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Specialty: Emergency Medicine
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Total 89 results found since Jan 2013.

Identification of acute stroke using quantified brain electrical activity.
CONCLUSIONS: Despite 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. PMID: 25565489 [PubMed - in process]
Source: Accident and Emergency Nursing - January 1, 2015 Category: Emergency Medicine Authors: Michelson EA, Hanley D, Chabot R, Prichep LS Tags: Acad Emerg Med 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

HINTS Outperforms ABCD2 to Screen for Stroke in Acute Continuous Vertigo and Dizziness.
CONCLUSIONS: HINTS substantially outperforms ABCD2 for stroke diagnosis in ED patients with AVS. It also outperforms MRI obtained within the first 2 days after symptom onset. While HINTS testing has traditionally been performed by specialists, methods for empowering emergency physicians (EPs) to leverage this approach for stroke screening in dizziness should be investigated. PMID: 24127701 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - October 1, 2013 Category: Emergency Medicine Authors: Newman-Toker DE, Kerber KA, Hsieh YH, Pula JH, Omron R, Saber Tehrani AS, Mantokoudis G, Hanley DF, Zee DS, Kattah JC Tags: Acad Emerg Med Source Type: research

Neurology Concepts: Young Women and Ischemic Stroke: Evaluation and Management in the Emergency Department
ConclusionUnique challenges exist in the evaluation and diagnosis of ischemic stroke in young women. There are still many opportunities for future research aimed at improving detection and treatment of this population.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - June 24, 2017 Category: Emergency Medicine Authors: Bernard P. Chang, Charles Wira, Joseph Miller, Murtaza Akhter, Bradley E. Barth, Joshua Willey, Lauren Nentwich, Tracy Madsen Tags: Original Contribution Source Type: research

Neurology Concepts: Young Women and Ischemic Stroke —Evaluation and Management in the Emergency Department
ConclusionUnique challenges exist in the evaluation and diagnosis of ischemic stroke in young women. There are still many opportunities for future research aimed at improving detection and treatment of this population.
Source: Academic Emergency Medicine - October 10, 2017 Category: Emergency Medicine Authors: Bernard P. Chang, Charles Wira, Joseph Miller, Murtaza Akhter, Bradley E. Barth, Joshua Willey, Lauren Nentwich, Tracy Madsen Tags: Original Contribution Source Type: research

HINTS Outperforms ABCD2 to Screen for Stroke in Acute Continuous Vertigo and DizzinessEl HINTS Supera el ABCD2 en el Despistaje del Ictus en los Pacientes con Vértigo y Mareo Agudos Persistentes
ConclusionsHINTS substantially outperforms ABCD2 for stroke diagnosis in ED patients with AVS. It also outperforms MRI obtained within the first 2 days after symptom onset. While HINTS testing has traditionally been performed by specialists, methods for empowering emergency physicians (EPs) to leverage this approach for stroke screening in dizziness should be investigated. Resumen ObjetivosEl mareo y el vértigo contabilizan aproximadamente 4 millones de visitas anuales a los servicios de urgencias (SU) en Estados Unidos, y de 160.000 a 240.000 (4% al 6%) tienen un origen cerebrovascular. El diagnóstico de ictus en los ...
Source: Academic Emergency Medicine - October 15, 2013 Category: Emergency Medicine Authors: David E. Newman‐Toker, Kevin A. Kerber, Yu‐Hsiang Hsieh, John H. Pula, Rodney Omron, Ali S. Saber Tehrani, Georgios Mantokoudis, Daniel F. Hanley, David S. Zee, Jorge C. Kattah Tags: Original Research Contribution Source Type: research

The Extended Treatment Window's Impact on Emergency Systems of Care for Acute Stroke.
This article is protected by copyright. All rights reserved. PMID: 30664306 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - January 21, 2019 Category: Emergency Medicine Authors: Miller JB, Heitsch L, Madsen TE, Oostema J, Reeves M, Zammit CG, Sabagha N, Sozener C, Lewandowski C, Schrock JW Tags: Acad Emerg Med Source Type: research

The accuracy of surrogate decision makers: informed consent in hypothetical acute stroke scenarios
Conclusions: Surrogates accurately predict patient preferences for standard acute stroke treatments. However, the accuracy decreases when predicting research participation suggesting that the degree of surrogate agreement is dependent on the type of decision being made. Further research is needed to more thoroughly characterize surrogate decision-making in acute stroke situations.
Source: BMC Emergency Medicine - November 13, 2013 Category: Emergency Medicine Authors: Jessica BryantLesli SkolarusBarbara SmithEric AdelmanWilliam Meurer Source Type: research

Race and Sex Disparities in Prehospital Recognition of Acute Stroke
ConclusionsSignificant disparities exist in prehospital stroke recognition.
Source: Academic Emergency Medicine - February 25, 2015 Category: Emergency Medicine Authors: Prasanthi Govindarajan, Benjamin T. Friedman, James Q. Delgadillo, David Ghilarducci, Lawrence J. Cook, Barbara Grimes, Charles E. McCulloch, S. Claiborne Johnston Tags: Original Contribution Source Type: research

Treatment Delays for Patients With Acute Ischemic Stroke in an Iranian Emergency Department: A Retrospective Chart Review
ConclusionOur ED and acute stroke team had a favorable clinical performance meeting established critical time goals of inhospital care for potentially eligible patients, but a poor clinical performance for the majority of patients who were not candidates for fibrinolytic therapy.
Source: Annals of Emergency Medicine - October 12, 2018 Category: Emergency Medicine Source Type: research

The Association Between Emergency Department Crowding and the Disposition of Patients With Transient Ischemic Attack or Minor Stroke
ConclusionsThese results suggest that crowding may influence clinical decision‐making in the disposition of patients with TIA or minor stroke and that, as crowding worsens, the likelihood of hospitalization increases.
Source: Academic Emergency Medicine - September 1, 2015 Category: Emergency Medicine Authors: Maxim Ben‐Yakov, Moira K. Kapral, Jiming Fang, Shudong Li, Marian J. Vermeulen, Michael J. Schull Tags: Original Contribution Source Type: research

Monte Carlo Simulation Modeling of a Regional Stroke Team's Use of Telemedicine
ConclusionsGiven the potential societal benefits, continued efforts to deploy telemedicine appear warranted. Aligning the incentives between those who would have to fund the up‐front technology investments and those who will benefit over time from reduced ongoing health care expenses will be necessary to fully realize the benefits of telemedicine for stroke care.
Source: Academic Emergency Medicine - December 31, 2015 Category: Emergency Medicine Authors: Elham Torabi, Craig M. Froehle, Christopher J. Lindsell, Charles J. Moomaw, Daniel Kanter, Dawn Kleindorfer, Opeolu Adeoye Tags: Original Contribution Source Type: research

Potentially Missed Diagnosis of Ischemic Stroke in the Emergency Department in the Greater Cincinnati/Northern Kentucky Stroke Study
ConclusionIn a large population‐based sample of AIS cases, 1 in 7 cases were not diagnosed as AIS in the ED, but the impact on acute treatment rates is likely small. Missed diagnosis was more common among those with decreased LOC, suggesting the need for improved diagnostic approaches in these patients.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - June 16, 2016 Category: Emergency Medicine Authors: Tracy E. Madsen, Jane Khoury, Rhonda Cadena, Opeolu Adeoye, Kathleen A. Alwell, Charles J. Moomaw, Erin McDonough, Matthew L. Flaherty, Simona Ferioli, Daniel Woo, Pooja Khatri, Joseph P. Broderick, Brett M. Kissela, Dawn Kleindorfer Tags: Original Contribution Source Type: research

Impact of Emergency Department Crowding on Delays in Acute Stroke Care
Introduction:Delays in identification and treatment of acute stroke contribute to significant morbidity and mortality. Multiple clinical factors have been associated with delays in acute stroke care. We aimed to determine the relationship between emergency department (ED) crowding and the delivery of timely emergency stroke care.Methods:We used prospectively collected data from our institutional Get with the Guidelines-Stroke registry to identify consecutive acute ischemic stroke patients presenting to our urban academic ED from July 2016 –August 2018. We used capacity logs to determine the degree of ED crowding at the t...
Source: Western Journal of Emergency Medicine - July 8, 2020 Category: Emergency Medicine 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