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Specialty: Emergency Medicine
Condition: Hemorrhagic Stroke
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Total 233 results found since Jan 2013.
Neurologic Injury in Adults Supported With Veno-Venous Extracorporeal Membrane Oxygenation for Respiratory Failure: Findings From the Extracorporeal Life Support Organization Database
Objectives: To assess in-hospital neurologic (CNS) complications in adult patients undergoing veno-venous extracorporeal membrane oxygenation for respiratory failure.
Design: Retrospective analysis of the Extracorporeal Life Support Organization’s data registry.
Setting: Data reported to Extracorporeal Life Support Organization from 350 international extracorporeal membrane oxygenation centers during 1992–2015.
Patients: Adults (≥ 18 yr old) supported with veno-venous extracorporeal membrane oxygenation for respiratory failure.
Interventions: None.
Measurements and Main Results: We included 4,988 adults supporte...
Source: Critical Care Medicine - July 15, 2017 Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research
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
Is it reasonable to use a lower DOAC dose in some patients with VTE? NO
AbstractThe international guidelines recommend the use of direct oral anticoagulants (DOACs) over vitamin K antagonists for anticoagulation long-term therapy in patients diagnosed with venous thromboembolism (VTE), and for stroke prevention in patients with non-valvular atrial fibrillation (AF). Efficacy and safety of DOACS have been extensively evaluated in large phase III trials. According to the product label, dose reductions of DOACs are recommended for patients with AF and renal impairment, low body weight and concomitant use of interfering medications. Except for Edoxaban, dose reductions of DOACs are not recommended...
Source: Internal and Emergency Medicine - June 27, 2017 Category: Emergency Medicine Source Type: research
Systemic Thrombolysis, Catheter ‐Directed Thrombolysis and Anticoagulation for Intermediate‐Risk Pulmonary Embolism: A Simulation Modeling Analysis
ConclusionIn our model, for those eligible, CDT results in the largest number of QALYs for patients with intermediate‐risk PE, although it is relatively expensive and the absolute difference in QALYs between anticoagulation alone and CDT is small. Future studies that provide data on longitudinal quality‐of‐life outcomes of patients treated for PE and characteristics of CDT would be beneficial to augment model inputs, inform assumptions, and validate results.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - June 26, 2017 Category: Emergency Medicine Authors: Christopher Kabrhel, Ayman Ali, Jin Choi, Chin Hur Tags: Original Contribution Source Type: research
Systemic Thrombolysis, Catheter-Directed Thrombolysis and Anticoagulation for Intermediate-Risk Pulmonary Embolism: A Simulation Modeling Analysis.
CONCLUSION: In our model, for those eligible, CDT results in the largest number of QALYs for patients with intermediate-risk PE, although it is relatively expensive and the absolute difference in QALYs between anticoagulation alone and CDT is small. Future studies that provide data on longitudinal quality-of-life outcomes of patients treated for PE and characteristics of CDT would be beneficial to augment model inputs, inform assumptions, and validate results. This article is protected by copyright. All rights reserved.
PMID: 28650086 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - June 26, 2017 Category: Emergency Medicine Authors: Kabrhel C, Ali A, Choi J, Hur C Tags: Acad Emerg Med Source Type: research
Neurology Concepts: Young Women and Ischemic Stroke: Evaluation and Management in the Emergency Department.
CONCLUSION: Unique 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.
PMID: 28646558 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - June 24, 2017 Category: Emergency Medicine Authors: Chang BP, Wira C, Miller J, Akhter M, Barth BE, Willey J, Nentwich L, Madsen T 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
Investigation of UCH-L1 levels in ischemic stroke, intracranial hemorrhage and metabolic disorder induced impaired consciousness
We aimed to determine the levels of ubiquitin C-terminal hydrolase-L1 (UCH-L1) in patients admitted to the emergency department with impaired consciousness due to metabolic or neurological reasons.
Source: The American Journal of Emergency Medicine - June 21, 2017 Category: Emergency Medicine Authors: Ihsan Yigit, Metin Atescelik, Mustafa Yilmaz, Mehmet Cagri Goktekin, Mehtap Gurger, Nevin Ilhan Source Type: research
Field Validation of the Los Angeles Motor Scale as a Tool for Paramedic Assessment of Stroke Severity
Prior stroke research has confirmed that early, therapeutic intervention is crucial to improve outcomes in acute cerebrovascular disease (ACVD) including both acute ischemic stroke and intracerebral hemorrhage. Neurological deficit status in the field is crucial to hospital pre-arrival notification, routing to stroke centers, and for initiation of experimental, pre-hospital treatment interventions. The Los Angeles Motor Scale (LAMS) is a 3-item, 0- to 10-point motor stroke-deficit scale developed for prehospital and emergency department (ED) use.
Source: The Journal of Emergency Medicine - May 1, 2017 Category: Emergency Medicine Authors: Katherine C. Wurlitzer Tags: Abstract Source Type: research
Does Prestroke Antiplatelet Therapy Increase the Risk of Symptomatic Intracranial Hemorrhage in Patients Receiving Tissue Plasminogen Activator for Acute Ischemic Stroke?
Publication date: Available online 29 April 2017 Source:Annals of Emergency Medicine Author(s): Clark G. Owyang, Cappi Lay
Source: Annals of Emergency Medicine - May 1, 2017 Category: Emergency Medicine Source Type: research
The role of delayed head CT in evaluation of elderly blunt head trauma victims taking antithrombotic therapy
ConclusionsD-CTH in elderly trauma patients taking antithrombotic agents shows no statistically significant or clinical benefit for diagnosing delayed intracranial hemorrhage after minor head injury. In those with delayed imaging showing new ICH, management was not significantly altered. Not enough data were available to predict which patients would develop D-ICH, even if asymptomatic.
Source: European Journal of Trauma and Emergency Surgery - April 24, 2017 Category: Emergency Medicine Source Type: research
The efficacy and safety of high-dose statins in acute phase of ischemic stroke and transient ischemic attack: a systematic review
AbstractInconsistent findings in the studies have been observed concerning the higher dose of statins use in the acute phase of ischemic stroke and transient ischemic attack (TIA). Therefore, we performed a systematic review to assess this issue. A computerized literature search in PubMed, Cochrane Library databases, and EMBASE for randomized controlled trials (RCTs) was conducted. The efficacy outcome indicators were National Institutes of Health Stroke Scale (NIHSS) score, infarct volume, and recurrence of stroke; the safety outcome indicators were intracranial hemorrhage events, cardiovascular and cerebrovascular events...
Source: Internal and Emergency Medicine - March 15, 2017 Category: Emergency Medicine Source Type: research
Pre-hospital ct diagnosis of subarachnoid hemorrhage
Subarachnoid hemorrhage (SAH) is associated with higher mortality in the acute phase than other stroke types. There is a particular risk of early and devastating re-bleeding. Patients therefore need urgent ass...
Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine - February 28, 2017 Category: Emergency Medicine Authors: Maren Ranhoff Hov, Annette Ryen, Katrine Finsnes, Janne Storflor, Thomas Lindner, Jostein Gleditsch and Christian Georg Lund Source Type: research
Hypothermia for Neuroprotection in Convulsive Status Epilepticus
This study aims to see if there are any similar advantages to therapeutic hypothermia in mechanically ventilated status epilepticus patients as neuroprotective properties were previously detected in animal studies of hypothermia.
Source: The Journal of Emergency Medicine - February 17, 2017 Category: Emergency Medicine Authors: Stephanie Diebold Tags: Abstract Source Type: research
Stroke Care: A Balanced Approach to the tPA Debate
In conclusion, alteplase is the only treatment available for acute ischemic stroke that is effective in some patients. In order to improve tPA effectiveness and minimize risks, patients with symptoms suggestive of an AIS should get rapid assessment and treatment with tPA after careful review of the contraindications. Given that smaller strokes can still be associated with considerable long term neurological morbidity, treatment should still be considered in those patients after weighing the risks and benefits and in consultation with the patient and family. Advanced age should also not be a limiting factor. Although the NI...
Source: EPMonthly.com - December 31, 2016 Category: Emergency Medicine Authors: Logan Plaster Tags: Uncategorized Source Type: news
