Gary Hunter @Hamishmcmack
Neurohospitalist, Neurophilosopher, Dad, Husband. Not in that order. Saskatoon SK Joined August 2011-
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Earlier Time to Achieve Target Systolic Blood Pressure to <140 is associated with reduced risk of hematoma expansion and better functional outcomes. The effect is most prominent when baseline ICH volume is >10 ml. THE TIME IS NOW for #CodeICH ahajournals.org/doi/abs/10.116…
All you ever needed to know about the data for TNK! @MicieliA_MD @a_charidimou @WorldStrokeOrg @WorldStrokeEd @SCCM_Neuro @aartisarwal @aszelikovich
All you ever needed to know about the data for TNK! @MicieliA_MD @a_charidimou @WorldStrokeOrg @WorldStrokeEd @SCCM_Neuro @aartisarwal @aszelikovich
Good to see. The days of avoiding dapt in large strokes are numbered.
Good to see. The days of avoiding dapt in large strokes are numbered.
Half of CEA specimens in this Italian study (N=304) had Microplastics and Nanoplastics within the Atheroma. This led to an increased risk of subsequent cardiovascular Events (MI, stroke or death) of almost 3 years of follow-up. Crazy. nejm.org/doi/full/10.10…
Agree and typically recommend evd or lumbar drain for bacterial meningitis in the icu. Pathophysiology, experience and evidence all support this approach. Drainage is a form of both source control and IcP rx.
Agree and typically recommend evd or lumbar drain for bacterial meningitis in the icu. Pathophysiology, experience and evidence all support this approach. Drainage is a form of both source control and IcP rx.
The current evidence suggests that a more permissive approach to BP control is the best course of action. This meta-analysis suggests that aggressive lowering is associated with worse outcomes, even when TICI-2B or TICI-3. The reason is likely microvascular failure (no-reflow…
The current evidence suggests that a more permissive approach to BP control is the best course of action. This meta-analysis suggests that aggressive lowering is associated with worse outcomes, even when TICI-2B or TICI-3. The reason is likely microvascular failure (no-reflow…
Residents are the hardest working people in the hospital and changing patient lives everyday!
Lumbar puncture (LP) remains a necessary diagnostic & therapeutic procedure for a variety of neurologic disorders. In this recent Currents article, Drs. Earllondra Brooks, Izn Shahab, Gary Hunter & @sigman_md review a case on the role of #POCUS in LP. ow.ly/YzB250QArvI
Does anyone have a favorite line a textbook? This one is solid gold: "Unilateral loss of ear wiggling among natural ear wigglers is an uncommon finding in Bell's palsy." Brazis, et al. #neurotwitter
#MondayTip 🧠Proposed #algorithm for the management of Cerebral Venous Thrombosis 💡Just released #Guidelines offer essential insights for diagnosis and management of #CVT 🙌Great work by @gsaposnik @CBushnellMD & all the writing group @StrokeAHA_ASA⤵️ ahajournals.org/doi/abs/10.116…
Overestimation of ischemic core on baseline MRI in acute stroke journals.sagepub.com/doi/full/10.11…
"Determinants and Clinical Relevance of Iodine Contrast Extravasation after Endovascular Thrombectomy: A Dual-Energy CT Study" doi.org/10.3174/ajnr.A… #OpenAccess #Stroke
The multicentre, randomised SEGA trial - presented at #SVIN23 by @RocChenMD - has found that ischaemic #Stroke patients who receive #EVT under general anaesthesia experience better functional outcomes at 90 days versus with conscious sedation @svinsociety neuronewsinternational.com/endovascular-t…
The Neurology series begins in <5 days! Local medical experts will discuss topics incl. migraines, ALS, & vertigo! Register for the full series by Nov 30 to save $, gain access to all recorded presentations, & earn credits! 🔗ow.ly/UP3550Qcq5F #LearnHereBecauseYouLiveHere
Check it out! Legend @TudorGJovin presenting the results of the UNLIMITEDLY large core EVT trial, LASTE, at #SVIN23. Tx of ASPECTS 0-5 within 7hrs IMPROVES survival and reduces disability! NNT 4!!!
Nice to see that scores are being systematically de-emphasized in favour of patient focused clinical judgement. This is one step against pervasive nihilism in ncc.
Nice to see that scores are being systematically de-emphasized in favour of patient focused clinical judgement. This is one step against pervasive nihilism in ncc.
Guidelines for Neuroprognostication in Critically Ill Adults with Intracerebral Hemorrhage link.springer.com/article/10.100…
What is the OPTIMAL-BP after thrombectomy? 🤔 It is NOT SBP<140! 😲 Trial: SBP <140 vs 140–180 "terminated early because of safety concerns in the intensive management group" "Functional independence at 3 months was significantly lower with intensive" jamanetwork.com/journals/jama/…
Unfortunately, the pressure for early discharge is extending well beyond the emergency room into acute care inpatient wards, including ICUs.
Unfortunately, the pressure for early discharge is extending well beyond the emergency room into acute care inpatient wards, including ICUs.
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8K Followers 244 Following 🎨 Infographics and tweetorials in Neurology 🧠 • ➡️ https://t.co/MSasDZIwyb ⬅️ • Posts are for educational purposes only • Founder @gabifpucciFck Around N Find Out @FAFO_TV
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555 Followers 488 Following 23rd Annual Interventional Neuroradiology Symposium & 8th Annual Karel G. Terbrugge Lectureship & NV Anatomy SEPTEMBER 28-30, 2023 – TORONTO, CA (HYBRID)USask Health Sciences @USaskHealthSc
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117K Followers 128 Following writing/research assistant to @ryanholiday | my newsletter: https://t.co/uq7u9HbTfQGood news! My article on “Recalled Experiences of Death” with the Parnia Lab @nyugsom_ccrs received enough downloads to be a #TopDownloadedArticle in The Journal of the NY Academy of Sciences! nyaspubs.onlinelibrary.wiley.com/doi/abs/10.111…
Lumbar puncture (LP) remains a necessary diagnostic & therapeutic procedure for a variety of neurologic disorders. In this recent Currents article, Drs. Earllondra Brooks, Izn Shahab, Gary Hunter & @sigman_md review a case on the role of #POCUS in LP. ow.ly/YzB250QArvI
🔥 #ISC24 trials: quick summary 👇🏻👇🏻
Ceftriaxone 2g x1 shortly after intubation reduced the frequency of #VAP from 31% to 14% in patients with severe acute brain injury (#SABI) with GCS <=12 in this RCT. Are you ready to add this to your vent bundle? thelancet.com/journals/lanre…
@AANmember Section Spotlight: #BrainDeath Guidelines 📝 Featuring co-lead guideline authors 💊#pharmICU @salia_farrokh Case based discussion TODAY !! Mon, Jan 29 3:00 – 4:30 p.m. Central @senelson13 @mausameen @almuftifawaz Register Here: ow.ly/WM7450Qu1wG
Out now!🗞️We analyzed sex differences of IV thrombolysis patients in @ActRrct: -women are older -no differences in workflow times between sexes -women have worse outcomes and higher mortality @VancouverStroke @nishita_singh3 @AlmekhlafiMa @amyyu_md @StrokeAHA_ASA @GoRedForWomen
Excited to have officially launched the #LAAOS4 randomized trial! Combining LAAO with OAC has significant promise for reducing the residual risk of stroke despite OAC in patients with AF. #NeuroTwitter #MedEd #CardioTwitter
The FIRST patient in #PHRI's global #LAAOS4trial underwent a successful left atrial appendage closure device implantation led by Dr. @SanjitSJolly. The study aims to improve stroke reduction for the highest risk atrial fibrillation patients phri.ca/laaos4firstpat… @BSCCardiology
Review diagnosis, clinical symptoms & signs of ALS w/ Dr. Kerri Schellenberg today at 12pm! Dr. Schellenberg is a Neuromuscular Neurologist & Assoc Prof at #USask. To learn more about the #Neurology series, visit ow.ly/We5o50QgATE #LearnHereBecauseYouLiveHere @USaskMedDean
Capacity issues mean patients are treated in hallways or worse yet in waiting rooms. And harm is happening to patients every single day in Saskatchewan & across the country. When is enough enough? When will our ‘leaders’ do something meaningful?
Regarding the recent tragic losses in Quebec & the worsening conditions throughout the country. @EShouldice @Kapur_AK @HowardOvens @docstemp @bernarddho @TrevorJain @EmJayHermano @SKEMCollective @LisaEsther6 @DrCarolynSnider @alandrummond2 @Avis_Favaro @HasanMSheikh @BrittJEllis
Nature & Nurture #120: Podcast by my grad student Adam Omary, here interviewing Dr. Kevin Mitchell (one of my favorite neuroscientists) on Evolution, Entropy, Neurogenetics, & Free Will... youtu.be/EsE7Tu-TtDQ?si… via @YouTube
I also started to notice that my patient's illnesses were affecting me more which I took as a good sign even though it made it harder to go on
@ajlees Soulful Neurology Tweets 202
.@CityHospFound recently donated $750,000 to support Dr. Michael Levin and his team's crucial multiple sclerosis research. This contribution is part of the foundation's decades-long legacy of generosity & leadership in supporting MS research in Sask. medicine.usask.ca/news/2023/sask…
🎉Congratulations to Dr. Haissam Haddad (@SamHaddad17), Provincial Head of the Department of Medicine, who has received the 2023 @CanHFSociety Annual Achievement Award, in recognition of his contributions to the academic, research and clinical scopes of heart failure.
I'm excited to be heading to Montreal for the #WCN2023. Check out the full program and join me there! invt.io/1txbb4uje0o - Latest neurology research - International colleagues - Awesome city #WCN2023 #WFN #neurology #neuroscience #neuroresearch
I don’t think asking how 🇨🇦 healthcare can be sustainable is a useful question to ask anymore. It takes us down the rabbit hole of hyper-fixating on cutting costs while expecting more and more output. It’s extractive capitalism at its worst, but in a publicly funded, non-profit…
Check out this podcast by my good friend and partner @almuftifawaz @WestchesterMed @nymedcollege backtable.com/shows/vi/podca…
One more step towards standardizing research on coma and disorders of consciousness @CuringComa @neurocritical Common Data Elements for Disorders of Consciousness: Recommendations from the Working Group on Hospital Course, Con… pubmed.ncbi.nlm.nih.gov/37610641/
Just Accepted! 📰Non-#ECG Gated #Cardiac CT Angiography in Acute #Stroke is Feasible and Detects Sources of #Embolism. journals.sagepub.com/doi/abs/10.117… @CamStroke
@DanniDiestro @JNIS_BMJ @SmhNeuroVasc @CanadianNeuroIR CTP = cerebral thrombectomy procrastination