5 • 795 Ratings
🗓️ 16 May 2024
⏱️ 18 minutes
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| 0:00.0 | Hello everyone. My name is Mike Estefan and I thank you for downloading this month's episode of the EM Clarkship podcast. |
| 0:12.0 | This episode is going to be covering acute, eschemic stroke. But before we begin, just a quick word from our sponsors over at Pearson Rabbit's |
| 0:23.6 | insurance. Pearson Rabbit's is my personal disability insurance broker. Own occupation disability |
| 0:31.4 | insurance is incredibly important to secure as a physician. You busted your ass in college to be at the top of your |
| 0:40.5 | class just to gain that acceptance to medical school. Then in medical school, you did nothing |
| 0:47.6 | but study all day, almost every day, for nearly four years, just to get through it all with decent board scores and then finally |
| 0:57.3 | in residency you worked 60 to 80 hour weeks maybe even sometimes more for at least three years |
| 1:04.8 | all to become an expert in your field you need to protect this investment in yourself. The best part of it is if you |
| 1:15.0 | obtain own occupation disability insurance as a resident, you lock in that low rate for |
| 1:21.1 | attendinghood and beyond. Don't wait until it's too late. Check out PearsonRavits at www.personravitz.com. And now, back to the episode. |
| 1:34.1 | So today, we're going to be talking about acute ischemic stroke. I'm going to break this episode |
| 1:39.9 | into two parts. Part one will cover diagnostics and stroke mimics. And part 2 will cover the treatments |
| 1:49.0 | for ischemic stroke. Part 1, Diagnostics and Stroke Mimics. I want to start this part off by simply |
| 1:58.4 | painting a picture of my general workflow for most stroke patients, |
| 2:03.7 | and then we'll dive a little deeper into the nuances. So let's say you're at work and you get an |
| 2:09.5 | EMS call for a possible stroke alert pre-hospital. I typically will meet the patient in the hallway |
| 2:16.6 | where EMS comes in to get a point of care blood sugar and do a very quick, less than 60 second examination. |
| 2:23.9 | And to quickly assess if this is somebody that I'm going to give thrombolyics to or not. |
| 2:30.2 | All in all, this takes about two minutes, which typically happens while the patient is getting |
| 2:34.9 | registered, and then off to the CT scanner they go. |
| 2:39.4 | If they are a candidate for thrombolynics, and I plan on giving them, I'll go with the patient |
| 2:44.6 | to the CT scanner. |
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