All the literature goodness for August 2024
You Need an EMCrit Membership to see this content. Login here if you already have one.
Editor-in-Chief, at EMCrit.org
An ED Intensivist from NY.
Professor
Nassau University Medical Center
No conflicts of interest (coi).
Professor
Nassau University Medical Center
No conflicts of interest (coi).
Latest posts by Scott Weingart, MD FCCM (see all)
- EMCrit 383 – The Ultrasound Hierarchy of Needs in Cardiac Arrest with Mike Prats - September 6, 2024
- EMCrit RACC Lit Review – September 2024 - September 3, 2024
- EMCrit 382 – A Deep Dive on Vasopressin: Timing, Push Dose Vaso and the Vasopressin Load Test - August 23, 2024
There are now numerous studies including this new one in NEJM that show the benefit of tPA when there’s ischemic penumbra proven by perfusion imaging. We should be getting rid of the time-based criteria and moving to imaging-based criteria, which is probably why the original studies had more mixed results.
yes, I think I agree with that–? is is CT-P sensitive enough for subtle strokes
Thanks for calling me out. I thought I was mostly saying what you were saying, but science communication is hard. The main problem was probably that I felt the language of my first draft was much too harsh, where I said something along the lines of this entire comparison being dumb. I didn’t want to be overly critical of the authors, because I think publishing this type of data is important, but I really didn’t think the basic set up of this paper made a lot of sense. On top of that, I obviously wanted to shoehorn in some discussion… Read more »
Got to the end of the podcast and almost went into a ditch I was laughing so hard. Going into a night shift, I needed that laugh. Unfiltered Weingart is a beautiful thing.
hee hee hee
In TRACE-III,
what were the results of the other outcomes such as ordinal mRS and NIHSS?
New intensivist (AGACNP) here. Do you have a quick list of charting tips/lectures you mentioned in this podcast?
The one liner “no sepsis criteria at the time of my evaluation” is beautiful. I wrangle with the sepsis coordinator and other quality heads all the time about what is going on in the icu.
They were an etoh withdrawal and on all the anti delirogenics. It wasn’t until he aspirated three days later that he developed sepsis!