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Ep 195 Management of Subarachnoid Hemorrhage

ECG Cases

Once the diagnosis of nontraumatic subarachnoid hemorrhage (SAH) has been made, our job is not done. When is a CT plus CTA of the head indicated up front in the management of patients with suspected subarachnoid hemorrhage? What can we do in the ED to prevent rebleeding in patients with subarachnoid hemorrhage?

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Genetic Insights Into Hemorrhagic Stroke and Vascular Malformations: Pathogenesis and Emerging Therapeutic Strategies

Stroke Journal

Brain arteriovenous malformations (AVMs), cerebral cavernous malformations (CCMs), and intracranial aneurysms are major causes of hemorrhagic stroke, yet noninvasive therapies to prevent growth or rupture are lacking. Stroke, Ahead of Print.

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Ep 194 Subarachnoid Hemorrhage – Recognition, Workup and Diagnosis Deep Dive

ECG Cases

Katie Lin for a deep dive into why we still miss this life-threatening diagnosis, the key clinical clues, proper use of decision tools, indications for CT, indications for CTA, indications for LP and CSF interpretation for the sometimes elusive diagnosis of subarachnoid hemorrhage.

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Long‐Term Outcomes in Patients With Hemorrhagic Moyamoya Disease Combined With Hypertension After Encephaloduroarteriosynangiosis

Journal of the American Heart Association

Subgroup analysis of patients with hemorrhagic MMD with hypertension assessed the impact of different blood management on long‐term outcomes.ResultsKaplan–Meier curves showed a significant correlation between hypertension and decreased hematoma recurrence‐free survival (P=0.004) and OS (P=0.014) during follow‐up.

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Knowledge, attitudes, and practices regarding the prevention of intracerebral hemorrhage among hypertensive patients

Frontiers in Cardiovascular Medicine

ObjectiveThe present study aimed to assess knowledge, attitudes, and practices (KAP) regarding the prevention of intracerebral hemorrhage among hypertensive patients and medication adherence to hypertension.MethodsWe conducted a cross-sectional study at the Third People's Hospital of Nantong City between November 4, 2023 and December 4, 2023.

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EM Quick Hits 53 Postpartum Hemorrhage, Serotonin Syndrome, TBI Herniation Syndromes, Ulcerative Colitis, Pediatric C-Spine Immobilization, Global EM

ECG Cases

On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-spine (..)

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Neutrophil-specific Shp1 loss results in lethal pulmonary hemorrhage in mouse models of acute lung injury

Journal of Clinical Investigation - Cardiology

Here, we report that loss of neutrophil Shp1 in mice produced hyperinflammation and lethal pulmonary hemorrhage in sterile inflammation and pathogen-induced models of acute lung injury (ALI) through a Syk kinasedependent mechanism.