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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Aug 31

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

Haemin Go posted on 8/31/2021

Moderator: Jordan Bonomo, MD, FCCM, FNCS
Other Participants: Moshè A. Mizrahi, MD

This podcast dives deep into the NIHSS and the benefits and limitations of the stroke scale that we all know and love. Dr. Mizrahi takes the listener through the NIHSS, the right neurology exam at the bedside, posterior circulation assessments and the cost of increasing accuracy at the expense of reliability. Interrater disparities are a fundamental objection to changing the NIHSS. If we changed the NIHSS, how would we use historical scales in research? This podcast addresses the NIHSS in the context of cultural bias, history an bedside execution. "Score what you see and not what you think.." These and other pearls abound in this engaging podcast with Dr. Mizrahi.

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