There is a new kid on the block for the treatment of stroke - tenecteplase (TNK). In this post, Dr. Morris explains the evidence behind its preferred use over alteplase (tPA) as well as address some common concerns about its use for stroke.
Read MoreKeeping the blood pressure targets straight for different intracranial processes can be a daunting task. In this blog and associated podcast we review the specific intracranial pathologies, their associated blood pressure targets, and reference the supporting literature.
Read MoreThe world of emergency neuroimaging is evolving and increasingly influencing time-sensitive treatment decisions. A basic understanding of the imaging studies and sequences you may be asked to obtain in the ED may help you better manage your patients. In this post, Dr. Matthew Siket reviews the major four neuroimaging modalities (CT, CTA, Perfusion, and MRI).
Read MoreIschemic stroke is one of the most frequently encountered neurologic emergencies. It can be a truly debilitating diagnosis, and yet classically, there has only been one treatment available for small and large vessel occlusions alike– tPA. Now, with the widespread availability of CT angiography and the advent and maturation of interventional techniques such as mechanical thrombectomy, the management of large vessel occlusion (LVO) strokes is rapidly evolving and is increasingly distinct from the management of other strokes. This is truly an exciting time in stroke care, so for this month’s journal club we focused on three questions relevant to the emergency provider: 1) What is the utility of prehospital clinical scales for rapidly identifying LVO strokes? 2) Should patients with suspected LVO be taken to the nearest stroke center or bypass smaller hospitals to reach a comprehensive stroke center? 3) How effective is mechanical thrombectomy vs. tPA alone?
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