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How Good Are Neurologists? A Diagnostic Accuracy Study on the Performance of Neurologists in the Emergency Room

Stroke: Vascular and Interventional Neurology

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).

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Abstract TP112: Clinical Consequences of Tenecteplase Substitution for Alteplase at a Large Hub-Spoke Care Model

Stroke Journal

Introduction:Tenecteplase (TNK) is becoming the preferred thrombolytic for acute brain ischemia. We subsequently educated constituents including nursing, pharmacy, technical and clinical staff. Symptomatic hemorrhage occurred in 0.0%(P), Symptomatic hemorrhage occurred in 0.0%(P), Symptomatic hemorrhage occurred in 1.5%(P)

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Abstract WP26: Determinants of Neuropsychological Function after Aneurysmal Subarachnoid Hemorrhage

Stroke Journal

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.

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Abstract TP153: Review of Hospital Outcomes for Aneurysm Securement in SAH at a Midwest Comprehensive Stroke Center

Stroke Journal

Background:According to the 2023 guidelines for the management of patients with aneurysmal subarachnoid hemorrhages (SAH), early treatment of ruptured aneurysms reduces the risk of repeated bleeds and facilitates treatment of delayed cerebral ischemia.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

I have used this to educate our residents, and I think they find it useful. Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Evidence of acute ischemia (may be subtle) vii. It is NOT a structured review or meta-analysis. Left BBB vi. LVH or RV d.