Episode 17 Part 1: Emergency Stroke Controversies

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 7 September 2011

⏱️ 85 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Ep17 P1 StrokeDr. Walter Himmel, "the walking encyclopedia of Emergency Medicine" & Dr. Dan Selchen, the head of the stroke program at St. Micheal's Hospital in Toronto with 30+ years of experience as a stroke neurologist, update us on the literature regarding Emergency Stroke Controversies including the ABCD2 Score to predict Stroke after TIA, as well as the current thinking around the best carotid imaging for patients who have had a TIA. They then review the important findings of the key thrombolysis stroke trials & how we could incorporate these findings into our daily practice. Dr. Selchen reviews the key CT findings we should look for in stroke, & Dr. Himmel takes us through how to manage the dreaded complication of ICH post thrombolysis. This episode is super controversial - so please 'speak your mind' at the bottom of the page.

Transcript

Click on a timestamp to play from that location

0:00.0	Welcome to Emergency Medicine Cases.com.
0:05.1	I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC Studios in Toronto.
0:14.4	Our guest experts on this episode number 17 on stroke are Dr. Daniel Selchin and Dr. Walter Himmel.
0:20.6	Dr. Himmel is an emergency physician
0:21.8	at North York General, Scarborough General, and Toronto East General Hospitals. He's a world-renowned
0:26.1	speaker in emergency medicine and recipient of multiple teaching awards. Dr. Selchin is a neurologist
0:31.3	and a Rhodes Scholar. He is the head of the Division of Neurology and Regional Stroke
0:34.9	Program at St. Michael's Hospital in Toronto. He was the medical director of the West Greater Toronto Area Stroke Center from 2001 to 2008 and is a researcher in Stroke and TIA.
0:44.3	Stroke is the leading cause of disability among adults in North America, and I'm talking serious disability.
0:50.3	Permanent hemiparesis, inability to walk without assistance, aphasia and institutionalization are common with many strokes.
0:58.1	Historically, there's been little we could do in the ED for patients who presented with stroke, but the last 15 years has seen some significant progress.
1:05.7	Progress not only in the benefits of Lytic therapy, but also improvement in general stroke care both in the
1:11.2	ED and in hospital, and the increasing use of dedicated stroke units.
1:16.4	Today, we're lucky to have the triumphant return to EMC, backed by popular demand, two experts
1:22.4	with a combined clinical experience of over 60 years, Dr. Himmel, who's probably my number one emergency doctor mentor,
1:30.7	and Dr. Selchin, who runs a stroke program at St. Michael's Hospital in Toronto. With them,
1:36.3	we're going to discuss four essential and controversial topics in stroke for the practicing emergency
1:41.1	doctor. Thrombolysis, the new alternative to warfarin, that is,
1:46.0	dvagatrin, the management of intracranial hemorrhage,
1:49.0	and the things that you can do in the ED for your stroke patients that will make a difference.
1:55.0	Before listening to this episode, I highly recommend that you give episode 6 on TIA a listen,
2:00.0	or a quick read of the written summary at least,
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Dr. Anton Helman, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Dr. Anton Helman and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.