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Source: The American Journal of Emergency Medicine
Condition: Stroke

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Total 254 results found since Jan 2013.

Prehospital time intervals and management of ischemic stroke patients
Quantify prehospital time intervals, describe prehospital stroke management, and estimate potential time saved if certain procedures were performed en route to the emergency department (ED).
Source: The American Journal of Emergency Medicine - February 6, 2020 Category: Emergency Medicine Authors: Timmy Li, Jeremy T. Cushman, Manish N. Shah, Adam G. Kelly, David Q. Rich, Courtney M.C. Jones Source Type: research

The impact of helicopter emergency medical service on acute ischemic stroke patients: A systematic review
Helicopter emergency medical services (HEMS) is commonly elected transport for acute ischemic stroke (AIS) known as a time-critical illness.
Source: The American Journal of Emergency Medicine - February 14, 2020 Category: Emergency Medicine Authors: Shachar Tal, Saban Mor Source Type: research

Is prehospital supplemental oxygen effective for acute stroke?
Dr. Dylla and colleagues [1] performed a well-conducted cohort study concerning the efficacy and safety of prehospital supplemental oxygen for acute stroke. Despite the essential information provided, several issues must be resolved to draw confirmed conclusions.
Source: The American Journal of Emergency Medicine - February 23, 2020 Category: Emergency Medicine Authors: Kai Zhang Source Type: research

The prognostic value of routine coagulation tests for patients with heat stroke
To evaluate the prognostic value of routine coagulation tests for patients with heat stroke.
Source: The American Journal of Emergency Medicine - April 21, 2020 Category: Emergency Medicine Authors: Ling Xing, Shu-Yuan Liu, Han-Ding Mao, Kai-Guo Zhou, Qing Song, Qiu-Mei Cao Source Type: research

Prehospital oxygen for stroke victims
It was of great interest to read Dr. Dylla and colleagues' well-done retrospective cohort study investigating prehospital oxygen treatment in acute stroke patients [1]. It was also very informative to read Dr. Zhang's review [2] and the authors' response [3].
Source: The American Journal of Emergency Medicine - June 8, 2020 Category: Emergency Medicine Authors: John Collins, Michael Sumner, Mehwish Barlas, Pamela Ohman Strickland, Jonathan McCoy Source Type: research

Does prolonged emergency department length of stay(EDLOS) affect the outcomes of acute ischemic stroke patients?
The effect of emergency department length of stay (EDLOS) on outcomes of patients with acute ischemic stroke (AIS) remains largely unexamined. We aimed to investigate the association between EDLOS and outcomes in AIS patients.
Source: The American Journal of Emergency Medicine - August 30, 2020 Category: Emergency Medicine Authors: Yan Wu, Xuechun Wu, Hong Pan, Yafang Zhu, Yan Qin, Yongrong Sun, Chun-Feng Liu, Yongjun Cao, Rongfang Shi, Xia Zhang Source Type: research

Impact of creatinine screening on contrast-induced nephropathy following computerized tomography for stroke
This study sought to evaluate rates of acute kidney injury in patients undergoing contrast-enhanced computerized tomography for acute stroke in the emergency department (ED) before and after the cessation of creatinine screening.
Source: The American Journal of Emergency Medicine - September 18, 2020 Category: Emergency Medicine Authors: Brent A. Becker, Thomas Yeich, Jonathan T. Jaffe, Samuel Sun, Yidong Chen, Teri Rebert, Barbara A. Stahlman Source Type: research

Inter-facility transfer for patients with acute large vessel occlusion stroke receiving mechanical thrombectomy
Mechanical thrombectomy (MT) is the preferred treatment for large vessel occlusion (LVO) ischemic stroke, and neurological outcome improves with earlier treatment. Patients with LVO frequently require inter-facility transfer to access MT but delays at transferring EDs may worsen neurological outcomes.
Source: The American Journal of Emergency Medicine - September 20, 2020 Category: Emergency Medicine Authors: William L. Scheving, Michael Froehler, Kimberly Hart, Candace D. McNaughton, Michael J. Ward Source Type: research

Language preference does not influence stroke patients' symptom recognition or emergency care time metrics
Our objective was to determine whether acute ischemic stroke (AIS) patients' language preference is associated with differences in time from symptom discovery to hospital arrival, activation of emergency medical services, door-to-imaging time (DTI), and door-to-needle (DTN) time.
Source: The American Journal of Emergency Medicine - November 2, 2020 Category: Emergency Medicine Authors: Kori S. Zachrison, Shaw Natsui, Betty M. Luan Erfe, Nicte I. Mejia, Lee H. Schwamm Source Type: research

Risk factors for acute stroke-associated pneumonia and prediction of neutrophil-to-lymphocyte ratios
This study aimed to analyze the risk factors for stroke-associated pneumonia (SAP) and assess the predictive effect of neutrophil-to-lymphocyte ratio (NLR) on acute SAP.
Source: The American Journal of Emergency Medicine - December 19, 2020 Category: Emergency Medicine Authors: Sara M. Witcraft, Laura J. Dixon, Patric Leukel, Aaron A. Lee Source Type: research

Effect of COVID19 on prehospital pronouncements and ED visits for stroke and myocardial infarction
In this study, our goal was to determine if there was an increase in prehospital ALS pronouncements and a decrease in ED visits for potentially serious conditions such as MI and stroke during the peak of the COVID-19 pandemic in northern NJ.
Source: The American Journal of Emergency Medicine - January 14, 2021 Category: Emergency Medicine Authors: Nikhil Jain, Michael Berkenbush, David C. Feldman, Barnet Eskin, John R. Allegra Source Type: research

Simultaneous thrombosis of 2 vascular territories: is thrombolytic therapy a better option?
We have read with great interest the article by Akyuz and colleagues in the American Journal of Emergency Medicine and congratulate them for their observation. Their case exemplifies the concurrent occurrence of ST-segment elevation myocardial infarction (STEMI) and posterior circulation stroke that was eventually managed with thrombolytic therapy. Simultaneous thrombosis of 2 distant vascular territories is a rare and complicated clinical scenario. In these instances, there is usually an underlying cause linking both thrombotic events rather than being a mere coincidence. We have previously described the myocardial infarc...
Source: The American Journal of Emergency Medicine - July 1, 2013 Category: Emergency Medicine Authors: Hesham R. Omar, Devanand Mangar, Enrico M. Camporesi Tags: Correspondence Source Type: research

Tissue plasminogen activator for transient ischemic attack: the case for “off-label” use of thrombolytics
We describe an illustrative case of a patient with recurring middle cerebral artery (MCA) ischemia, where our risk benefit analysis led to the administration of thrombolytic therapy despite the patient’s score of 0 on the National Institute of Health Stroke Score (NIHSS).
Source: The American Journal of Emergency Medicine - November 6, 2013 Category: Emergency Medicine Authors: Richard M. Sobel, Daniel T. Wu, Kristina Hester, Kim Anda Tags: Correspondence Source Type: research

Cerebral Oximetry with Cerebral Blood Volume Index (CBVI) in detecting Pediatric Strokes in a Pediatric Emergency Department
Despite pediatric stroke awareness and Pediatric Stroke Activation systems, recognition and imaging delays along with activation inconsistency still occurs. Reliable objective pediatric stroke detection tool are needed to improve detection and activations. Cerebral rcSO2 with cerebral blood volume index (CBVI) can detect abnormal cerebral physiology.
Source: The American Journal of Emergency Medicine - July 22, 2015 Category: Emergency Medicine Authors: Thomas J. Abramo, Z. Leah Harris, Mark Meredith, Kristen Crossman, Abby Williams, Sheila McMorrow, Jennifer Dindo, Angela Gordon, Maria Melguizo-Castro, Zhuopei Hu, Todd Nick Tags: Original Contribution Source Type: research