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Source: The American Journal of Emergency Medicine
Condition: Stroke
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Total 254 results found since Jan 2013.
Is it dangerous to treat acute ischemic stroke by thrombolytic therapy in patients with comorbid intracranial aneurysms
The safety of cerebral ischemic stroke patients with comorbid intracranial aneurysms treated by thrombolysis is still an unsolved mystery. We aimed to perform a secondary analysis and review to provide evidence on whether stroke patients with intracranial aneurysms have worse outcomes following thrombolysis.
Source: The American Journal of Emergency Medicine - December 16, 2015 Category: Emergency Medicine Authors: Jiayue Ding, Jie Han, Zhe Jing, Yue Jiang Source Type: research
When stroke is more than stroke
We describe a case of aortic dissection presenting as right middle cerebral artery syndrome who received intravenous thrombolysis complicated by aortic rupture with a fatal outcome. A Medline search shows that this is the first report of aortic rupture since the inception of thrombolysis for acute stroke.
Source: The American Journal of Emergency Medicine - November 18, 2015 Category: Emergency Medicine Authors: Shing Ching, Soo Moi Ting Tags: Case Report Source Type: research
Computed tomography angiography in acute stroke (revisiting the 4Ps of imaging)
Imaging in acute stroke has traditionally focussed on the 4Ps—parenchyma, pipes, perfusion, and penumbra—and has increasingly relied upon advanced techniques including magnetic resonance imaging to evaluate such patients. However, as per European Magnetic Resonance Forum estimates, the availability of magnetic resonance imaging scanners for the general population in India (0.5 per million inhabitants) is quite low as compared to Europe (11 per million) and United States (35 per million), with most of them only present in urban cities.
Source: The American Journal of Emergency Medicine - November 3, 2015 Category: Emergency Medicine Authors: Shriram Varadharajan, Jitender Saini, Ullas V. Acharya, Arun Kumar Gupta Tags: Brief Report Source Type: research
CT Angiography in acute stroke (Revisiting the 4Ps of Imaging)
Imaging in acute stroke has traditionally focussed on the 4 Ps - Parenchyma, Pipes, Perfusion and Penumbra and has increasingly relied upon advanced techniques including Magnetic Resonance Imaging (MRI) to evaluate such patients. However as per European Magnetic Resonance Forum (EMRF) estimates, the availability of MRI scanners for the general population in India (0.5 per million inhabitants) is quite low as compared to Europe (11 per million) and USA (35 per million), with the vast majority of them only present in urban cities.
Source: The American Journal of Emergency Medicine - November 3, 2015 Category: Emergency Medicine Authors: Shriram Varadharajan, Jitender Saini, Ullas VA, Arun Kumar Gupta Source Type: research
Bradycardia caused by Intravenous Nicardipine in an Elderly Patient with Acute Ischemic Infarct
We report the case of an elderly patient with an acute ischemic stroke who developed nicardipineinduced bradycardia in the ED.
Source: The American Journal of Emergency Medicine - August 17, 2015 Category: Emergency Medicine Authors: Michael E. Abboud, Sarah E. Frasure Tags: Case Report Source Type: research
Cerebral oximetry with cerebral blood volume index in detecting pediatric stroke in a pediatric ED
Despite pediatric stroke awareness and pediatric stroke activation systems, recognition and imaging delays along with activation inconsistency still occur. Reliable objective pediatric stroke detection tools are needed to improve detection and activations. Regional cerebral oxygen saturation (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, Rawle Seupaul, Abby Williams, Sheila McMorrow, Jennifer Dindo, Angela Gordon, Maria Melguizo-Castro, Zhuopei Hu, Todd Nick Tags: Original Contribution 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
Achieving regionalization through rural interhospital transfer
Regionalization of emergency medical care aims to provide consistent and efficient high-quality care leading to optimal clinical outcomes by matching patient needs with appropriate resources at a network of hospitals. Regionalized care has been shown to improve outcomes in trauma, myocardial infarction, stroke, cardiac arrest, and acute respiratory distress syndrome. In rural areas, effective regionalization often requires interhospital transfer. The decision to transfer is complex and includes such factors as capabilities of the presenting hospital; capacity at the receiving hospital; and financial, geographic, and patien...
Source: The American Journal of Emergency Medicine - May 29, 2015 Category: Emergency Medicine Authors: Leah Feazel, Adam B. Schlichting, Gregory R. Bell, Dan M. Shane, Azeemuddin Ahmed, Brett Faine, Andrew Nugent, Nicholas M. Mohr Tags: Review Source Type: research
Achieving Regionalization through Rural Inter-hospital Transfer
Regionalization of emergency medical care aims to provide consistent and efficient high quality care leading to optimal clinical outcomes by matching patient needs with appropriate resources at a network of hospitals. Regionalized care has been shown to improve outcomes in trauma, myocardial infarction, stroke, cardiac arrest, and acute respiratory distress syndrome. In rural areas, effective regionalization often requires inter-hospital transfer. The decision to transfer is complex and includes such factors as capabilities of the presenting hospital, capacity at the receiving hospital, financial, geographic, and patient-p...
Source: The American Journal of Emergency Medicine - May 29, 2015 Category: Emergency Medicine Authors: Leah Feazel, Adam B. Schlichting, Gregory R. Bell, Dan M. Shane, Azeemuddin Ahmed, Brett Faine, Andrew Nugent, Nicholas M. Mohr Tags: Review Source Type: research
Pre-procedure Change in Arterial Occlusion in Acute Ischemic Stroke Patients undergoing Endovascular Treatment by CT Angiography
The American Heart Association/American Stroke Association guidelines strongly recommend a noninvasive intracranial vascular study such as CT angiogram in acute stroke patient if endovascular treatment is contemplated.
Source: The American Journal of Emergency Medicine - February 4, 2015 Category: Emergency Medicine Authors: Adnan I. Qureshi, Mushtaq H. Qureshi, Farhan Siddiq, Daraspreet Kainth, Ameer E. Hassan, Alberto Maud Tags: Original Contribution Source Type: research
Preprocedure change in arterial occlusion in acute ischemic stroke patients undergoing endovascular treatment by computed tomographic angiography
The American Heart Association/American Stroke Association guidelines strongly recommend a noninvasive intracranial vascular study such as computed tomographic (CT) angiogram in acute stroke patient if endovascular treatment is contemplated.
Source: The American Journal of Emergency Medicine - February 4, 2015 Category: Emergency Medicine Authors: Adnan I. Qureshi, Mushtaq H. Qureshi, Farhan Siddiq, Daraspreet Kainth, Ameer E. Hassan, Alberto Maud Tags: Original Contribution Source Type: research
Association of plasma diamine oxidase and intestinal fatty acid–binding protein with severity of disease in patient with heat stroke
The aim of this study was to describe the role of intestinal fatty acid–binding protein (iFABP) and allergy-related diamine oxidase (DAO) in patients with heat stroke (HS).
Source: The American Journal of Emergency Medicine - February 2, 2015 Category: Emergency Medicine Authors: Lin Zhang, Xiaoming Fan, Zhiyue Zhong, Guoxiong Xu, Jie Shen Tags: Original Contribution Source Type: research
Association of Plasma DAO and iFABP with Severity of Disease In Patient with Heat Stroke
The aim of this study was to describe the role of intestinal fatty acid-binding protein (iFABP) and allergy-related diamine oxidase (DAO) in HS patients.
Source: The American Journal of Emergency Medicine - February 2, 2015 Category: Emergency Medicine Authors: Lin Zhang, Xiaoming Fan, Zhiyue Zhong, Guoxiong Xu, Jie Shen Tags: Original Contribution Source Type: research
Ischemic Stroke Differential Diagnose: Spontaneous Spinal Epidural Hematoma can be fatal
Spontaneous Spinal Epidural Hematoma (SSEH) is rarely seen, it is the important reason for the spinal cord compression. Patients generally visit the doctor due to the acute pain in the neck and interscapular area. The male patient 58years old was admitted to the emergency service of our hospital with the sudden onset neck pain and followed by rapidly right hemiparesis He arrived at our hospital 120minutes after the onset of her symptoms with suspected acute stroke. We assessed for acute stroke performed clinical examinations necessary for intravenous thrombolytic treatment with alteplase, No abnormality was observed in his...
Source: The American Journal of Emergency Medicine - January 21, 2015 Category: Emergency Medicine Authors: Huseyin Buyukgol, M. Kemal Ilik, Faik Ilik Source Type: research
Validation of the Use of BNP POCT platform in Preliminary Recognition of Cardioembolic Stroke Patients In the ED
To validation of the use of plasma B-type natriuretic peptide(BNP) Point of Care Test (POCT) platform in preliminary recognition of cardioembolic stroke patients in the Emergency Department(ED).
Source: The American Journal of Emergency Medicine - January 16, 2015 Category: Emergency Medicine Authors: Wu Zhixin, Zhao Mingming, He Mingfeng, Zeng Hongke, Tan Feng, Li Kuangyi, Chen Shenglong, Han Qianpeng, Wang Qiaosheng Source Type: research
