Journal Jam 10 Thrombolysis & Endovascular Therapy for Stroke Part 1

Journal Jam 10 Thrombolysis & Endovascular Therapy for Stroke Part 1

In this two part EM Cases Journal Jam podcast Justin Morgenstern, Rory Spiegel and Anton Helman do a deep dive into the world's literature on systemic thrombolysis for ischemic stroke followed by an analysis of endovascular therapy for stroke. We elucidate the important issues related to p-values, ordinal analysis, fragility index, heterogeneity of studies, stopping trials early and conflicts of interest related to this body of evidence. While "calling a code stroke" is now considered standard for most stroke patients and tPA for stroke is considered a class 1A drug, a close look at the literature tells us that the evidence is not as strong as our stroke protocols suggest...

Avsnitt(392)

Episode 68 Emergency Management of Sickle Cell Disease

Episode 68 Emergency Management of Sickle Cell Disease

A recent needs assessment completed in Toronto found that Emergency providers are undereducated when it comes to the Emergency Management of Sickle Cell Disease. This became brutally apparent to me pe...

18 Aug 20151h 1min

Best Case Ever 38 Sickle Cell Acute Chest Syndrome

Best Case Ever 38 Sickle Cell Acute Chest Syndrome

Sickle Cell Acute Chest Syndrome remains the leading cause of death in patients suffering from Sickle Cell Disease. In his Best Case Ever, Dr. Richard Ward, a hematologist with a special interest in S...

11 Aug 20156min

Journal Jam 4 – Low Dose Ketamine Analgesia

Journal Jam 4 – Low Dose Ketamine Analgesia

You’d think ketamine was in the ED drinking water! Not only has this NMDA receptor antagonist been used effectively for procedural sedation and rapid sequence intubation, but also, for delayed sequenc...

31 Juli 201538min

Episode 67 Pediatric Pain Management

Episode 67 Pediatric Pain Management

Pain is the most common reason for seeking health care. It accounts for 80% of ED visits. The WHO has declared that “optimal pain treatment is a human right”. As has been shown in multiple ED-based Pe...

7 Juli 20151h 6min

Best Case Ever 37 Neonatal Lazy Feeder

Best Case Ever 37 Neonatal Lazy Feeder

On this EM Cases Best Case Ever Dr. Anthony Crocco, the Head and the Division Head of Pediatric EM at McMaster University and Medical Director of Pediatric Emergency Medicine at Hamilton Health Scien...

16 Juni 20158min

Episode 66 Backboard and Collar Nightmares from Emergency Medicine Update Conference

Episode 66 Backboard and Collar Nightmares from Emergency Medicine Update Conference

In the first of our series on Highlights from North York General's Emergency Medicine Update Conference, Dr. Kylie Boothdiscusses Backboard and Collar Nightmares. The idea that backboards and c-spine ...

9 Juni 201522min

Best Case Ever 36 Tracheo-innominate Fistula

Best Case Ever 36 Tracheo-innominate Fistula

In this Best Case Ever with Dr. Scott Weingart, the brains behind EMcrit.org, we hear the devastating story of a tracheostomy gone bad. Dr. Weingart shares with us what he has learned about how to man...

2 Juni 201514min

Episode 65 – IV Iron for Anemia in Emergency Medicine

Episode 65 – IV Iron for Anemia in Emergency Medicine

For years we’ve been transfusing red cells in the ED to patients who don’t actually need them. A study looking at trends in transfusion practice in the ED found that about 1/3 of transfusions given we...

27 Maj 20151h 6min

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