Pitfalls in CTP: Why CTP Isn’t Always the Holy Grail in Acute Stroke Imaging

March 8, 2022
CTP is alluring in acute stroke and continues to become more available. But it's complicated. Learn the pitfalls and traps from a true expert in perfusion imaging.
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When Should We Consider Restarting Anticoagulation in DVT, PE and Afib Patients? What Should I Tell the Family To Be on the Look-Out for Once They Are Discharged?

February 1, 2022
When patients need anticoagulation but have had an ICH or large ischemic stroke, when do we restart anticoagulation? When, if ever, is it safe?  
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What Key Lessons Have I Learned Managing Hemorrhagic Bleeding in the ICU & Critical Care?

January 25, 2022
Intracerebral hemorrhages are challenging to manage and patients need immediate interventions to preserve life and limit morbidity. Lessons learned from the ICU and ED shed light on how to best care for these patients.
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A Review of the Different Types of Anticoagulants and Their Clinical Applications

January 18, 2022
Anticoagulation in clinical practice is more common and more complicated every day. Understanding what they are, how they're used and when you'll see them in the clinical arena is critical. Two experts discuss their understanding of the landscape of anticoagulation and what you need to know about it.
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Why Is the Extended Window Controversial and What Happened With the FDA?

September 7, 2021

Ever wonder why the FDA didn't approve the extended time window for tPA after ECASS3? Listen here to understand the discussion.

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Dec 2

Are the NNT and NNH for tPA Useful or Misleading in Acute Stroke Care?

Brian Gibler posted on 12/2/2020

Moderator: William A. Knight IV, MD, FACEP, FNCS
Other Participants: Natalie P. Kreitzer, MD, MS

Stroke treatment data are hard to interpret and can be misleading. A lot of misinformation has made its way into the literature and has confounded acute stroke care. Understanding NNT and NNH can help clinicians understand risks and benefits in a meaningful way.

Dr. Natalie Kreitzer, and Emergency Medicine trained Neurointensivists, researcher and stroke physician breaks down the NNT and NNH for tPA and how they apply to acute stroke care. In her discussion with Dr. Knight, she shares her insights into the data and how to apply them to best choose therapy for your acute stroke patients and how to avoid the traps of misleading statistics. A must listen for anyone interested in the real risks of tPA. 

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