
Help Professor Daniel Fatovich collect data about attitudes to TPA in stroke by answering these 4 questions!
Life in the Fast Lane medical education blog
Emergency medicine and critical care medical education blog

Help Professor Daniel Fatovich collect data about attitudes to TPA in stroke by answering these 4 questions!

Schrödinger’s Fence…or, where we currently sit on the matter of thrombolysis in Acute Stroke. An Opinion Piece on IST-3

Stroke is the second commonest cause of death (10-12%), consumes >4% total healthcare costs, and is commonest cause of adult disability in western world. 80-85% are ischaemic (thrombotic or embolic) and 15-20% the more lethal haemorrhagic stroke (including 5% SAH), of which over 50% will die by 1 month.
A few years ago I was looking after an elderly woman in the emergency department who had suffered a stroke. She was aphasic — unable to understand speech or create comprehensible sentences. I explained to her family what had happened to her. Then her daughter asked me a question for which I hadn’t prepared an answer: “What does it feel like to have a stroke?”

An elderly woman had a fall. On examination she has an unusual constellation of eye movements. What’s going on?
Epidemiology Stroke is the third commonest cause of death (11%), and the commonest cause of adult disability in western world. 80-85% are ischaemic (thrombotic or embolic) and 15-20% the more lethal haemorrhagic stroke, of which over 50% will die. Active Management Early CT scan Ideally within 1 hour ED arrival, if any of: indications for [...]
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