Drs. Mike and Mike join Ed to discuss updates in prehospital stroke care. Are we using the right stroke scale for our patients? Are we taking them to suitable hospitals? The gang discusses stroke care in 2023 and where we can go from here.
From the episode notes:
Treatment of LVO patients
Thrombolytics (tPA, tenecteplase)
Mechanical thrombectomy discussion
a) NNT 2.5
b) NNT= # needed to treat (how many people receive medicine before there is a benefit)
Aspirin NNT is 64
Benefits of mechanical thrombectomy
a) Significantly reduced mRS
b) Longer treatment window (up to 24 hours)
c) Net monetary benefit $95-175 million USD(1) Discuss net monetary benefit(2) tPA alone $72-135 million USD
d) Gained quality of life years 2
Potential Harms
a) New intracranial hemorrhage
b) Access site problems
c) New embolization
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Episode 110: EMS WEEK with Dr. Zaffer Qasim
Episode 109: Dr. Ken Milne, Small BVMs, and Nitroglycerine
Episode 108: DEI in EMS with Dr. Tristan Glenn and Dr. Alicia Rouff
Episode 107: Cardiac and Non-Cardiac Chest Pain with Dr. Mike Berkenbush
Episode 106: EMS Career Ladders
Episode 105: 2023 Year in Review
Episode 104: Dan Gerard and Whole Blood
Episode 102: Jason Patton from Fire Department Chronicles
Episode 101: Death Notifications with Steph Leather
Episode 100 (!): Dr. Mark Merlin on Where We've Been and Where We're Going
Episode 99: Alcohol Withdrawal
Episode 98: Kate Bergen and the Rosies
Episode 97: 2023 Resuscitation Update
Episode 96: Chief John Moon and Freedom House EMS
Episode 95: Haney Mallemat and Medicine in Social Media
Episode 94: Better CPR at the end of the year with Josh Lupton and Ken Milne
Episode 93: Hanging with The EMS Avenger
Episode 92: American Sirens with Kevin Hazzard
Episode 91: Racism in EMS with Dr. Jamie Kennel
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