Articles Tagged With: stroke
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Subarachnoid Hemorrhage and Intracranial Hemorrhage
Time is of the essence in management of intracranial hemorrhage and subarachnoid hemorrhage. The longer it takes to make the diagnosis and initiate treatment, whether it is surgical intervention or simply aggressive primary stabilization, the greater the risk to the patient regarding both morbidity and mortality.
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Dual Antiplatelet Therapy for Acute Ischemic Stroke and TIA
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Atrial Flutter, Atrial Fibrillation, and Ischemic Stroke
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Recanalization Treatment in Pediatric Arterial Ischemic Stroke
In a population-based study from Switzerland, the authors found that recanalization treatment (intravenous thrombolysis or endovascular treatment) overall was safe without significant side effects or increased mortality compared to standard care.
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Dual Antiplatelet Therapy for Minor Ischemic Stroke or TIA
These investigators undertook this study to evaluate the effect of clopidogrel plus aspirin, vs. aspirin alone, in an international population of patients who had minor ischemic stroke or TIA — Platelet-Oriented Inhibition in New TIA and Minor Ischemic Stroke (POINT).
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Tenecteplase vs. Alteplase for Ischemic Stroke
In a recent trial, treatment with tenecteplase before thrombectomy was associated with a higher incidence of reperfusion and better functional outcome than alteplase if administered to patients with ischemic stroke within 4.5 hours of symptom onset.
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The Evaluation of the Dizzy Patient
Dizziness is a common complaint among emergency department patients. Emergency providers need to differentiate benign from serious causes.
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Sickle Cell Emergencies
This article provides an overview of the most frequently encountered complications associated with sickle cell disease seen in the emergency department. It will discuss recent guidelines and novel approaches to the treatment of entities such as acute chest syndrome, vaso-occlusive crisis, and stroke, as well as new treatments on the horizon.
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Evidence-based Management of Atrial Fibrillation in the Emergency Department
This article provides an overview of atrial fibrillation (AF) and evidence-based guidance on controversial aspects of AF workup and management in the emergency department. The evidence is provided to help safely reduce unnecessary testing and expand the emergency provider’s management armamentarium to include electrical and pharmacologic conversion in recent-onset AF patients.
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Proceedings From the International Stroke Conference, Los Angeles, February 2018
Message from the editor: The following reviews of studies presented at the 2018 International Stroke Conference were written after my personal attendance at the presentations, followed by review of the simultaneous publications in the journals Stroke, The New England Journal of Medicine, JAMA Neurology, and the Journal of the American Medical Association.