Stroke Location on CT
Dizziness…the good and the ugly…
The differential diagnosis of vertigo can be broken into peripheral and central causes. It is imperative the Emergency Physician consider central causes of vertigo. Signs/ Symptoms Differentiating Peripheral and Central Vertigo Peripheral Central Onset Sudden or Insidious Sudden Severity of Vertigo Intense Spinning Ill-defined, may be severe or less intense Prodromal Dizziness Occurs in […]
Stroke & Heart Attack Emergency Treatment in Kenya
A systematic approach to the interpretation of Computed Tomography of the head
Dual antiplatelet therapy (DAPT) improves outcomes in patients with high-risk TIA or minor ischemic stroke
In patients with minor ischemic stroke or high-risk TIA, those who received a combination of clopidogrel and aspirin had a lower risk of major ischemic events but a higher risk of major haemorrhage at 90 days than those who received aspirin alone. However, the relative reduction in recurrent stroke occurred almost entirely during the first […]
Oxygen therapy for acutely ill medical patients: a clinical practice guideline
What you need to know It is a longstanding cultural norm to provide supplemental oxygen to sick patients regardless of their blood oxygen saturation A recent systematic review and meta-analysis has shown that too much supplemental oxygen increases mortality for medical patients in the hospital For patients receiving oxygen therapy, aim for peripheral capillary oxygen […]
2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke:
Top 10 EM research papers 2016-17
Bad Headaches
A thunderclap headache (TCH) has been defined as a “headache that reaches 7 (out of 10) or more in intensity within less than one minute.”
TIA (Transient Ischaemic Attack)
TIA is defined as a brief episode of neurologic dysfunction with no permanent infarction. Head CT noncontrast is not reliable for acute ischemia, but it can find alternative conditions necessitating management. MRI with DWI displays greater diagnostic ability. Risk scores that predict future stroke are not reliable when used alone. Patients are typically admitted for […]
