Pitfalls in CTP: Why CTP Isn’t Always the Holy Grail in Acute Stroke Imaging

March 8, 2022

CTP is alluring in acute stroke and continues to become more available. But it's complicated. Learn the pitfalls and traps from a true expert in perfusion imaging.

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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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The Clock Is Dead - The Reign of Tissue Imaging

August 17, 2021

Mismatch is your friend if you want to treat acute stroke patients beyond 3 hrs. While the clock was once the king, tissue imaging may now define what brain is salvageable and what has been lost. Listen here and see if you agree that the clock is dead in stroke.

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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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How do we implement ANNEXXa-I into our Clinical Practice?

November 30, 2023

For acute care physicians, anticoagulated patients presenting with intracranial hemorrhage (ICH) is an incredibly challenging clinical scenario. ANNEXa-I is...

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Real World Evidence for Management of Severe Bleeding in the Anticoagulated Patient: Impact of Specific Reversal Therapy for Intracranial Hemorrhage and Gastrointestinal Bleeding

July 28, 2023

Real World studies can provide the foundational support necessary for clinicians to effectively manage anticoagulated patients with severe, often...

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The Role of Real World Evidence in Driving Clinical Care for Anticoagulated Patients with Life-Threatening Bleeding

March 31, 2023

Experts in Emergency Medicine, Pharmacy, and Neurocritical Care describe the impact of real world evidence on the care of life-threatening bleeding in the...

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What Are the Barriers to Success When Implementing Care Pathways for ICH Patients?

July 12, 2022

ICH remains deadly and pathways matter but they aren't always what we need and barriers can be overcome with knowledge.

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How Do We Coordinate Care Within Our Hospitals To Improve Outcomes in Hemorrhagic Stroke Patients?

July 5, 2022

Coordinating the necessary care for hemorrhagic patients is complicated- learn the ropes from experts on the UC Stroke Team. "Smoother, faster better" is...

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The New Standards for Prehospital Stroke Patient Destinations; the Dawn of a New Era in EMS

March 11, 2021

The destination for prehospital patients with suspected stroke has been controversial for many years. Should they be taken to the closest ED, the closest...

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Assessing the ED Stroke Patient for Disability - What Are the Pitfalls and How to Avoid Them?

December 2, 2020

The NIH Stroke Scale is beneficial when used correctly but is has its limitations. Relying entirely on the NIHSS will miss significant disability in a...

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What Was Missing From the NINDS Trial?

December 4, 2020

The NINDS trial was the seminal study of IV-tPA in the treatment of acute stroke. Yet controversy still exists around the trial methodology and the...

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Confusion vs. Aphasia- So Important and So Challenging at Times!

March 15, 2022

Confusion isn't really a stroke symptom but aphasia clearly is. One is life threatening and the other can often be self limited and benign. Are you sure...

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The Future of Mobile Stroke Units – The Frontier is Here…

November 12, 2020

In today’s technology-savvy world, we have come to expect getting goods and services delivered on demand and on our terms. We want things right away....

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ABOUT THE STROKE JOURNEY

The Stroke Journey is an initiative developed by The National Stroke Education Center (NSEC) that strives to be the premier source of educational information for the diagnosis and treatment of stroke in the United States. NSEC extends the world-class educational expertise of the University of Cincinnati Department of Emergency Medicine and its partners via a variety of traditional and digital resources. NSEC and The Stroke Journey are dedicated to providing outstanding stroke education with timely material that mirrors the real-time changes in the medical education and stroke care landscape.

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The Stroke Journey is a collaboration between the NSEC, EMCREG-International, and MedEd On The Go. Together we are committed to providing high-quality stroke education for healthcare professionals.

Pitfalls in CTP: Why CTP Isn’t Always the Holy Grail in Acute Stroke Imaging

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

The Clock Is Dead - The Reign of Tissue Imaging

Defining the SOC - Is 4.5 Hrs the Real Answer?

CT Angiography - What Should the Rest of Us Know?

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