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Specialty: Emergency Medicine
Condition: Hemorrhagic Stroke

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Total 233 results found since Jan 2013.

The impact on clinical outcomes after 1  year of implementation of an artificial intelligence solution for the detection of intracranial hemorrhage
ConclusionThe added value of this study emphasizes the introduction of artificial intelligence (AI) computer-aided triage and prioritization software in an emergent care setting that demonstrated a significant reduction in a 30- and 120-day all-cause mortality and morbidity for patients diagnosed with intracranial hemorrhage (ICH). Along with mortality rates, the AI software was associated with a significant reduction in the Modified Ranking Scale (mRs).
Source: International Journal of Emergency Medicine - August 11, 2023 Category: Emergency Medicine Source Type: research

Systemic thrombolysis in patients with acute stroke and active cancer: a systematic review and meta-analysis
AbstractCancer patients frequently have concomitant cerebrovascular diseases, which significantly worsen their prognosis. Prospective studies validating intravenous thrombolysis (IVT) safety profile in patients with acute ischemic stroke and active cancer are still lacking. Therefore, we aimed to evaluate IVT ’s efficacy and safety profile in acute ischemic stroke patients with comorbid active cancer. We included in a meta-analysis all relevant published studies, including patients with acute ischemic stroke with or without active cancer and receiving IVT, according to recommendations for IVT treatment for acute ischemic...
Source: Internal and Emergency Medicine - June 19, 2023 Category: Emergency Medicine Source Type: research

Pearls and pitfalls in emergency CT neuroangiography through the lens of bias and error
AbstractComputed tomography angiography (CTA) of the head and neck is central in emergency department (ED) evaluation of clinically suspected acute stroke and intracranial hemorrhage. Timely and accurate detection of acute findings is crucial for best clinical outcomes; missed or delayed diagnosis can be devastating. Our pictorial essay presents twelve CTA cases that provided significant diagnostic dilemmas to on-call trainees while reviewing current bias and error classifications in radiology. Among others, we discuss anchoring, automation, framing, satisfaction of search, scout neglect and zebra-retreat bias. Each imagin...
Source: Emergency Radiology - June 9, 2023 Category: Emergency Medicine Source Type: research

Care Bundle Improves Outcome in ICH: INTERACT3 Care Bundle Improves Outcome in ICH: INTERACT3
A combination of simple interventions for patients with acute hemorrhagic stroke has been shown to significantly improve the chances of survival without major disability.Medscape Medical News
Source: Medscape Emergency Medicine Headlines - May 25, 2023 Category: Emergency Medicine Tags: Cardiology News Source Type: news

A man with left-sided weakness and numbness
Clinical introduction A 63-year-old right-handed man presented for evaluation of left leg stiffness and sensory change. He had a medical history of remote prostate cancer (status post resection in 2011). The patient reported that one week prior, he began noticing left leg stiffness and numbness, as well as left hand weakness and discoordination. He went to see his internist where he had a fall while the physician was testing his gait. He was sent to the emergency room (figure 1). He denied episodes of loss of consciousness, shaking, or headaches. He had no recent weight loss, night sweats, or previous falls. Question What ...
Source: Emergency Medicine Journal - April 21, 2023 Category: Emergency Medicine Authors: Gheihman, G., Paradis, X. G., ONeal, M. A. Tags: EMJ Image Challenge Source Type: research

Pattern of Neurological Disorders among Patients Evaluated in the Emergency Department; Cross-Sectional Study
CONCLUSION: In our study, neurologic emergencies accounted for 3.7% of all emergency admissions. Stroke, epileptic seizures, cerebral venous thrombosis, encephalopathies, and acute spinal cord diseases were the most common neurological disorders. The admission rate was very high following neurologic assessment by neurologists.PMID:36743701 | PMC:PMC9887228 | DOI:10.22037/aaem.v11i1.1813
Source: Accident and Emergency Nursing - February 6, 2023 Category: Emergency Medicine Authors: Mohamed Sheikh Hassan Nor Osman Sidow Alper G ökgül Bakar Ali Adam Mohamed Farah Osman Hussein Hassan Mohamed Ismail Gedi Ibrahim Ishak Ahmed Abdi Source Type: research

Bleeding and thrombotic events in atrial fibrillation patients with cancer: a systematic review and meta-analysis
AbstractAtrial fibrillation (AF) and cancer are frequently coexisting in elderly patients. Pooled metanalytic data on the impact of cancer on clinical outcomes in AF patients are lacking.  We performed a systematic review and meta-regression analysis of clinical studies retrieved from Medline (PubMed) and Cochrane (CENTRAL) databases according to PRISMA guidelines. Bleeding endpoints included any, major, gastrointestinal (GI) bleeding and intracranial haemorrhage (ICH). Cardiovascul ar (CV) endpoints included myocardial infarction (MI), ischemic stroke/systemic embolism (IS/SE), CV and all-cause death. PROSPERO registrati...
Source: Internal and Emergency Medicine - December 8, 2022 Category: Emergency Medicine Source Type: research

Intermittent thoracic resuscitative endovascular balloon occlusion of the aorta improves renal function compared to 60  min continuous application after porcine class III hemorrhage
ConclusioniREBOA was survivable, did not cause rebleeding, decreased the total ischemic time and increased the renal blood flow, urine output and decreased renal ischemic injury compared to cREBOA. Intermittent reperfusions during REBOA may be preferred to be continuous, complete occlusion in prolonged application to improve renal function.
Source: European Journal of Trauma and Emergency Surgery - December 5, 2022 Category: Emergency Medicine Source Type: research

Diagnostic accuracy of the physical exam in emergency department patients with acute vertigo or dizziness: Systematic review and meta-analysis for GRACE-3
CONCLUSION: Most neurological exam findings have low sensitivity and high specificity for a central cause in patients with acute vertigo or dizziness. In acute vestibular syndrome (monophasic, continuous, persistent dizziness), HINTS and HINTS+ have high sensitivity when performed by trained clinicians.PMID:36453134 | DOI:10.1111/acem.14630
Source: Accident and Emergency Nursing - December 1, 2022 Category: Emergency Medicine Authors: Vishal Paresh Shah Lucas Oliveira J E Silva Wigdan Farah Mohamed O Seisa Abdalla Kara Balla April Christensen Magdoleen Farah Bashar Hasan Fernanda Bellolio M Hassan Murad Source Type: research

Protect That Neck! Management of Blunt and Penetrating Neck Trauma
Blunt and penetrating vascular injuries to the neck represent a significant burden of mortality and disability among trauma patients. Blunt cerebrovascular injury can present with signs of stroke either immediately or in a delayed fashion. Most injuries are detected with computed tomography angiogram and managed by antiplatelet agents or unfractionated heparin. In contrast, for patients presenting with penetrating neck injuries, assessment for hard signs of vascular and aerodigestive injury should be done and prompt emergent surgical consultation if present. Overall management priorities for penetrating neck injuries focus...
Source: Emergency Medicine Clinics of North America - November 22, 2022 Category: Emergency Medicine Authors: Matt Piaseczny, Julie La, Tim Chaplin, Chris Evans Source Type: research

MRI of Cerebrovascular Injury Associated With COVID-19 and Non-COVID-19 Acute Respiratory Distress Syndrome: A Matched Case-Control Study
CONCLUSIONS: In a case-control study of selected ARDS patients with brain MRI, the frequencies of ischemic and hemorrhagic cerebrovascular injuries were similar between COVID-19 versus non-COVID-19 ARDS patients. However, the MRI pattern of disseminated hemorrhagic leukoencephalopathy was unique to the COVID-19 ARDS patients in this cohort.
Source: Critical Care Medicine - October 20, 2022 Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research

Comparison of Arterial Ischemic and Hemorrhagic Pediatric Stroke in Etiology, Risk Factors, Clinical Manifestations, and Prognosis
Conclusions Moyamoya disease/syndrome and arteriovenous malformation rapture are the most common cause of AIS and HS, respectively. Iron deficiency anemia was commonly found in childhood AIS. The time to diagnosis in both AIS and HS was delayed. The mortality rate in HS was higher than in AIS. Neurological deficits are seen in 70% of childhood AIS during the follow-up. One-third of the children in our study developed epilepsy, which generally responds to a single antiseizure medication. The recurrence rate of childhood stroke was low compared with adult stroke.
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research