by Shannon Fernando | Sep 26, 2019 | Featured, Neurology
In the Emergency Department (ED) and Intensive Care Unit (ICU), we often encounter patients with brain injury. This includes patients with traumatic brain injury (TBI), subarachnoid hemorrhage (SAH), and intracerebral hemorrhage (ICH), among others [1]. In the ED and...
by Hans Rosenberg | Jul 29, 2019 | Journal Club, Neurology
Journal Club Summary Methodology: 3.5/5 Usefulness: 2.5/5 Ma H, et al N Engl J Med. 2019 May 9;380(19):1795-1803 Editorial: Image-Guided Intravenous Alteplase for Stroke – Shattering a Time Window. Question and Methods: This was an international, multicenter,...
by Erica Lee, Richard Hoang, Shankar Sethuraman | Jul 18, 2019 | Grand Round Summaries, Neurology, Trauma
In the final post of this 3-part series on concussions, Dr. Erica Lee discusses how to recognize and manage post-concussion complications, and hopes to raise awareness on the legislation and public health burden around concussions. If you haven’t already, please...
by Erica Lee, Richard Hoang, Shankar Sethuraman | Jul 11, 2019 | Grand Round Summaries, Neurology, Trauma
Welcome to Part 2 of our series on concussions. In this post, Dr. Erica Lee reviews how to make the diagnosis of concussion and manage these patients in the ED. You can review Part 1 of the series for an up-to-date definition of a concussion and Part 3 for a...
by Erica Lee, Richard Hoang, Shankar Sethuraman | Jun 27, 2019 | Grand Round Summaries, Neurology, Trauma
Head injuries are commonly seen in the emergency department and a large group of these patients will subsequently be diagnosed with a concussion. In this three-part series, we will summarize the most up to date definition of a concussion (Part 1), review how to make...
by Michael Hale, Richard Hoang, Shankar Sethuraman | Jun 13, 2019 | Grand Round Summaries, Neurology
Ischemic stroke is one of Canada’s leading causes of morbidity and mortality. Over the last 30 years, we have observed rapid advances concerning how we identify, respond to, and treat patients with acute ischemic stroke. Because this topic is so vast, the focus of...
by Hans Rosenberg | Nov 26, 2018 | Journal Club, Neurology
Journal Club Summary Methodology Score: 4/5 Usefulness Score: 5/5 Nogueira RG, et al. N Engl J Med. 2018 Jan 4;378(1):11-21 Editorial: A New DAWN for Imaging-Based Selection in the Treatment of Acute Stroke. Questions and Methods: DAWN was an open-label multi-centre...
by Hans Rosenberg | Nov 19, 2018 | Journal Club, landmark, Neurology
Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 4/5 Johnston SC, et al. N Engl J Med. 2018 Jul 19;379(3):215-225 Editorial: Antiplatelet Therapy after Ischemic Stroke or TIA. Question and Methods: This randomized, double-blind trial evaluated ASA +...
by Miguel Cortel-LeBlanc, Richard Hoang | Oct 11, 2018 | Grand Round Summaries, Neurology
Conversion Disorder Functional Neurological Disorder is not a diagnosis of exclusion. It is a diagnosis based on positive clinical features. Definitions: Medically Unexplained Physical Symptoms (MUPS) Patient complaints and symptoms for which no medical etiology is...
by Nick Schouela, Richard Hoang | Jul 5, 2018 | Critical Care, Featured, Infographics, Neurology, Slider, Trauma
Most clinicians are familiar with and utilize the Glasgow Coma Scale (GCS) on a daily basis, but many are not aware of the updates and additions to the score that were made in 2014 and 2018, respectively. Clarifications in the wording of the scale attempt to increase...