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Identifying stroke mimics in the ED

Identifying stroke mimics in the ED

by Katherine Soucie, Richard Hoang, Shankar Sethuraman | Feb 14, 2019 | Featured, Grand Round Summaries

In this post, we will aim to review the literature looking at identifying clinical and historical features that can help differentiate stroke mimics from strokes. We will also discuss the safety of the administration of IV tPA to misdiagnosed stroke mimics. This post...
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 +...
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...
Under Pressure: Review of Management of Hypertension in Neurological Emergencies

Under Pressure: Review of Management of Hypertension in Neurological Emergencies

by emottawa | Jul 14, 2017 | Grand Round Summaries, Neurology

Objectives: Explore the data for safety and efficacy of urgent blood pressure lowering in hemorrhagic stroke. Is there any benefit from management of elevated blood pressure in acute ischemic stroke that is not a candidate for tPA? What is the data for blood pressure...
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World-Class Emergency Medicine: To provide outstanding compassionate emergency care through practice-changing research and innovative medical education. For more about our department, visit us at EMOttawa.

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World-Class Emergency Medicine: To provide outstanding compassionate emergency care through practice-changing research and innovative medical education. For more about our department, visit us at EMOttawa.

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