Archive

Medical Category: Neurology

Endovascular Therapy for Acute Ischemic Stroke: The New Shiny Toy in Stroke Care?

The shiny new toy in stroke treatment is endovascular therapy.  There have now been 12 randomized controlled trials (RCTs) on endovascular stroke therapy (EST), with eight of the last nine showing positive results – stunningly positive.  This flood of positive ...

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Neurology

Extending the tPA Window to 4.5 – 9 Hours in Acute Ischemic Stroke (AIS)?

Background: No matter which side of the debate you sit on in regard to systemic thrombolysis in acute ischemic stroke (AIS), there is one truth: systems have undergone major changes to ensure tPA is offered to patients in the ≤4.5-hour window.  ...

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Neurology

Critical Care Controversies: The REBEL vs The SKEPTIC at #SMACC 2019

On the last day of the last SMACC conference, Dr. Ken Milne (The SGEM) and I had a cage match debating four critical care controversies. It was all done in good fun with both of us taking our opportunities to ...

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NeurologyProcedures and SkillsResuscitation

The Ottawa SAH Clinical Decision Rule

Background: Headache is a common presentation to the emergency department  (ED) accounting for 2% of all visits .  Of the patients that present with headache,1 – 3% will be due to a subarachnoid hemorrhage (SAH) . SAH is a true diagnostic ...

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Neurology

Validation of the Ottawa Subarachnoid Hemorrhage Rule in Patients With Acute Headache

Background: The assessment and management of the acute onset headache from the perspective of the emergency department is a point of contention and discussion commonly faced by emergency providers.  The Ottawa Subarachnoid Hemorrhage Rule is a clinical decision making instrument that ...

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Neurology

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