Stroke
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‘STRAUMA’ Protocol Activates Care for Patients with Concurrent Symptoms of Stroke, Trauma
Researchers designed STRAUMA specifically for patients who exhibit symptoms of stroke and show visible signs of trauma. Typically, EMS activates the protocol, but other emergency providers can call for it after an appropriate patient has presented to the ED. An activation pages stroke and trauma teams to respond so they can evaluate the patient jointly.
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Intensive Blood Pressure Lowering Does Not Affect Small Vessel Disease Progression
Intensive blood pressure lowering was not associated with worsening but did not demonstrate any benefit in this population over standard blood pressure management.
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Intensive Monitoring for Asymptomatic Atrial Fibrillation Did Not Prevent Strokes
Screening with an implantable loop recorder resulted in dramatically higher rates of atrial fibrillation detection and ensuing anticoagulation, but without a significant decrease in risk of stroke or systemic embolism by six years of follow-up.
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Cardiology, Stroke Malpractice Cases Involve ED Providers’ Communication Gaps
Cutting corners with poor communication can lead to devastating patient outcomes.
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Mobile Stroke Units, Teleneurology Units Accelerate Time to Treatment
Investigators recently published evidence that appears to support the efficacy of mobile stroke units (MSU), specially equipped ambulances that essentially bring treatment to patients experiencing ischemic strokes. In a multicenter trial, researchers found patients treated on an MSU received clot-busting medication faster and demonstrated better health at 90 days than patients who were transferred to the hospital for treatment via traditional ambulance.
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Medicaid Expansion Helped Young Adults with Traumatic Injuries
Better insurance coverage led to wider access to rehab resources, chipped away at certain racial, socioeconomic disparities.
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USPSTF Recommends Against Using Aspirin as a Heart Attack Prevention Tool
Instead of protecting against various cardiovascular ailments, the drug might cause more harm than good in otherwise healthy older patients.
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The Difficulty of Showing Benefit of Cerebral Protection Devices During TAVR
In this trial of cerebral protection in transcatheter aortic valve replacement, the TriGUARD device was safe vs. historical controls, but failed to meet its primary efficacy endpoint. -
Stroke and Risk of Suicide
Stroke should be considered a risk factor for suicide. Tactics to screen and treat depression and suicidal ideation should be an important component of long-term follow-up and care for stroke patients. -
Ischemic Stroke in Patients with COVID-19
Since the first cases of COVID-19 were reported in the United States, severe ischemic strokes also have been reported in some of these patients, some with large vessel occlusions and case reports of thrombectomy for treatment.