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The Resus Room

Stroke; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

šŸ—“ļø 15 July 2019

ā±ļø 45 minutes

šŸ§¾ļø Download transcript

Summary

Stroke is a common presentation to all Emergency Health care providers, with around 150,000 strokes occurring in the UK each year! Our impact and treatment can be hugely significant and in this podcast we’re going to conver the topic in some depth, and importantly cover some of the new Guidance published by NICE in their ā€˜Stroke and transient ischaemic attack in the over 16’s diagnosis and initial management’ document that was published in May of this year.

We'll be running through

  • Definition
  • Pathophysiology
  • Territories
  • Risk factors
  • Assessment; both prehospitally and in hospital
  • Stroke mimics
  • Investigations

As always we’d love to hear any thoughts or comments you have on the website and via twitter.

Enjoy!

Simon,Ā RobĀ & James

References

Stroke & Dizziness; PHEMCAST

RCEMLearning; RCEM Belfast Vertigo

Stroke and transient ischaemic attack in over 16s: diagnosis and initial management. NICE guideline.Published: 1 May 2019

Acute Stroke Lecture notes; LITFL

Stroke Thrombolysis; LITFL

Are you at risk of a Stroke; Stroke Association

ModifiableĀ Risk FactorsĀ forĀ StrokeĀ and Strategies forĀ StrokeĀ Prevention.Hill VA. Semin Neurol.Ā 2017

A systematic review ofĀ strokeĀ recognition instruments in hospital and prehospital settings. Rudd M. Emerg Med J.Ā 2016

Acute Stroke Diagnosis.Kenneth S. Yew. Am Fam Physician. 2009

Imaging of acute stroke prior to treatment: current practice and evolving techniques.G Mair. Br J Radiol. 2014

Should CT Angiography be a Routine Component of Acute Stroke Imaging?Vanja Douglas. Neuro hospitalist. 2015

Comparative Sensitivity of Computed Tomography vs. Magnetic Resonance Imaging for Detecting Acute Posterior Fossa Infarct.Ā David Y Hwang. J Emerg Med. 2013

Posterior circulation ischaemic stroke. A MerwickĀ BMJĀ 2014

Prehospital stroke scales as screening tools for early identification of stroke and transient ischemic attack (Review)Zhelev Z, Walker G, Henschke N, Fridhandler J, Yip S. 2019. Cochrane.

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the Recess Room podcast.

0:03.5

Five, four, three, two, one, fire.

0:11.7

So hi, and welcome back to the Reeser Room podcast.

0:15.3

I'm Simon Lang. I'm Rob Fenwick.

0:17.6

And I'm James Edd.

0:18.9

And this time we're back with another roadside to recess,

0:21.9

and we've tried to bite off much more than we can chew.

0:25.0

We're going to be covering stroke.

0:27.4

Oh yes.

0:28.4

Sit down for a four-hour masterpiece.

0:31.2

I think it's fair to say that when we started looking at this,

0:34.6

we realised quite rapidly that there were going to be a number of listeners

0:38.3

snoozing halfway through it. So we've split this one up. So this one essentially is going to be

0:43.6

about stroke and about the identification of stroke, covering a few of the risk factors,

0:49.4

differentials and screening tools that we might use, both pre-hospicely and in hospital and how we're going to

0:55.6

make that diagnosis.

0:56.9

Next month, our plan is to come back with a bit about management.

1:00.9

So you're going to want to listen to both of these.

1:04.5

Plug-plug.

1:07.0

But you know what?

1:07.8

I'm really excited about this topic.

1:09.5

And I think the more I've read a round stroke, the more I've realized that there's a bit of energy around it.

...

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