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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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EMCrit Podcast 208 – Felipe Teran on Why We are Doing CPR Wrong

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domingo, 20 de marzo de 2016

Stroke update

Resultado de imagen de U Ottawa
EMOttawa - March 18, 2016 - By Simeon Mitchell - Edited by Shahbaz Syed
Ischemic stroke and Transient Ischemic Attack have been a vigorously studied aubject, particularly in the past few years. With numerous updates and recommendations, we will provide an updated guide for Emergency Physicians in regards to ischemic stroke and TIA management and workup.
  • Endovascular therapy for Ischemic Stroke
Bottom lines:

  • Imaging in TIA
Bottom Line:
Higher risk patients should receive an CT-A prior to leaving the Emergency Department.
  • High risk patients are those with a) motor symptoms, or b) speech symptoms
Patients presenting with TIA require an neurology consultation in the department if they have one of the following features:
  • Acute stroke on CT Head
  • Free floating thrombus
  • Carotid artery stenosis ≥ 50% (in conjunction with vascular surgery). 
  • Of note: these indications for neurology referral are predicated by imaging findings, rather than clinical findings.