Acute Ischemic Stroke | EM:Prep 2023 LLSA Review

[@chickenmanfan4977]

Had a patient walk in to my urgent care clinic last week with a Broca’s aphasia for one hour. Moved him out quickly.

[@Ninjafruit111]

Therapeutic anticoagulation vs VTE prophylaxis in stroke. In the institution where I work. SubQ clexane is routine within 24hr of stroke for VTEP or 24 hours following tPA (call made by neuro)

[@bhstone1]

Jerome Hoffman says tPA not only doesn't work but the harm rate is high and doesn't recommend tPA at all. What are your thoughts?

[@drdannegoita]

In this case, you must adhere (stick) to your local/national protocols.

[@bhstone1]

@@drdannegoita That's not my question. My question is your thoughts and reaction to Jerome Hoffman who says tPA is dangerous and not helpful.

[@ScienceNsoul3]

I was wondering the same thing.

[@farhanqadeer82]

My question is whats your take on Low NIH score but debilitating deficit (Lets say arm weakness/ Dysarthria, aphasia etc) will you not treat that patient with TNK?

[@JoeMalone-uk6hb]

I don't know man, despite their efforts I'm still hanging, sort of 😢

[@JoeMalone-uk6hb]

Cute, so A cute