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Please consider a donation to ensure EM Cases continues to provide you high quality Free Open Access Medical Education here: [link] The post EM Quick Hits 60 Post-Tonsillectomy Hemorrhage, Post-CABG Infections, Bougie Tips, Pelvic Fracture Bleeds, Debriefing: Why, When & How appeared first on Emergency Medicine Cases.
Introduction:Ongoing staff stroke education is crucial to ensure that stroke knowledge remains current and at the forefront of everyone's minds and is also required for stroke certification. The challenge often is how to continue to meet the education requirements in an effective and timely format.
the 2023 calendar year, our comprehensive stroke metric for hemorrhagic stroke scoring was at 64%, below the 'Get with the Guidelines' benchmark of 87%.To the 2023 calendar year, our comprehensive stroke metric for hemorrhagic stroke scoring was at 64%, below the 'Get with the Guidelines' benchmark of 87%.To
Background:Prior studies demonstrate an increased prevalence of primary intracranial hemorrhage with lengthened hospital stays within the Asian American and Pacific Islander (AAPI) population. Participants also received stroke educational materials in English, Simplified Chinese, Japanese, Korean, or Vietnamese from reliable sources (e.g.,
Secondary analyses included the distinction of ischemic from hemorrhagic strokes, and the accuracy with which the lesion location and site of vessel occlusion were identified. The accuracy to identify ischemia compared with hemorrhage was 0.91 (0.870.93).
Introduction:Patients who have had hemorrhagic strokes experience psychological and functional deficits after hospital discharge. SDoH were reported on admission by patients or their surrogate, and included education level, occupation, insurance, marriage status, median household income (MHI) by zip code, and race/ethnicity.
Background and Purpose:2022 Intracerebral Hemorrhage (ICH) guidelines encourage treatment of blood pressure (BP) as soon as possible following identification of ICH. Stroke, Volume 56, Issue Suppl_1 , Page AWP102-AWP102, February 1, 2025. Staff needed additional coaching on antihypertensive drips and rapid titration to reduce BP.
Introduction:Intracerebral Hemorrhage (ICH) leads to high rates of morbidity and mortality. There was no association between BMI and ICH volume in patients with deep or lobar hemorrhage. Stroke, Volume 55, Issue Suppl_1 , Page AWMP81-AWMP81, February 1, 2024. Malnutrition is common in stroke patients and leads to worse outcomes.
Background:Intracerebral hemorrhage (ICH) constitutes 10% of all strokes and is the most fatal and debilitating subtype. Stroke, Volume 56, Issue Suppl_1 , Page ATP61-ATP61, February 1, 2025. Unlike ischemic stroke, treatment strategies for ICH have not advanced as rapidly, resulting in limited adoption of specialized care metrics.
Background and Purpose:Intracerebral and subarachnoid hemorrhages comprise roughly 15% of all strokes but have a higher risk of mortality and morbidity than ischemic strokes. Controlling hypertension after a hemorrhage is the primary intervention to limit the risk of hematoma expansion (HE) and the sequelae of secondary injury.
Background and Issues:Timely identification and intervention are critical for positive outcomes in acute intracerebral hemorrhage (ICH) patients. The ED team was educated on the new performance goals. The stroke team collected, analyzed, and reported the performance metrics of the ED team throughout implementation.
Introduction:The 2022 AHA/ASA Guidelines for Intracerebral Hemorrhage (ICH) recommend initiating treatment and lowering blood pressure (BP) within 2 hours of ICH onset and reaching the target systolic BP of 130-150mmHg within one hour of treatment initiation. Nurse to patient ratios were changed to 1:1 until goal BP achieved. 80) vs 43(33-52.3)
We evaluated the participants ability to complete critical actions that were developed based on best practices and relevant American Heart Association guidelines and the Neurocritical Care Society's Emergency Neurological Life Support protocols.
ED providers were given education on which BP intervals would be measured, and how to improve the timeliness of BP reduction. It highlights the value of ED education on guideline recommended time-targeted treatment of ICH care. Emergency Department (ED) code stroke patients with an ICH were included.
We subsequently educated constituents including nursing, pharmacy, technical and clinical staff. Median door-to-needle (DTN), door-to-puncture (DTP), thrombolytic utilization and symptomatic hemorrhage rates were recorded at five primary (P) and a comprehensive stroke center (C).Results:During Symptomatic hemorrhage occurred in 0.0%(P),
Recognizing epidemiological risk factors in local communities helps target specific populations through community education and implement appropriate healthcare delivery measures. Introduction:Early interventions limit morbidity and mortality in ICH patients.
After completing the program, patients will have the education and resources to prevent readmission.Methods:Neuro-telemetry nurses call stroke patients three weeks post-discharge to determine baseline knowledge of their stroke. The next six weeks reinforce individualized stroke education and reassess for continued post-discharge needs.
In this mixed-methods study, we qualitatively characterized perspectives regarding ML/AI use and quantitatively explore sentiment towards ML/AI from acute neurology patients, proxies, and clinicians.Methods:We conducted semi-structured interviews with survivors of intracranial hemorrhage, proxies, and clinicians. neutral) to 0.3
Specific county-level variables assessed were related to education, income, employment, home ownership, and being foreign born.Results:Among 912,488 patients who were assessed or received rehabilitation services due to acute ischemic or intracerebral hemorrhagic stroke, 33.4% of them were transferred to rehabilitation facilities.
Background:Post-discharge phone calls to stroke patients are a valuable tool to assess medication compliance, stroke education retention and prevention of emergency room visits. Data collected included baseline demographics, call completion rates, stroke education and validation of knowledge retention. Two call attempts were made.
Introduction:Effective care transition for ischemic or hemorrhagic stroke patients post-hospital discharge is critical. This period also allows for additional patient education, addressing queries, reinforcing lifestyle modifications, medication adherence, and recognizing warning signs.
The risk of intracerebral hemorrhage (ICH) has never been investigated. Poisson regression models adjusting for age, ethnicity, education, calendar-year, and medication use for risk factors were applied.Results:A total of 1,681,611 non-pregnant women contributed 11,971,745 person-years (py) of observation. Mean age at inclusion was 30.0
All impacted disciplines received education, including nursing skills demonstration. The system Alteplase hemorrhagic complication rate was 2.8% EHR Alteplase references were changed to thrombolysis. Tenecteplase Stroke and MI order sets with auto-calculations were developed for safety. compared to 2.5% for Tenecteplase.
During the visits, the nurse promotes medication adherence, ensures follow up appointments are scheduled, screens for stroke related complications such as falls, spasticity, memory loss, and depression, and provides stroke education.
A Cox regression analysis showed that the association between amyloid status and the incidences of dementia (P=0.001) and cognitive impairment (P=0.007) was still significant after adjustment for age, education, prestroke modified Rankin Scale score and cognitive impairment, stroke type, and the PET statusstroke type interaction.
Symptomatic hemorrhage (sICH) was 3.0%, overall 30-day mortality was 5.6%, and sICH mortality was 1.0%. However, further strategies are needed to better educate rural providers on acute stroke to reduce the rate of ineligible consults and streamline use of telestroke services.
The safety outcome was the rate of symptomatic intracranial hemorrhage (SICH).Results:We Population and health-professionals education is crucial to promote treatment in these subgroups of patients and improve patient outcomes. Results:We included 79 patients (Table 1.) Twenty-two patients (27.8%) received IVT. vs. 24.6%, P=0.001).
We developed a pre-screening survey to assess educational level, post-stroke rehabilitation participation, and vascular risk factors. We enrolled 30 follow-up patients with either an ischemic or hemorrhagic stroke.
In addition to standard education on the use of the FAST-ED score, the EMS agencies received annual aggregate performance feedback and individual case feedback (when requested) from the CSC. There was a higher proportion of AIS or intracranial hemorrhage (ICH) in cases with higher FAST-ED scores. In total, 36.9%
Two of seven symptomatic PSAs manifested with episodes of massive hemorrhage (3). The educational value of our case lies not only in the rarity of the condition but also in the uniqueness of its presentation.
Introduction:Over half of stroke patients experience sexual dysfunction as a result of an ischemic or hemorrhagic stroke. Yet, sex education and treatment are not a primary component of post-stroke treatment and rehabilitation. Compared the stroke survivors post-stroke deficits to the education received from healthcare providers.
Higher educational attainment has been linked to improved management of risk factors and greater adherence to medical treatments. See Table 1 for demographics by education group. The predicted probability of good outcome by education level was significantly different (Figure 1). 3.85, p=0.002).Conclusion:Our 3.85, p=0.002).Conclusion:Our
Introduction:Aneurysmal subarachnoid hemorrhage (aSAH) survivors suffer cognitive and behavioral challenges preventing their return to work and social activities. Clinical variables, modified Rankin score (mRS) at discharge, hemorrhage volume, and the occurrence of vasospasm or new ischemia during hospitalization were collected.
Background:It remains unknown which social determinants of health (SDOH) are impactful or when disparities begin to emerge in intracerebral hemorrhage (ICH). SDOH exposures included income bracket, educational attainment, marital status, race, and religion. Stroke, Volume 55, Issue Suppl_1 , Page AWP273-AWP273, February 1, 2024.
Introduction:Hereditary Hemorrhagic Telangiectasia (HHT) is a rare vascular disease characterized by development of arteriovenous malformations (AVMs) throughout the body, including telangiectases on the skin, nasal and gastrointestinal mucosal surfaces and larger AVMs in the brain, lungs, and liver. The ADI uses SES data from the U.S.
Background:Lower educational attainment (EA) and smaller social network are each associated with a greater risk for incident stroke. Stroke, Volume 56, Issue Suppl_1 , Page ATP276-ATP276, February 1, 2025. Structured interviews were conducted to collect levels of EA (<, =, or > high school) and SS.
Introduction:Neuropsychiatric (NP) symptoms have substantial influence on patients surviving with intracerebral hemorrhage (ICH), but their impact to cognitive impairment and life quality are poorly understood. Stroke, Volume 55, Issue Suppl_1 , Page ATP37-ATP37, February 1, 2024.
Less clear is the impact of SDH on patient-reported outcomes, particularly mental health outcomes, in intracerebral hemorrhage (ICH). ADI uses elements of income, education, employment, and housing quality to assign a composite score (1-100), with a higher score signifying greater disadvantage.
The Impact of Stroke on Global Health A stroke occurs when blood flow to a part of the brain is interrupted, either by a clot (ischemic stroke) or a ruptured vessel (hemorrhagic stroke). This deprivation of oxygen and nutrients results in the rapid death of brain cells, often causing irreversible damage. www.adncoe.com
Subgroup analysis by sex, age, and education level was conducted, assessing admissions for hemorrhagic (n=8752) and ischemic (n=33 233) stroke separately. For hemorrhagic stroke, a 1 C increase in temperature was significantly associated with a 2.3% (95% CI, 3.2%
Individuals self-reported previous medical history of stroke (including TIA, ischemic and hemorrhagic stroke), hypertension, medication intake, and other vascular risk factors. In the logistic regression model, younger age and lower education levels were related to uncontrolled hypertension in individuals with previous stroke.
METHODS:This was a nationwide register-based cohort study including all patients with incident ischemic or hemorrhagic stroke in Denmark from 2010 to 2020. Socioeconomic status was defined by prestroke income, education, and employment. Further adjustments for stroke severity, cohabitation, and comorbidities showed similar results.
Individuals self-reported their sociodemographic characteristics, previous medical history, including prior stroke (transient ischemic attack, ischemic and hemorrhagic stroke), other chronic health conditions and disability in basic (b-ADL) and instrumental activities of daily living (i-ADL). Of these, 58.6% had PSD and 31.8%
The significance of underdosing or overdosing of TNK may not achieve the desired patient outcome and may increase the risk of complications such as hemorrhage, anaphylaxis, thromboembolism, arrhythmia, intracranial hemorrhage, extended hospitalizations, and death.
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