Author: Marie Murphy, MD Editor: Nicole Anthony, MD “Stroke Code to the Stroke Assessment Area” A 60-year-old, left-handed man with a past medical history of type 2 diabetes mellitus and hyperlipidemia is brought in by EMS for persistent sudden onset, left arm weakness that began 20 minutes ago. On exam, Read more…
In last week’s post, we reviewed Pluymaekers et al (1), a randomized control trial from the Netherlands on early or delayed cardioversion for recent-onset atrial fibrillation (AF). In this post, we will analyze our practice in the U.S. and discuss some of the arguments for and against cardioversion in the Read more…
by Peter Tepler, MD A 40-year-old woman comes to the hospital by taxi. After reporting severe headache, the triage nurse notices that she is garbling her words and immediately takes her to the stroke assessment area and grabs you. Her ABCs are all intact. Patients triage vitals are: HR: 84/min Read more…
TPA for MI when PCI is not available – recommended so thoroughly it’s in textbooks. TPA for clotted AV fistulas – surgeons do it. TPA in stroke…not going anywhere near it. TPA for PE…Interested? After a lit search [1] done under the tutelage of Dr. Shahriar Zehtabchi, here’s Read more…
We discussed an informative and interesting review article on stroke management in October’s Critical Care Minifellowship meeting. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4062315/ This article highlights some important points (that shed light on how complicated the brain truly is) and touches upon some interesting neurological trials. A few points to mention are: – The idea of Read more…