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Specialty: Emergency Medicine
Condition: Stroke

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Total 1739 results found since Jan 2013.

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

Memphis Mobile Stroke Unit Saves Lives
A year after a mobile stroke unit hit the streets of Memphis, officials say it is saving lives by cutting the time it takes to treat stroke patients. The University of Tennessee Health Science Center began using the 14-ton ambulance last year as part of a three-year controlled study. The unit has a CT scanner that can X-ray images of the brain, and is equipped to provide early fluids to stroke patients and dye blood vessels to determine the type of stroke the patient has had. "The emergency room on average takes 40 to 50 minutes to do the things we do in 13 to 14 minutes," said Dr.Andrei Alexandrov, UTHSC neurolo...
Source: JEMS Special Topics - June 10, 2017 Category: Emergency Medicine Authors: Olivia Peterkin, The Commercial Appeal Tags: News Mobile Integrated Healthcare Source Type: news

Safety and Feasibility of a Rapid Outpatient Management Strategy for Transient Ischemic Attack and Minor Stroke: The Rapid Access Vascular Evaluation–Neurology (RAVEN) Approach
ConclusionRapid outpatient management appears a feasible and safe strategy for transient ischemic attack and minor stroke patients evaluated in the ED, with recurrent stroke and transient ischemic attack rates comparable to historical published data.
Source: Annals of Emergency Medicine - July 18, 2019 Category: Emergency Medicine Source Type: research

Identification of Acute Stroke Using Quantified Brain Electrical Activity
ConclusionsDespite 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.
Source: Academic Emergency Medicine - January 6, 2015 Category: Emergency Medicine Authors: Edward A. Michelson, Daniel Hanley, Robert Chabot, Leslie S. Prichep Tags: Original Contribution Source Type: research

Stroke incidence and outcome disparity in Rural regions of Southern West Virginia
Conclusions: Stroke incidence and mortality were found to be higher than expected in many areas of rural West Virginia. The higher stroke risk populations correlate with area that may be impacted by socioeconomic factors and limited access to primary care. These high-risk areas may therefore benefit from investments in infrastructure, patient education, and unrestricted primary care.
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Frank Harrison Annie Mark C Bates Muhammad Khan Salman Zahid Syed Imran Shah Aravinda Nanjundappa Joshua R Wyner Elise Anderson Ali Farooq Megan Wood Abhiram Challa Source Type: research

Risk Assessment of the Acute Stroke Diagnostic Process Using Failure Modes, Effects, and Criticality Analysis
CONCLUSION: Our study results highlight the critical importance of upstream steps in the acute stroke diagnostic process, particularly the use of existing tools to identify stroke patients who may be eligible for time-sensitive treatments.PMID:36565234 | DOI:10.1111/acem.14648
Source: Accident and Emergency Nursing - December 24, 2022 Category: Emergency Medicine Authors: Ava L Liberman Jane L Holl Elida Romo Matthew Maas Sarah Song Shyam Prabhakaran Source Type: research

Neighborhood Influences on Emergency Medical Services Use for Acute Stroke: A Population-Based Cross-sectional Study
Conclusion Although some neighborhood-level factors were associated with EMS use, patient-level factors explained nearly all variability in stroke EMS use. In this community, strategies to increase EMS use should target individuals rather than specific neighborhoods.
Source: Annals of Emergency Medicine - September 16, 2015 Category: Emergency Medicine Source Type: research

EMS Systems Should Lower the Threshold for Stroke Alert Activation
THE RESEARCH Oostema JA, Konen J, Chassee T, et al. Clinical predictors of accurate prehospital stroke recognition. Stroke. 2015;46(6):1513–1517. THE SCIENCE Recognizing that prehospital stroke recognition and stroke code activation result in better outcomes for patients, the authors of the study examined all EMS records of suspected stroke transported over a 12-month period. They compared this to the patient’s final diagnosis. They also examined all patients diagnosed with stroke in the ED who weren’t recognized by EMS to be having a stroke. There were 441 eligible cases. Of those, 371 (84.1%) were “EMS-suspected...
Source: JEMS Patient Care - January 18, 2016 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP Tags: Research Neurology Columns Source Type: news