Archive

Medical Category: Neurology

Rebellion21: Alteplase for Stroke of Unknown Time of Onset

In this 9 minute video from day 2 of Rebellion in EM 2021, I go over the evidence for advanced imaging use in acute ischemic stroke of unknown time of onset to help guide treatment with intravenous alteplase.

Read More
Neurology

Rebellion21: Canadian TIA Risk Score vs ABCD2

The management of patients with transient ischemic attacks (TIA) can be difficult.  Do they all need admission, or can low risk patients go home?  How do we define low risk?  Multiple scoring systems are in place to help answer that …

Read More
Neurology

The STROKE-AF and PER DIEM Trials: Detection of Atrial Fibrillation After Stroke

Background: The mainstays for management of stroke include admission to a stroke center and management of modifiable risk factors.1,2,3 It is estimated that most strokes are ischemic (87%),4 and atrial fibrillation and/or flutter are thought to be responsible for approximately …

Read More
Neurology

TTM2: Hypothermia vs Normothermia for Out-of-Hospital Cardiac Arrest

Background Information: Hypothermia was first introduced in 2002 by two studies, Bernard et al and The Hypothermia After Cardiac Arrest (HACA) trial.1,2 The latter, although a small trial, showed improved neurologic outcomes at six months when patients were cooled to …

Read More
CardiovascularNeurologyResuscitation

Thromboembolic Events After Cardioversion of Acute Atrial Fibrillation and Flutter: Should we Anticoagulate?

Background: Atrial fibrillation and atrial flutter are two of the most common dysrhythmias seen in the emergency department (ED). Rarely does a shift go by that you don’t see one or the other. For decades, there has been a debate …

Read More
CardiovascularNeurology

Sponsored

0