Finding the balance of empathy and professionalism is a skill that not enough of us recognize as essential, and even fewer seek to teach.
Attempting to engage on an intellectual level about the heady concept of brain death while in the throes of bereavement can often lead to mistrust and confusion.
Only patients transported via EMS were enrolled, suggesting that these findings are limited to those with more severe blunt head injury vs those who self-present to the emergency department.
A significantly greater proportion of patients with early hyperoxia exposure experienced poor neurological function vs patients without exposure.
Monitored anesthesia was found to be as safe and effective as general anesthesia in patients undergoing endovascular therapy for stroke.
Neurologists need to engage their emergency medicine colleagues to identify protocols and pathways for when to trigger appropriate neurological consultation or initiate acute stroke therapies.
Use of mobile stroke units is associated with reduced time to imaging and thrombolysis compared with traditional care.
In patients with lorazepam-resistant status epilepticus, treatment with lacosamide had comparable efficacy and safety as sodium valproate.
A 10-month-old girl admitted to PICU with sudden onset of movement disorder was found to have ingested a foreign body.
Delays related to the determination of treatment eligibility increased door-to-needle times by more than 30 minutes compared with patients with no delays.
Neither lying flat nor sitting up appears to alter outcomes in patients presenting with acute stroke.
Children with TBI who underwent therapeutic hypothermia, however, experienced increased mortality and worse outcomes.
The US FDA is requiring that label changes be made to reflect the risks involved with extended exposure to anesthetics and sedatives in children and pregnant women.
The results confirm the effectiveness and safety of low-dose CBZ as a first-line agent for the treatment of neonatal seizures.
SPECT imaging can be more accurate in the diagnosis of traumatic brain injury and post-traumatic stress disorder than CT or MRI.
Overall, men had smoked longer, more daily, and their total exposure in pack-years was greater than women.
It's important that these strategies be vetted much the same as other medical interventions.
A nurse-driven stroke evaluation algorithm improved patient triage and treatment utilization.
The combined treatment prevents more damage than hypothermia alone.
The mobile unit allows for significantly shorter times to treatment with IV-tPA.
Loss of consciousness during subarachnoid hemorrhage is associated with a 2.8-fold increase in death and poor functional outcome at 1 year.
D-dimer level at 2 weeks after injury accurately predicts deep vein thrombosis formation.
A selective structural disruption in fibers connecting the thalamus and primary motor cortex may be behind the absence of overt motor function in vegetative patients who are covertly aware.
The drug is meant to reverse the effects of the anticoagulant in emergency situations where uncontrolled bleeding is a risk.
Nearly 60% of health care professionals felt uncertain that their treatment would prevent another stroke.
The benefits for both the patient and caregiver were evident.
New recommendations for the treatment of acute stroke put emergency physicians and neurology stroke specialists at odds.
Stroke patients treated by more experienced neurologists have slightly better outcomes.
The number of spinal cord injury in older adults increased from 28% in 1997-2000 to 66% in 2010-2012
By 2030, chronic subdural hemorrhage rates will increase drastically, and hospitals may be unprepared.
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