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Specialty: Emergency Medicine
Condition: Stroke

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Total 1739 results found since Jan 2013.

Modulation by the Noble Gas Helium of Tissue Plasminogen Activator: Effects in a Rat Model of Thromboembolic Stroke*
Conclusions: In a clinical perspective for the treatment of acute ischemic stroke, these data suggest that helium 1) should not be administered before or together with tissue plasminogen activator therapy due to the risk of inhibiting the benefit of tissue plasminogen activator–induced thrombolysis; and 2) could be an efficient neuroprotective agent if given after tissue plasminogen activator–induced reperfusion.
Source: Critical Care Medicine - May 17, 2016 Category: Emergency Medicine Tags: Online Laboratory Investigations Source Type: research

Excellance, Inc. Announces Attendance at the 2016 International Mobile Stroke Summit
Excellance Inc, manufacturer of high quality custom ambulances and emergency vehicles, today announced their presence at the 2016 International Mobile Stroke Summit. The event will be held at the InterContinental Hotel and Conference Center in Cleveland, OH from May 20-21, 2016. Excellance, Inc. will have a booth at the event to educate attendees on their Mobile Stroke Treatment Unit (MSTU) designed specifically to cut down the time that it takes to diagnose and treat patients. The Cleveland Clinic purchased their first MSTU from Excellance using telemedicine. The MSTU from Excellance has new on-board technology that inc...
Source: JEMS Operations - May 13, 2016 Category: Emergency Medicine Tags: Industry News Ambulances & Vehicle Ops Source Type: news

Serum albumin level is associated with the recurrence of acute ischemic stroke
Previous studies have confirmed that low serum albumin levels in acute ischemic stroke patients increased the risk for poor outcome and death, demonstrating the neuroprotective role of albumin. However, there are few studies investigating the relationship between albumin levels and recurrence of stroke. The aim of this study was to evaluate the effect of serum albumin level on the risk of recurrence in patients with acute ischemic stroke.
Source: The American Journal of Emergency Medicine - June 12, 2016 Category: Emergency Medicine Authors: Qing Zhang, Yi-Xiong Lei, Qiang Wang, Yong-Ping Jin, Rong-Li Fu, He-Hong Geng, Ling-Ling Huang, Xiao-Xiao Wang, Pei-Xi Wang Tags: Original Contribution Source Type: research

Helicopter Scene Response for Stroke Patients: A 5-Year Experience
Conclusion Using a 3-step EMS triage for acute CVA, air medical transport from the scene to a comprehensive stroke center allowed for the timely administration of tissue plasminogen activator and/or a neurointerventional procedure in a substantive percentage of patients. Further investigation into air medical scene response for acute stroke is warranted.
Source: Air Medical Journal - July 1, 2016 Category: Emergency Medicine Source Type: research

Serum albumin level is associated with the recurrence of acute ischemic stroke
Previous studies have confirmed that low serum albumin levels in acute ischemic stroke patients increased the risk for poor outcome and death, demonstrating the neuroprotective role of albumin. However, there are few studies investigating the relationship between albumin levels and recurrence of stroke. The aim of this study was to evaluate the effect of serum albumin level on the risk of recurrence in patients with acute ischemic stroke.
Source: The American Journal of Emergency Medicine - June 12, 2016 Category: Emergency Medicine Authors: Qing Zhang, Yi-Xiong Lei, Qiang Wang, Yong-Ping Jin, Rong-Li Fu, He-Hong Geng, Ling-Ling Huang, Xiao-Xiao Wang, Pei-Xi Wang Tags: Original Contribution Source Type: research

Fatal hemopericardium after intravenous recombinant transplasminogeen activator (rt-PA) for acute ischemic stroke
Intravenous recombinant transplasminogeen activator (rt-PA) treatment is considered as standard acute phase treatment in ischemic stroke. In the initial stroke guidelines, recent myocardial infarction (MI) was listed as a contraindication for rt-PA treatment due to the increased risk of myocardial wall rupture. However, in the recent American Heart Association/American Stroke Association guideline, it is regarded only as a relative contraindication, and in the European guidelines, currently it is not listed as a contraindication.
Source: The American Journal of Emergency Medicine - May 26, 2016 Category: Emergency Medicine Authors: Hanna Hensen, Fianne Spaander, Matthijs Bax, Hille Koppen Tags: Case Reports Source Type: research

Review article: Why is there still a debate regarding the safety and efficacy of intravenous thrombolysis in the management of presumed acute ischaemic stroke? A systematic review and meta ‐analysis
ConclusionsThere is clear evidence of increased early mortality, increased rates of symptomatic intracranial haemorrhage and also of improved functional outcomes for patients with presumed acute ischaemic stroke treated with thrombolysis. The available data are unlikely to resolve the controversy regarding the use of intravenous thrombolysis in this population, and further randomised controlled trials are urgently required.
Source: Emergency Medicine Australasia - July 31, 2016 Category: Emergency Medicine Authors: Lachlan Donaldson, Emily Fitzgerald, Oliver Flower, Anthony Delaney Tags: Review Article Source Type: research

Prehospital Systolic Blood Pressure is Higher in Acute Stroke Compared with Stroke Mimics
Elevated blood pressure (BP) in patients with acute stroke is common and associated with poor outcomes. Previous, limited data suggests that acute BP reduction improves outcomes after intracerebral hemorrhage (ICH). Recent pilot studies have suggested pre-hospital BP lowering strategies but at this point pre-hospital blood pressure in patients with acute stroke are poorly understood.
Source: The Journal of Emergency Medicine - August 31, 2016 Category: Emergency Medicine Authors: Katherine Wurlitzer Source Type: research

Prehospital Acute Stroke Severity Scale to Predict Large Artery Occlusion: Design and comparison with other scales
Ischemic stroke patients need early initiation of appropriate therapy to achieve optimal outcomes. Among patients with ischemic stroke that have emergent large vessel occlusion (ELVO) improved outcomes are noted with endovascular therapy (EVT) versus thrombolysis. However, ELVO is provided at Comprehensive Stroke Centers which may necessitate longer transport times which could be detrimental to patients who only need thrombolysis.
Source: The Journal of Emergency Medicine - September 30, 2016 Category: Emergency Medicine Authors: James Haycock Tags: Abstract Source Type: research

BURL Concepts Closes $3 Million B Round to Bring Innovative SONAS Portable Stroke Detection Device to the Global Market
San Diego, CA - October 4, 2016 - BURL Concepts, Inc., the innovative medical device start-up that created the SONAS portable ultrasound device for pre-hospital stroke detection, today announced a $3 Million Series B funding round led by Acquipharma with participation from multiple high net-worth individuals. The latest round brings the company’s total money raised to $7.5 million and will be used to support product development and sales efforts as the SONAS device leaves the testing phase and prepares to enter an initial set of clinical trials. Dr. Thilo Hoelscher, MD and Dr. Jim Brailean, PhD founded BURL Concepts, Inc...
Source: JEMS Patient Care - October 5, 2016 Category: Emergency Medicine Tags: Equipment & Gear Industry News Patient Care Source Type: news

Utility of point of care assessment of platelet reactivity (using the PFA-100 ®) to aid in diagnosis of stroke
Rapid and accurate diagnosis of patients presenting with symptoms of stroke is needed to facilitate the timely delivery of proven effective treatment for patients with acute ischemic stroke (AIS).The aim of this study was to determine whether early assessment of platelet reactivity in patients presenting with symptoms of AIS was associated with a diagnosis of AIS, transient ischemic attack (TIA), or stroke mimic.
Source: The American Journal of Emergency Medicine - November 14, 2016 Category: Emergency Medicine Authors: Claire Pearson, Karin Przklenk, Valerie Mika, Syed Imran Ayaz, Morgan Ellis, Preet Varade, Rosa Tolomello, Robert D. Welch Source Type: research

Parental Care –Seeking Behavior and Prehospital Timelines of Care in Childhood Arterial Ischemic Stroke
While it is well known that failure to recognize stroke symptoms or seek timely care precludes acute stroke treatment in adults, little is known about the barriers to time sensitive emergency department (ED) presentation in childhood arterial ischemic stroke.
Source: The Journal of Emergency Medicine - December 28, 2016 Category: Emergency Medicine Authors: Mariana Guerrero Tags: Abstract Source Type: research

An educational intervention allows for greater prehospital recognition of acute stroke
We performed a study to determine whether a brief educational intervention directed at pre-hospital providers would increase the identification of stroke victims in the pre-hospital setting. The purpose of this IRB approved, before-and-after research project was to determine whether the implementation of Advanced Stroke Life Support Class (ASLS) [1] training for pre-hospital providers would lead to improved field identification of stroke.
Source: The American Journal of Emergency Medicine - May 23, 2017 Category: Emergency Medicine Authors: Tara K. Henry-Morrow, Bryan D. Nelson, Erin Conahan, Claranne Mathiesen, Bernadette Glenn-Porter, Matthew T. Niehaus, Lauren M. Porter, Mitchell R. Gesell, Gregory T. Monaghan, Jeanne L. Jacoby Tags: Correspondence Source Type: research