This post reviews CVT with a focus on recognition and diagnostics.
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Core Content by Anand Swaminathan, MD, MPH
Core
Cerebral Venous Thrombosis
Journal Review
NEXUS C-Spine Decision Instrument
Neck pain after blunt trauma is common but significant cervical spine injuries are not. An unrecognized cervical spine injury can be catastrophic as it can lead to serious neurologic disability or even death.
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Journal Review
NINDS – tPA in Ischemic Stroke
Each year, 22 million people worldwide will experience a stroke. 50% of these are ischemic strokes. For years, there were no effective treatments for these patients. As a result, the burden of ischemic stroke was enormous.
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Core
Abdominal Aortic Aneurysm
This post discusses the presentation, diagnosis and management of abdominal aortic aneurysm.
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Journal Review
Intensive Blood Pressure Lowering in Intracerebral Hemorrhage (ATACH-2 Trial)
Hemorrhagic stroke accounts for only 11-22% of all strokes but up to 50% of all stroke mortality. Additionally, there is significant disability associated with the disease in survivors. Much of our attention in the Emergency Department is guided towards preventing expansion of bleeding and secondary injury after the initial insult.
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Post
Get Better Quickly, Rob Rogers!
Earlier this week, I got a text from one of my mentors, Rob Rogers (@EM_Educator):
This would be at least a slightly anxiety provoking EKG on a shift but was much more worrisome when I saw the name at the top.
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Core
Hemodynamically Unstable Pulmonary Embolism
This posts delves into diagnosis + management of HD unstable (Massive) PE with a focus on thrombolytics.
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Journal Review
Low-Dose tPA in Ischemic Stroke – The ENCHANTED Trial
Thanks to Salim Rezaie for providing pre-publication peer review for this post. This post is cross-posted on REBEL EM here.
Despite continued debate on the efficacy of alteplase (tPA),
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Anand Swaminathan, MD, MPH
Founder
@emswami
Anand "Swami" Swaminathan is an assistant professor of Emergency Medicine in the Ronald O. Perelman Emergency Department and assistant residency director of the NYU/Bellevue Emergency Medicine residency program. His interests are in resuscitation medicine, resident education and cutting the knowledge translation window. Swami is an active contributor and supporter of innovations in medicine, particularly Free Open Access Medical Education (FOAM). He is a contributor to a number of sites including ALiEM, LITFL, ERCast, and The SGEM. Swami is an associate editor for REBEL EM and REBEL Cast. He is also faculty for the Essentials of Emergency Medicine and Deputy Editor of EM: RAP.