Please let’s be honest. All over the world — in any ED — for any patient presenting with an acute focal or global neurological deficit , the standard of care needs to be CTA-for-All. This — combined with endovascular services — will save the most lives. Fastest and easiest way to diagnose #NoLVOLeftBehind MRI is fun. Like this article suggests. After the action is over. @almuftifawaz @dyavagal onlinelibrary.wiley.com/doi/abs/10.100…
@stephanamayer We don’t know if these pathways are cost-effective worldover. They have only been shown to be so in very highly resourced environments with high intensity care from prehospital to rehabilitation. We need data from outside HICs.
@stephanamayer I think an Ozempic revolution will do much more than EVT.
@stephanamayer Will save disability, and its associated healthcare costs
@stephanamayer Yes, and no, CTA is great for nearly every acute condition in the ED, with CTP. Most of the time MRI is not done correctly, we found a 3 to 6 minute MRI of localizer, MRP, and DWI to be sufficient as well. But nothing else. @MGHImaging
@stephanamayer @reverendofdoubt Dr Mayer, If the pt will not qualify for endovadcular intervention, perhaps because of low NIH or proceeding elevated cpc score, why does cta help? Seems only useful to identify LVO if will be interventional candidate
@stephanamayer And probably all emergency head CT done for headaches too…. (CTA+CTV)
@stephanamayer I would welcome your vote and would appreciate it if you could re-post this poll about the time window for TNK in acute ischemic #stroke. @vasisht just reviewed the TIMELESS trial on the SGEM. x.com/TheSGEM/status…
@stephanamayer I would welcome your vote and would appreciate it if you could re-post this poll about the time window for TNK in acute ischemic #stroke. @vasisht just reviewed the TIMELESS trial on the SGEM. x.com/TheSGEM/status…
@stephanamayer All patients? Surely we could at least stratify by eligibility for intervention? Radiology services are melting down under the existing workload!