🛑Another negative trial for TXA in 🧠world 🩸
1. No utility in aSAH (removed from 2023 guidelines)
2. Now NO effect in ICH expansion compared to placebo when given within 2 hours of onset⁦ thelancet.com/journals/laneu…

Used to teach on PM rounds Brigham and Women’s Neurocritical Care tonight! Thanks Mica Schachter, MD!

Catching up on #AANAM content. Thanks to Jeremy Moeller Arielle Kurzweil & Dara Albert for highlighting our work during #Neurology #Education #Research Blitz! Ronald Alvarado-Dyer Casey Albin, MD Neha Dangayach MD MSCR FAAN FCCP FCCM FNCS Naomi Niznick, MD FRCPC Faddi Saleh Velez Shweta Goswami, MD Hera A. Kamdar, MD Christos Lazaridis

Secondary analysis of the Earlydrain trial in #SAH . Placement of a lumbar drain in addition to an EVD improves outcome. In this analysis increased lumbar drainage volumes (ml and % of total CSF) correlated with decreased risk of infarction.

link.springer.com/article/10.100…

Great review of burst suppression vs seizure suppression, the history, the literature, and what the current practice is shifting towards! Thanks for the share Richard Choi, DO!

Loved working with the great team MedStudy and educating others on neurology! Can’t wait to educate others and prevent #neurophobia together again!

✨Major take aways from the #ClinicalPlenary

In our retrospective cohort of ~300 pts:

🧠NCC involvement DOUBLED the rate of organ donation

🧠greater efficiency in testing in NeuroICU which likely reflects appropriate delays for the enrichment of cardiac arrest in M/SICU

1/4

#DexEnceph trial: Dexamethasone does not improve outcomes in #HSV encephalitis! #AANAM Neurocritical Care Society

Excellent paper, keep this handy for managing your SAH patients in the ICU Paul Wischmeyer MD,EDIC,FCCM⎪ #NutritionMatters 💪 Neurocritical Care Society American Academy of Neurology Aarti Sarwal, FNCS, FAAN, FCCM Professor Casey Albin, MD Nick Mark MD Philippe Rola the EMCrit Crew #NeurocriticalCare Stroke AHA/ASA

This is practice changing! ICH is no longer a disease where we provide only supportive care. Time is Brain in ICH too-ENRICH, SCUBA youtube.com/live/D71wD8IAE… Minimally invasive evacuation for ICH works. Let’s grow our systems of care for access to these innovative treatments for

Medullary brush sign - due to increased oxygen extraction fraction in ischaemic cerebral tissue. This results in an increased concentration of paramagnetic deoxyhaemoglobin in draining veins and capillaries. Can be associated with large hemispheric infarction, cerebral venous

Congratulations Aarti Sarwal, FNCS, FAAN, FCCM Professor & Nicholas Morris and team! Great insights into how In Situ Simulation can help identify Latent Safety Threats!

Every time we have a student with us on rounds and someone asks ‘so when should we restart a/c’ it’s like ohhhh take a seat, get cozy, we’re gonna be here for awhile.
😂
Now made simple!

More amazing #MedEd curriculum coming from amazing colleagues. Congrats all! 👏🏽🎉

Congratulations on this great project Dan Harrison, MD focused on APP education in the NeuroICU! #MedEd 👏🏽

ATAMIS = NIHSS 4-10: #DAPT x 14 days reduced early neurological deterioration no change in 90 day mRS. Pushing beyond NIH 0-3 (CHANCE & POINT)! #neurocritical #neurotwitter #stroke jamanetwork.com/journals/jaman…

🚨 Management of Cerebral microbleeds ⚫️🧠

📚Everything you need to know in our new review article with Eric_Smith_VCI in Stroke AHA/ASA 👇

#NeuroTwitter #stroke #Neurology #neuropath #stroke #dementia #Alzheimers #biomarker #brain #MedStudentTwitter #AmyloidAngiopathy #CAA

AAS 💊 🆚 AAS + CLP 💊💊

🚨Summary: POINT- CHANCE-INSPIRES-ATAMIS

👇🏻👇🏻

All you ever needed to know about the data for TNK!

Andrew Micieli Andreas Charidimou MD, PhD World Stroke Org WorldStrokeAcademy SCCM Neuroscience Section Aarti Sarwal, FNCS, FAAN, FCCM Professor Aaron S. Zelikovich, MD

1/My hardest thread yet! Are you up for the challenge?

How stroke perfusion imaging works!

Ever wonder why it’s Tmax & not Tmin?

Do you not question the images & let RAPID read the perfusion for you?

Not anymore!

Here's all you need to understand perfusion imaging!