Episode Chapters
- Introduction5:54Notes From the Community – Accelerated Diagnostic Pathway: PE24:55Mental Health Month - Introduction1:22Community Medicine Rants – Geriatric Patients in the ED19:39Paper Chase 1 – Does the FAST Exam Really Help?7:54Medical Myths – Post LP Headache11:17Back of the Bus – Should Paramedics Intubate Kids?18:31Mental Health Month – Nellie Bly5:49Paper Chase 2 – Can We Rule Out SAH Without a CT Scan?8:07Pediatric Pearls – Pediatric Dental – P121:31Tales From An Administrator – Hemoccult and Point of Care VBG’s7:41Mental Health Month – Joni Mitchell11:29Cardiology Corner - New ACS Guidelines23:19Paper Chase 3 – Progesterone for Traumatic Brain Injury9:17Annals of Emergency Medicine – Temporal Arteritis12:42Pediatric Pearls – Pediatric Dental – Part 214:55Paper Chase 4 – Mr CLEAN the Stroke Machine12:08Mental Health Month – Suicide4:43Doc in the Bay - KetamineFree Chapter21:23Paper Chase 4.5 – Intra-Arterial Stroke Might Be the Real Deal8:13LIN Session – In Flight Emergencies13:22Paper Chase 5 – Does Texting Improve Follow-Up?7:46Summary13:23EM:RAP 2015 May Canadian Edition17:44EM:RAP 2015 Peut Résumé en Francais59:38EM:RAP 2015 Mayo Resumen Español1h, 14mEM:RAP 2015 May Aussie Edition1h, 02m
Nurses Edition Commentary
Mizuho Spangler, DO, Lisa Chavez, RN, and Kathy Garvin, RN
No me gusta!
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EM:RAP 2015 May Written Summary 1 MB - PDF
Paper Chase 4.5? Yes, we had more to say.
A Totally Mental Month of Education! Full episode audio for MD edition 285:23 min - 332 MB - M4AEM:RAP 2015 May Canadian Edition Canadian 17:44 min - 24 MB - MP3EM:RAP 2015 Peut Résumé en Francais Français 59:38 min - 82 MB - MP3EM:RAP 2015 Mayo Resumen Español Español 74:07 min - 85 MB - MP3EM:RAP 2015 May Aussie Edition Australian 62:22 min - 86 MB - MP3EM:RAP 2015 May MP3 329 MB - ZIPEM:RAP 2015 May Written Summary 1 MB - PDFEM:RAP 2015 May Board Review Answers 415 KB - PDFEM:RAP 2015 May Board Review Questions 416 KB - PDFEM:RAP Español Mayo 2015 1 MB - PDF
Stephen B., M.D. - May 13, 2015 12:56 PM
Outcomes refer to some patients that may have been treated with tPA followed by intra-arterial intervention within 6 hours of symptom onset who failed tPA treatment. This is contrary to the results of NIMS that showed no immediate benefit of tPA but suggested long term benefit in some patients. It is also curious that tPA would be used at all in cases with large proximal vessel stroke for the evidence presented shows no benefit from its use in this circumstance..
Jennifer M. - July 14, 2015 4:12 PM
This was great. What are your thoughts on pts at 5 hours (outside tpa window) and cta/mra positive for proximal lesion? Also, if we know tpa does a terrible job at dissolving proximal clots, what are your thoughts on cva pt in the 3 hour window, obtain ct/cta and if only proximal lesion, skip the tpa and do intraarterial therapy? Thanks!!