This is not an easy episode. It’s not easy because a doctor gets named in a lawsuit, a patient has a bad outcome, and it openly discusses some of the systems failures we have in medicine. If that’s enough to turn you off, close the page and go about your day. You’ll probably be happier […]
In this episode… Step by step instructions on how to consult a neurologist on patients with acute stroke-like symptoms http://traffic.libsyn.com/ercast/Stroke_Consult.output.mp3 Direct Download When you are calling a consultant, whatever the specialty, what are you really doing? You are presenting an argument, making a case for what you think should be done, or making the best […]
It’s well accepted that the window for acute atrial fibrillation cardioversion of atrial fibrillation ends at 48 hours post onset. We did a whole episode on that very point. The 48 hour window is now being challenged by the biggest study to date looking at this topic. http://traffic.libsyn.com/ercast/A_fib_cardioversion_.output.mp3 DIRECT DOWNLOAD Time to Cardioversion for Acute Atrial Fibrillation and […]
In this minicast, The Weingart Strikes Back! Scott Weingart has some issues with our last episode on managing blood pressure in acute ischemic stroke. But the Swami doesn’t take it lying down and has a few things of his own to say. http://traffic.libsyn.com/ercast/HTN_stroke.output.mp3 DIRECT DOWNLOAD Announcement Join Scott, Swami and Rob at the Essentials of […]
It’s a double header of stroke treatment and controversy. Anand Swaminathan from EM Lyceum and Ryan Radecki from EM Literature of Note help tease out: How do you manage blood pressure in acute ischemic stroke? Should you give thrombolytics up to 4.5 hours after symptom onset? When do you decide that a CVA is actually a […]
Is it safe to cardiovert a hemodynamically stable patient with recent onset atrial fibrillation? The evidence says yes, but not everyone is a believer.
ERCAST 003 How should we manage the ‘acute stroke‘ beyond the 3 hour window? A discussion of the history of thrombolytics in acute stroke, current literature and an interview with Providence Stroke Center director Dr. Ted Lowenkopf References: ERCAST 003: Stroke management beyond 3 hours [Audio link mp3] ERCAST on iTunes