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 number of patients. Acute stroke care demands more than just an NIHSS assessment.
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What Lessons Have You Learned About Endovascular Therapy in COVID Patients and What Should We All Know?

December 2, 2020
Acute interventional management during the COVID pandemic requires a change of focus and practice. Challenges abound and danger exists at every decision point.
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Controversies in Prehospital Medicine: Choosing the Destination Medical Center for Stroke Patients

December 2, 2020
Once a stroke is suspected in the field, it stands to reason that the destination matters for the patient. But how much does it matter and where should patients be taken? Data meets politics in this compelling podcast.
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When Might You Use Heparin in the NeuroICU for a Stroke Patient?

December 2, 2020
Heparin in stroke remains controversial. Understanding the history and data and essential to mastering stroke care.
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Are the NNT and NNH for tPA Useful or Misleading in Acute Stroke Care?

December 2, 2020
Stroke treatment data are hard to interpret and can be misleading. A lot of misinformation has made its way into the literature and has confounded acute stroke care. Understanding NNT and NNH can help clinicians understand risks and benefits in a meaningful way.
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May 19

Blocking and Tackling - The Fundamentals of Stroke CT Interpretation

Haemin Go posted on 5/19/2021

Moderator: William A. Knight IV, MD, FACEP, FNCS
Other Participants: Charles Kircher, MD, FAHA

Emergency Medicine and Neurocritical Care physician, Charles Kircher, MD discusses the Emergency Medicine approach to interpreting the non-contrast head CT in patients with suspected acute ischemic stroke in this podcast recorded with Dr. William Knight. Dr. Kircher breaks down the basics of the initial approach to the stroke head CT. From "ruling out" hemorrhage to recognizing prior stroke, intracranial lesions, and prior neurologic surgery, Drs. Kircher and Knight discuss the Emergency Medicine approach and role in CT interpretation. They discuss tricky areas to not miss, the importance of symmetry and briefly review the ASPECTS score of grading early brain ischemia.

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