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Concussion: Complications and Public Safety (Part 3)

Concussion: Complications and Public Safety (Part 3)

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...
Concussion: Complications and Public Safety (Part 3)

Concussion: Inside the Emergency Department (Part 2)

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...
Concussion: Inside the Head (Part 1)

Concussion: Inside the Head (Part 1)

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...
An Update on the ED Management of Acute Ischemic Stroke and TIA

An Update on the ED Management of Acute Ischemic Stroke and TIA

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...
Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct

Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct

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...
Clopidogrel and Aspirin in Acute Ischemic Stroke and High-Risk TIA

Clopidogrel and Aspirin in Acute Ischemic Stroke and High-Risk TIA

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 +...
Caring for Patients with Functional Neurological Disorders in the ED: Updates, Pearls, and Pitfalls

Caring for Patients with Functional Neurological Disorders in the ED: Updates, Pearls, and Pitfalls

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...
GCS Remastered: Recent Updates to the Glasgow Coma Scale (GCS-P)

GCS Remastered: Recent Updates to the Glasgow Coma Scale (GCS-P)

by Nick Schouela, Richard Hoang | Jul 5, 2018 | Critical Care, Featured, Infographics, Most Viewed, 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...
DEFUSE-3: Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging

DEFUSE-3: Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging

by Hans Rosenberg | Jun 4, 2018 | Featured, Journal Club, landmark, Neurology

Methodology: 3.5/5 Usefulness: 4/5 Albers GW, et al. N Engl J Med. 2018 Jan 24. Journal Club Bottom Line Question/Methods: This was a multicentre, prospective, randomized, open label, blinded outcome trial comparing thrombectomy + medical therapy vs medical therapy...
Oh Me Nerves! A Neurology Medley

Oh Me Nerves! A Neurology Medley

by Shannon McCarter, Robert Suttie | Oct 19, 2017 | Commentary, Critical Care, Featured, Grand Round Summaries, Neurology

Here we seek to review relatively common neurology presentations and some controversies surrounding their management. See our other ED-Neurology Reviews here including migraine therapies and stroke evidence.  To include Myasthenia Gravis, Guillian Barre Syndrome, and...
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