Emergency Medicine Cases
Emergency Medicine Cases
Dr. Anton Helman
Journal Jam 10 Thrombolysis & Endovascular Therapy for Stroke Part 1
1 hour 29 minutes Posted Jul 4, 2017 at 11:22 am.
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Show notes
In this two part EM Cases Journal Jam podcast Justin Morgenstern, Rory Spiegel and Anton Helman do a deep dive into the world's literature on systemic thrombolysis for ischemic stroke followed by an analysis of endovascular therapy for stroke. We elucidate the important issues related to p-values, ordinal analysis, fragility index, heterogeneity of studies, stopping trials early and conflicts of interest related to this body of evidence. While "calling a code stroke" is now considered standard for most stroke patients and tPA for stroke is considered a class 1A drug, a close look at the literature tells us that the evidence is not as strong as our stroke protocols suggest...