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Specialty: Emergency Medicine
Condition: Stroke

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Total 1739 results found since Jan 2013.

Chemotherapy induced stroke mimic: 5-Fluorouracil encephalopathy fulfilling criteria for tissue plasminogen activator therapy
Stroke mimics, especially those involving chemotherapy related neurotoxicity, can confound the clinical diagnosis of acute stroke. Here we describe the case of a 63year-old male with a recent history of stage IIIC colon cancer who presented with confusion on the second day of modified FOLFOX6 (5-fluorouracil/oxaliplatin) chemotherapy and subsequently received alteplase, tissue plasminogen activator therapy (tPA), for presumed ischemic stroke. Magnetic resonance imaging scans after tPA administration did not reveal evidence of an infarction and the patients' neurological symptoms resolved completely after discontinuation of...
Source: The American Journal of Emergency Medicine - July 6, 2017 Category: Emergency Medicine Authors: May Thuy Nguyen, Robyn Stoianovici, Luigi Brunetti Source Type: research

Excellance Finishes New Mobile Stroke Unit Packed With All of the Latest Medical Technology to Diagnose and Treat Strokes
Excellance has delivered a new Mobile Stroke Unit (MSU) to Indiana University Health. These units are best-in-class for saving lives, preserving brain function, reducing post-hospitalization costs, and cutting alarm-to-therapy decision time by half. Indiana University Health Neurology and Neurosurgery features the latest and greatest in the world of healthcare, adding another tool to their stewardship in the world of neurological care and live-saving treatments. The latest in medical technology, the MSU features an onboard mobile CT scanner, lab, and telemedicine unit, allowing the doctor to interface with the unit and ...
Source: JEMS: Journal of Emergency Medical Services News - July 30, 2017 Category: Emergency Medicine Authors: Excellance Tags: Industry News Operations Source Type: news

Ischemic Stroke
Acute ischemic stroke carries the risk of morbidity and mortality. Since the advent of intravenous thrombolysis, there have been improvements in stroke care and functional outcomes. Studies of populations once excluded from thrombolysis have begun to elucidate candidates who might benefit and thus should be engaged in the process of shared decision-making. Imaging is evolving to better target the ischemic penumbra salvageable with prompt reperfusion. Availability and use of computed tomography angiography identifies large-vessel occlusions, and new-generation endovascular therapy devices are improving outcomes in these pat...
Source: Emergency Medicine Clinics of North America - October 5, 2017 Category: Emergency Medicine Authors: Courtney R. Cassella, Andy Jagoda Source Type: research

Commentary: 2018 Stroke Guidelines.
This article is protected by copyright. All rights reserved. PMID: 29738616 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - May 8, 2018 Category: Emergency Medicine Authors: Perron AD Tags: Acad Emerg Med Source Type: research

Contribution of routine cardiac biological markers to the etiological workup of ischemic stroke
Optimization of the detection of atrial fibrillation following stroke is mandatory. Unfortunately, access to long-term cardiac monitoring is limited in many centers. The aim of this study was to assess the potential usefulness of three routine biological markers, troponin, D-dimers and BNP, measured in acute stroke phase in the selection of patients at risk of cardio-embolic stroke.
Source: The American Journal of Emergency Medicine - May 17, 2018 Category: Emergency Medicine Authors: C. Tomich, J.S. Liegey, S. Sagnier, S. Olindo, M. Poli, S. Debruxelles, F. Rouanet, P. Renou, I. Sibon Source Type: research

Blood Pressure Management Goals in Stroke Care
Blood pressure management goals in stroke care You arrive at a small rural emergency healthcare facility to transport a 72-year-old female who presents to the ED with the worst headache of her life. She’s to be transported to a tertiary center with neurosurgical services. Upon further questioning you determine her headache was sudden onset with maximum intensity. When reviewing her history and medications, you note that she’s currently on Coumadin (warfarin) with an international normalized ratio (INR) of 3.5, with the following vital signs noted on the monitor upon entering the room: blood pressure of 209/75 mmHg; hea...
Source: JEMS Patient Care - May 1, 2018 Category: Emergency Medicine Authors: Ken Davis, BA, EMT-P, FP-C Tags: Patient Care Cardiac & Resuscitation Source Type: news

Imaging of acute ischemic stroke
This article reviews the various imaging modalities and techniques employed in the imaging of AIS patients, with an emphasis on recommendations from recent randomized contr olled trials and national consensus guidelines.
Source: Emergency Radiology - July 6, 2018 Category: Emergency Medicine Source Type: research

What Constitutes Truly Low Risk of Stroke?
Given that some patients with nonvalvular atrial fibrillation (AF) have strokes that are attributable to coexisting symptomatic carotid artery stenosis, risk stratification schemes such as the CHA2DS2-VASc score that do not include sonographic evaluation of the carotid arteries cannot reliably identify which patients with nonvalvular AF are truly at low risk of stroke (1,2). The opinion is also gaining ground that regardless of the presence or absence of AF, patients with atrial cardiomyopathy are the ones who are also at risk of cardioembolic stroke because it is atrial cardiomyopathy that generates the prothrombotic stat...
Source: The Journal of Emergency Medicine - July 26, 2018 Category: Emergency Medicine Authors: Oscar M. Jolobe Tags: Emergency Forum Source Type: research

Emergent Large Vessel Occlusion Screen Is an Ideal Prehospital Scale to Avoid Missing Endovascular Therapy in Acute Stroke
In cases of ischemic stroke due to large vessel occlusion (LVO), endovascular therapy (EVT) has the potential to extend the window for stroke treatment up to 24 hours as well as result in better reperfusion. This change in stroke care is important to EMS providers as they will need a way to identify those patients who should be transported to centers capable of EVT.
Source: The Journal of Emergency Medicine - December 1, 2018 Category: Emergency Medicine Authors: Matthew Mendes Source Type: research

Early Endovascular Thrombectomy for Large Vessel Ischemic Stroke Reduces Disability at 90 Days.
This article is protected by copyright. All rights reserved. PMID: 30537219 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - December 8, 2018 Category: Emergency Medicine Authors: Al Banna M, Streib CD Tags: Acad Emerg Med Source Type: research

Imaging in neurointerventional stroke treatment: review of the recent trials and what your neurointerventionalist wants to know from emergency radiologists
This article summarizes the use of imaging in recent stroke trials in details, provides a stroke imaging protocol, and provides tips which radiologists should know to help their neurointerventionalists.
Source: Emergency Radiology - December 14, 2018 Category: Emergency Medicine Source Type: research

Implementation Challenges of Regionalized Acute Stroke Care.
This article is protected by copyright. All rights reserved. PMID: 30663835 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - January 21, 2019 Category: Emergency Medicine Authors: Asimos AW Tags: Acad Emerg Med Source Type: research

Augmenting Denver criteria yields increased BCVI detection, with screening showing markedly increased risk for subsequent ischemic stroke
ConclusionsThe increase in detection rate for BCVI justifies more liberal screening protocols.
Source: Emergency Radiology - February 12, 2019 Category: Emergency Medicine Source Type: research