The Good, the Bad and the Ugly of the NIHSS: Time for a Change?

August 31, 2021

The NIHSS remains the fundamental assessment of stroke severity. However, some have called for modifying the NIHSS to better capture disability. Is it time to change the NIHSS?

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What Else Beyond the NIHSS Should We Be Doing Clinically?

August 24, 2021

The NIHSS was a research tool meant to limit variability and provide uniform quantifiable assessments of stroke severity. As the de facto standard for stroke exams and scores, it has withstood the test of time. However, there is more to the assessment of acute stroke severity and this podcast takes a deep dive into what else we need to be doing besides the NIHSS.

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The Clock Is Dead - The Reign of Tissue Imaging

August 17, 2021

Mismatch is your friend if you want to treat acute stroke patients beyond 3 hrs. While the clock was once the king, tissue imaging may now define what brain is salvageable and what has been lost. Listen here and see if you agree that the clock is dead in stroke.

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Defining the SOC - Is 4.5 Hrs the Real Answer?

August 10, 2021

The standard of care can feel elusive. Listen here as Dr. Knight shares his expertise regarding the definition of the SOC in extended window therapy for tPA. It's not a simple question and Dr. Knight is the one to answer it.

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How Do I Identify Patients at Risk for a Secondary Event Following an Initial Acute Ischemic Stroke?

August 3, 2021

Identification of patients at high risk for secondary ischemic event, after initial event or post TIA...is minimal tissue damage really that big of a deal related to secondary stroke? Drs. Galen Henderson of Brigham and Women’s Hospital and Jordan Bonomo of the University of Cincinnati discuss key perspectives from a neurocritical, emergency medicine, and stroke perspective related to this important area of medicine.

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Aug 17

The Clock Is Dead - The Reign of Tissue Imaging

Haemin Go posted on 8/17/2021

Moderator: Jordan Bonomo, MD, FCCM, FNCS
Other Participants: Kyle B. Walsh, MD, MS

While stroke care was once defined by the clock, it is being defined by tissue imaging more and more. Dr. Walsh takes us on a journey to understand the utility of tissue-based imaging in stroke care, perfusion imaging in LVO patients and MRI imaging in wake-up strokes. The interface of research and clinical care is tangible in the podcast on cutting edge stroke imaging and tissue-based decision-making in acute stroke patients.

Podcast, Pre-Hospital, Time From Stroke, 01_< 6 hrs, 02_6-24 hrs, 03_>24 hrs, 04_Unknown, Topics, Controversies, EBM, LKW, Types Of Content, Podcast, Care Team, EMS, HEMS, Mobile Stroke Unit, ED First Patient Contact, Care Team, EM, Neuro, Nursing, Pharm, Stroke Team, Time From Stroke, 01_< 6 hrs, 02_6-24 hrs, 03_>24 hrs, 04_Unknown, Topics, Controversies, CT Image, EBM, LKW, Tx Approach, Types Of Content, Podcast, Testing, Triage & Disability Assessment, Care Team, EM, Neuro, Neurorad, Stroke Team, Time From Stroke, 01_< 6 hrs, 02_6-24 hrs, 03_>24 hrs, 04_Unknown, Topics, Controversies, EBM, Imaging, Types Of Content, Podcast, Imaging & Diagnostics, Care Team, EM, Neuro, Neurorad, Stroke Team, Time From Stroke, 01_< 6 hrs, 02_6-24 hrs, 03_>24 hrs, 04_Unknown, Topics, Best Practices, Controversies, Diagnostics, EBM, Tissue vs Time, Types of Content, Podcast, Fibrinolytic Therapy, Care Team, EM, Hosp Med, Neuro, Neurophys, Neurosurg, Stroke Team, Diagnosis, IS, Topics, Combo Rx, Controversies, EBM, Intra-arterial Rx, IV Rx, Lytic Therapy, New Approaches, Physiology, Treatments, Types of Content, Podcast, Endovascular Therapy, Care Team, EM, Neuro, Neurorad, Neurosurg, Stroke Team, Diagnosis, IS, Topics, Controversies, EBM, Endovascular Rx, Novel Tx, Pat. Selection, Standard Care, Types of Content, Podcast, ICU & Critical Care, Care Team, Critical Care, Hosp Med, Neuro, Stroke Team, Diagnosis, IS, Topics, Controversies, EBM, SOC, Types of Content, Podcast, Post-ICU Care, Diagnosis, IS, Types of Content, Podcast, Content Types, Podcast

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Assessing the ED Stroke Patient for Disability - What Are the Pitfalls and How to Avoid Them?

December 2, 2020

The NIH Stroke Scale is beneficial when used correctly but is has its limitations. Relying entirely on the NIHSS will miss significant disability in a...

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The New Standards for Prehospital Stroke Patient Destinations; the Dawn of a New Era in EMS

March 11, 2021

The destination for prehospital patients with suspected stroke has been controversial for many years. Should they be taken to the closest ED, the closest...

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What Was Missing From the NINDS Trial?

December 4, 2020

The NINDS trial was the seminal study of IV-tPA in the treatment of acute stroke. Yet controversy still exists around the trial methodology and the...

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Confusion vs. Aphasia- So Important and So Challenging at Times!

March 15, 2022

Confusion isn't really a stroke symptom but aphasia clearly is. One is life threatening and the other can often be self limited and benign. Are you sure...

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The Future of Mobile Stroke Units – The Frontier is Here…

November 12, 2020

In today’s technology-savvy world, we have come to expect getting goods and services delivered on demand and on our terms. We want things right away....

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ABOUT THE STROKE JOURNEY

The Stroke Journey is an initiative developed by The National Stroke Education Center (NSEC) that strives to be the premier source of educational information for the diagnosis and treatment of stroke in the United States. NSEC extends the world-class educational expertise of the University of Cincinnati Department of Emergency Medicine and its partners via a variety of traditional and digital resources. NSEC and The Stroke Journey are dedicated to providing outstanding stroke education with timely material that mirrors the real-time changes in the medical education and stroke care landscape.

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The Stroke Journey is a collaboration between the NSEC, EMCREG-International, and MedEd On The Go. Together we are committed to providing high-quality stroke education for healthcare professionals.

The Good, the Bad and the Ugly of the NIHSS: Time for a Change?

What Else Beyond the NIHSS Should We Be Doing Clinically?

The Clock Is Dead - The Reign of Tissue Imaging

Defining the SOC - Is 4.5 Hrs the Real Answer?

How Do I Identify Patients at Risk for a Secondary Event Following an Initial Acute Ischemic Stroke?

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The Clock Is Dead - The Reign of Tissue Imaging

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