicine Authors: Bath, P. M. W., Dixon, M., Appleton, J., Scutt, P., England, T., Foster, H., Howard, H., Jarvis, M., Montgomery, A., Pocock, S., Potter, J., Price, C., Robinson, T., Roffe, C., Siriwardena, A. N., Sprigg, N., Wardlaw, J. Tags: Poster Presentations Source Type: research

The Advanced Reperfusion Era: Implications for Emergency Systems of Ischemic Stroke Care
Publication date: Available online 3 September 2016 Source:Annals of Emergency Medicine Author(s): Joseph B. Miller, Lisa H. Merck, Charles R. Wira, William J. Meurer, Jon W. Schrock, Jason T. Nomura, Matthew S. Siket, Tracy E. Madsen, David W. Wright, Peter D. Panagos, Christopher Lewandowski Large vessel ischemic stroke is a leading cause of morbidity and mortality throughout the world. Recent advances in endovascular stroke treatment are changing the treatment paradigm for these patients. This concepts article summarizes the time-dependent nature of stroke care and evaluates the recent advancements in endovascular trea...
Source: Annals of Emergency Medicine - September 3, 2016 Category: Emergency Medicine Source Type: research

Distinct Short-Term Outcomes in Patients With Mild Versus Rapidly Improving Stroke Not Treated With Thrombolytics
Ischemic stroke and the administration of tPA remains a relevant and debated topic in emergency departments across the country. A particular subset of stroke patients of particular interest are those that present with a minor stroke (MS) or rapidly improving stroke (RIS). These populations are often excluded from tPA administration, and this investigation investigated outcomes in these patients.
Source: The Journal of Emergency Medicine - July 31, 2016 Category: Emergency Medicine Authors: Angela Wright Tags: Abstract Source Type: research

Atrial Fibrillation Is Associated With a Worse 90-Day Outcome Than Other Cardioembolic Stroke Subtypes
Ischemic stroke accounts for 130,000 deaths annually. Cardioembolic stroke (CES) accounts for about 1 in 5 ischemic strokes, and compared with non-CES strokes, have been found to have a larger impact on disability, mortality rates, and treatment costs. Of CES strokes, atrial fibrillation (AF)-related strokes have been found, in large registries, to result in a more severe stroke subtype. The question has remained of whether patients with AF-related CES have a greater stroke severity and worse outcomes compared with other (non AF) CES-related strokes.
Source: The Journal of Emergency Medicine - July 31, 2016 Category: Emergency Medicine Authors: Allison A. Harris Tags: Abstract Source Type: research

Performance of Bedside Stroke Recognition Tools in Discriminating Childhood Stroke from Mimics
There are a variety of validated, pre-hospital and emergency department (ED) bedside stroke recognition tools for adult patients that allow for timely diagnosis and expedited access to treatment. While children have a lower probability of stroke, they present differently from adult patients and may present to the ED with a variety of stroke mimics.
Source: The Journal of Emergency Medicine - August 31, 2016 Category: Emergency Medicine Authors: Patricia Michelle Troxell Klingenbjerg Source Type: research

Effects of Shuxuetong injection applied in acute ischemic stroke
Conclusions Adjuvant treatment with Shuxuetong injection can reduce the injury of nerve function of patients with ischemic stroke and improve blood lipid metabolism and blood coagulation function, which is an effective drug for the treatment of ischemic stroke.
Source: Journal of Acute Disease - September 20, 2016 Category: Emergency Medicine Source Type: research

Prophylactic antibiotic treatment in severe acute ischemic stroke: the A ntimicrobial chemop R rophylaxis for I schemic ST rok E I n Mace D on I a –Thrace S tudy (ARISTEIDIS)
AbstractInfections represent a leading cause of mortality in patients with acute ischemic stroke, but it is unclear whether prophylactic antibiotic treatment improves the outcome. We aimed to evaluate the effects of this treatment on infection incidence and short-term mortality. This was a pragmatic, prospective multicenter real-world analysis of previously independent consecutive patients with acute ischemic stroke who were>18  years, and who had at admission National Institutes of Health Stroke Scale (NIHSS)>11. Patients with infection at admission or during the preceding month, with axillary temperature at admiss...
Source: Internal and Emergency Medicine - September 21, 2016 Category: Emergency Medicine Source Type: research