Does giving TNK between 4.5 โ 24 hours, using perfusion imaging to select patients, improve outcomes after stroke?
TIMELESS with guest skeptic Vasisht Srinivasan, MD, FACEP ๐ฉ๐ง ๐ช
thesgem.com/2024/04/sgem43โฆ #EBM #FOAMed #stroke #hello I'm Dr Kirsty ๐ณ๏ธโ๐ Justin Morgenstern Centre for Clinical Research in Emergency Medicine NEJM
Great to catch up with Nate Shapiro and the EM Research Team at Beth Israel Deaconess Medical Center in Boston Centre for Clinical Research in Emergency Medicine UWA Research Beth Israel Lahey Health Harvard Medical School ARISE Fluids RCT Winston Churchill Trust (Australia)
Solving the 'ED Spins' ๐ฅณ๐ฅฐ
CAEP CAEP Residents GIN Member International Federation for Emergency Medicine ESEM @EuroSocEM Royal College of Emergency Medicine Centre for Clinical Research in Emergency Medicine
CanadiEM Academic Life in EM @EM_Educator Best Evidence in EM Andrew Worster
HEI Holger Schรผnemann Eddy Lang Waleed Alhazzani GRADE Working Group GIN Member Gordon H. Guyatt
Congratulations to the team at Royal Perth Hospital who recruited the 350th trial participant Centre for Clinical Research in Emergency Medicine UWA Research ANZICS Clinical Trials Group ACEM anzicrc
Ken Milne MD David Seiffge Ravi Stroke AHA/ASA Justin Morgenstern Salim R. Rezaie, MD #hello I'm Dr Kirsty ๐ณ๏ธโ๐ Centre for Clinical Research in Emergency Medicine While the estimate of mimic thrombolysis rates you suggest of ~25% is based on Dr. Garg's single centre study, and a review (not a meta-analysis) that incorrectly tallied up #s from various studies.
Which estimate do you think is more accurate?
Vasisht Srinivasan, MD, FACEP ๐ฉ๐ง ๐ช #hello I'm Dr Kirsty ๐ณ๏ธโ๐ Justin Morgenstern Centre for Clinical Research in Emergency Medicine NEJM TIMELESS
pubmed.ncbi.nlm.nih.gov/38329148/
Privilege to present Pulmonary Grand Round and Vanderbilt University Medical Center. Great discussion with experts on critical care and fluids research VUMCLung VUMC Emergency Medicine Research ARISE Fluids RCT Centre for Clinical Research in Emergency Medicine Winston Churchill Trust (Australia)
Andrew Micieli Ken Milne MD #hello I'm Dr Kirsty ๐ณ๏ธโ๐ Ravi Stroke AHA/ASA Justin Morgenstern Salim R. Rezaie, MD Centre for Clinical Research in Emergency Medicine I think the patientโs goal is to recover as best they can, not to have a vessel reopenedโฆ
Andrew Micieli Ken Milne MD #hello I'm Dr Kirsty ๐ณ๏ธโ๐ Ravi Stroke AHA/ASA Justin Morgenstern Salim R. Rezaie, MD Centre for Clinical Research in Emergency Medicine No, itโs something we hope will lead to a patient oriented outcome (ie functional recovery)โฆ
AAEM emresidents Mayo Clinic Emergency Medicine Emergency Physicians ESEM @EuroSocEM Royal College of Emergency Medicine ACEM Centre for Clinical Research in Emergency Medicine
Ken Milne MD CanadiEM Academic Life in EM @EM_Educator Best Evidence in EM Andrew Worster
HEI Holger Schรผnemann Eddy Lang Waleed Alhazzani GRADE Working Group GIN Member Gordon H. Guyatt
Great to meet some legends of sepsis research in Vancouver. Here with Jim Russell, also John Boyd, Rob Stenstrom and Bob Hancock. Lots of excellent discussion and sharing of ideas HLI at St Paul's University of British Columbia BC Sepsis Network Centre for Clinical Research in Emergency Medicine Winston Churchill Trust (Australia)
Jonathon Burcham CENA QUT Nursing ACN Curtin University WA Health Griffith University Nursing & Midwifery Nursing Review American Nurses Association ACEM Centre for Clinical Research in Emergency Medicine Great read - The great leveller of the ED is what struck a chord for me. That and the variety of work. Thanks for sharing :)
Ken Milne MD Stephan A Mayer Andy Webb Ravi Brian S. Alper, MD, MSPH, FAAFP, FAMIA BMJ Evidence-Based Medicine Centre for Clinical Research in Emergency Medicine I consider. But I prefer scientific journals I trust and evidence I see in our Stroke Center.
Ken Milne MD Ravi Stroke AHA/ASA Justin Morgenstern Salim R. Rezaie, MD #hello I'm Dr Kirsty ๐ณ๏ธโ๐ Centre for Clinical Research in Emergency Medicine If it is an RCT, no need to adjust.
A centre that treats 180 patients during 4 years (i.e. <50/year) with 30% stroke mimics thrombolysed should get an audit...
Ken Milne MD Eugene ๐บ๐ฆ Manrique Umana McDermott Ravi Brian S. Alper, MD, MSPH, FAAFP, FAMIA BMJ Evidence-Based Medicine Centre for Clinical Research in Emergency Medicine Tell that to the critical care neurologist that almost took my life for besmirching the honor of tPA. May it reign in its vialy magnificence ๐๐