The Good, the Bad and the Ugly of the NIHSS: Time for a Change?

August 31, 2021
The NIHSS remains the fundamental assessment of stroke severity. However, some have called for modifying the NIHSS to better capture disability. Is it time to change the NIHSS?
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What Else Beyond the NIHSS Should We Be Doing Clinically?

August 24, 2021
The NIHSS was a research tool meant to limit variability and provide uniform quantifiable assessments  of stroke severity.  As the de facto standard for stroke exams and scores, it has withstood the test of time.  However, there is more to the assessment of acute stroke severity and this podcast takes a deep dive into what else we need to be doing besides the NIHSS.
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Defining the SOC - Is 4.5 Hrs the Real Answer?

August 10, 2021
The standard of care can feel elusive. Listen here as Dr. Knight shares his expertise regarding the definition of the SOC in extended window therapy for tPA. It's not a simple question and Dr. Knight is the one to answer it.
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CT Angiography - What Should the Rest of Us Know?

June 8, 2021
CT Angiography of the head and neck has become a standard in the Emergency Department as part of the initial workup of a patient with a suspected stroke, but they are challenging to interpret.
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Tips and Tricks for Posterior Circulation Stroke Identification

June 1, 2021
The posterior circulation is the source of controversy and challenges in the management of acute stroke patients. Listen to a neurointensivist and interventional stroke physician talk to an emergency physician about the posterior circulation patients. Acute dizziness and vertigo can be separated clinically and Dr. Smith teaches us how in this podcast.
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