You've heard of thrombolysis? We are here to deliver anxiolysis when it comes to learning about stroke. We are a Stroke Educational podcast originally developed by a keen group of doctors in the Neurology program in Toronto. We are also the official podcast of the Canadian Stroke Consortium and will be releasing episodes with the prefix "CSC" to designate those podcasts. Ideas and opinions are our own and not any institution or hospital, and this podcast is not a substitute for expert medica ...
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Chat & Tap: screening for ELVO at the 6-24 Hrs, the ACT-FAST Protocol
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11:02Episode Title: The 6-24 Hour Window: Screening, "Chat & Tap," and WorkflowHosts: Dr. Houman Khosravani (Stroke Neurologist) & Dr. Christine Hawkes (Stroke Neurologist & Neuro-Interventionist)Location: Stroke FM Studios, Toronto The Original paper, ACT-FAST was a pre-hospital tool for detecting ELVO. This is now used in the ED as a first-pass clinic…
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Mastering your Fitness Metrics: Interview with intervals.icu David Tinker
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49:10Intervals.icu is a Stellar platform to track your metrics, your fitness, whether you are a cyclist or love another sport. In this episode, Mr. David Tinker, founder and primary developer of this platform shares some key insights. Knowledge is power and metrics are important. It is also important to be able to integrate data across different devices…
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Topic: Simulation Debrief – Airway Management in the CT Scanner Host: Dr. Houman Khosravani Guests: Dr. Nicole Kester-Greene, Lowyl Notario (APN), Miranda Lamb (Clinical Educator, now our *stellar* Patient Care Manager for our ED!) Patient: 67-year-old presenting with full Left MCA syndrome (Right hemiplegia/aphasia). History: Hypertension, Diabete…
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A unique role - Code Stroke RNs - Critical Care-trained RNs coming to Code Stroke as part of a Stroke Program 2023 - In this episode of our Systems of Stroke Care series, Dr. Houman Khosravani sits down with Beth Linkewich, Director of Regional Stroke and Neurovascular Programs, to discuss a game-changing role in hyperacute stroke management: The C…
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CSC StrokeFM The ACT Trial TNK for Hyperacute Stroke Thrombolysis
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49:51In this official Canadian Stroke Consortium (CSC) episode, we dive deep into the landmark ACT Trial (Alteplase Compared to Tenecteplase). Dr. Bijoy Menon, the trial's Principal Investigator, joins the show alongside Co-Principal Investigator Dr. Rick Swartz to discuss the design, execution, and practice-changing results of this pragmatic Phase 3 tr…
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The Clot Thickens - Integrating Thrombosis within Stroke Care
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15:30Episode: The Clot Thickens – Integrating Stroke into Thrombosis Training Host: Dr. Houman Khosravani (Stroke Specialist, Toronto)Guest: Dr. Stephanie Carlin (Assistant Professor, Medicine; Critical Care Pharmacist & Thrombosis Fellowship Graduate) In this special episode of StrokeFM, Dr. Khosravani and Dr. Carlin discuss a manuscript they co-author…
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Here are the show notes for the StrokeFM episode covering the SVIN 2021 meeting. In this episode of StrokeFM, host Dr. Houman Khosravani sits down with Dr. Ameer Hassan, the President of the Society of Vascular and Interventional Neurology (SVIN), to discuss the major takeaways from the SVIN 2021 Annual Meeting in Phoenix, Arizona. Dr. Hassan share…
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StrokeFM: The Future of Neuroprotection & The Story of Nerinetide with Dr. Michael Hill Episode S2_e07 Is neuroprotection finally moving from "déjà vu" failure to clinical reality? In this episode, host Dr. Homan sits down with Dr. Michael Hill (University of Calgary) to dissect the fascinating journey of Nerinetide, the landmark ESCAPE-NA1 trial, …
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In this episode Dr. Tess Fitzpatrick, and Dr. Katherine Sawicka Episode Summary In this episode, our guests discuss their recent publication regarding the real-world challenges of using Unfractionated Heparin (UFH) in acute stroke patients. The team explores the data behind the "hunch" that UFH often fails to achieve therapeutic levels quickly or c…
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CSC Dr. Bijoy Menon, University of Calgary CSC Dr. Andrew Demchuk, University of Calgary MR CLEAN-NO IV was a European multicenter RCT (Netherlands, Belgium, France) published in NEJM in November 2021. Question: Is direct EVT superior or non-inferior to IV alteplase + EVT in anterior circulation LVO stroke patients presenting directly to thrombecto…
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ISC2021 Highlight - BEST & CLEAN things come in 3s
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19:17In this episode @neuroccm highlights three studies from #ISC2021 AHA's International Stroke Conference. We have the distinct privilege of having music by BreakMasterCylinder who has graciously contributed their compositions to our podcast focused on Stroke Education and awareness. We are most thankful - Please Follow @BrkmstrCylinder and contribute…
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In this episode, two keen Resident MDs Drs. Ryan Muir (PGY4) and Jaime Cazes (PGY1) join us for an in-depth at how things are going! A recent look back from within the 2'nd wave of COVID (in Canada), which thankfully is subsiding. They provide insight into how COVID has impacted their residency training, what our program has done, and how new learn…
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Don't miss the conclusion of the 2 part episode on Crisis Resource Management (CRM). Click here for the details on this episode. Did you ask about thrombolysis? We are here to deliver anxiolysis! In this second of a two-part episode of 2021, we discuss "crisis resource management" (CRM) in acute stroke - a cognitive, mindfulness, and non-technical …
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In this first of a two-part episode, we discuss Crisis Resource Management (CRM) in acute stroke. Click here to learn more about high performing teams in hyperacute stroke care. Did you ask about thrombolysis? We are here to deliver anxiolysis! In this first of a two-part episode of 2021, we discuss "crisis resource management" (CRM) in acute strok…
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Greetings Stroke FM listeners. We are back in 2021 with an exciting series of Podcasts, follow-up episodes, clinical and non-technical discussions and new future partnerships. Looking forward to releasing episodes as we record them this year and moving onwards! Take care + stay safe!
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In this episode the hosts discuss the future of stroke. Click here to see the details. Key Terms: Thrombolysis, endovascular therapy, Hosts: Ryan Muir, Houman Khosravani Summary: In this episode the hosts discuss the future of stroke by exploring and proposing novel applied modern concepts of endovascular and thrombolytic therapies to innovative an…
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Tune in to hear the hosts talk about residency, mentorship, work-life balance and more. Click here to see the details. Key Terms: Transition to residency, Work-life balance, Mentorship, Surviving PGY1 Hosts: Sydney Lee, Jaime Cazes and Houman Khosravani Summary: First few days of residency Managing expectations Discovering the rewards of residency …
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In this episode the hosts discuss stroke orientation during the COVID-19 pandemic. Click here to see the details. Key Terms: COVID-19, Stroke Orientation, NVU Hosts: Jane Liao, Houman Khosravani Summary: Purpose of modified procedures - Limit human-human interaction Handover in separate rooms Limit hand-off of items (pager, tools) and wipe down aft…
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In this episode the hosts talk about Protected Code Stroke (PCS), which provides a framework for safely and efficiently delivering hyperacute stroke care. Key Terms: Protected Code Stroke, COVID-19, Personal Protective Equipment Hosts: Phavalan Rajendram, Jaime Cazes, Houman Khosravani Summary: The COVID-19 pandemic poses unique challenges in deliv…
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This episode covers how COVID-19 has impacted healthcare and medical education from the viewpoints of a graduating 4th year medical student and a staff physician. Key Terms: COVID-19, PPE, Pandemic, medical education Hosts: Jaime Cazes, Houman Khosravani Summary: This episode covers how COVID-19 has impacted healthcare and medical education from th…
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In this episode the hosts discuss hemorrhagic strokes. Click here to see the details. Key Terms: ICH, blood pressure control, spot sign Hosts: Phavalan Rajendram, Neha Patel, Houman Khosravani Summary: Hemorrhagic strokes (HS) account for ~15-20% of all strokes There is a significant morbidity and mortality associated with HS Early blood pressure c…
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In this episode, we dive into the evidence behind Dual Antiplatelet Therapy (DAPT) for acute secondary prevention, specifically breaking down the landmark CHANCE trial. We also talk about the POINT trial. Here is more on CHANCE. Clopidogrel with Aspirin in Acute Minor Stroke or Transient Ischemic Attack The Question: Does early administration of As…
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Would you like fries with that? Giving feedback
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13:47Tune in to hear the hosts discuss feedback and communication. You can learn more about this episode by clicking here. Key terms: Feedback, communication, competence by designHosts: Neha Patel, Phavalan Rajendram and Houman Khosravani Summary: Feedback can feel uncomfortable More feedback at more time points is effective for resident growth Competen…
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In this episode the hosts touch on code stroke basics, anxiolysis and burnout prevention. Click here to see the details. Key terms: Stroke rotation survival guide, NIHSS tips, Burnout prevention Hosts: Katherine Sawicka, Tess Fitzpatrick, and Houman Khosravani Summary: Code stroke basics Establish roles within the team – history-taker, examiner Cla…
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Co-Hosts: Ryan Muir, Tess Fitzpatrick, Houman Khosravani Key Terms: Endovascular therapy (EVT), Mechanical Thrombectomy, Large Vessel Occlusion, CT-Perfusion, Perfusion Mismatch Summary: In this episode the hosts review the past 15 years of evidence for the role of endovascular therapy for acute ischemic stroke and trace its evolution to present da…
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Co-Hosts: Neha Patel, Phavalan Rajendram, & Katherine SawickaSummary: Great Episode on Thrombolysis - we will have a future episode on TNK as well.-What is tPA?-Indications for tPA-Does time matter?-NINDS -ECAS III -TNK-TEMPO2 -Contraindications for tPA-tPA and EVT -SWIFT DIRECT -Door-to-needle time tips -Post tPA care…
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Co-Hosts: Ryan Muir, Tess Fitzpatrick, Houman Khosravani Summary: In this episode the hosts discuss the approach to the acute assessment of a patient presenting as a code stroke. This episode also reviews the indications, relative contraindications and absolute contraindications to thrombolysis. Defining roles within the Code Stroke Team: splitting…
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You've heard of thrombolysis? We are here to deliver anxiolysis when it comes to learning about stroke. This Stroke-focused podcast is developed by a keen group of doctors who are in the Neurology program in Toronto. It is geared towards residents and medical students with a keen interest in stroke and stroke-related topics. Ideas and opinions are …
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27 A Swell Simulation: debrief from a stroke simulation on angioedema
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34:27Welcome to StrokeFM Episode 27: In this exciting episode, we're taking you behind the scenes of our simulation session, where we grappled with angioedema in a code stroke. Explore with us as we delve into the intricacies of diagnosing and managing this life-threatening condition, learn from our successes and challenges, and gain insights from our t…
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In this episode, we interview Dr. Bijoy Menon (PI) and Dr. Rick Swartz (Co-PI), and we delve into the AcT trial, a study conducted to evaluate the efficacy of tenecteplase compared to alteplase for treating acute ischemic stroke. The trial involved 1,600 participants, with a median follow-up duration of 97 days. The participants, who were all 18 ye…
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Welcome to StrokeFM Episode 25: ThromboNeurology - Bridging Stroke and Thrombosis Services for Enhanced Patient Care. In this episode, we explore the importance of fostering close collaboration between Stroke, Thrombosis, and Vascular Medicine disciplines. With overlapping diagnostic and treatment considerations and common underlying disorders and …
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Welcome to Season 3 of Stroke FM, where we continue our mission to bring you the best in stroke education. We are beyond excited to dive into a world where technology and stroke care intersect, exploring the fascinating realm of technology, Artificial Intelligence and its potential impact on stroke treatment and management. As always, our team is c…
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23 SVIN2021 Talkin' Stroke & Enjoying desert sunsets
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24:17The Society of Vascular and Interventional Neurology (SVIN) held its first Hybrid Annual Meeting November 17-20, 2021, virtually and on-site in Phoenix, AZ. It provided an opportunity for top-of-the-line education, networking opportunities, and discussions. Please visit their website: https://svin2021.com for further details and access to the confe…
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22 CSC Stroke FM - To Serve and Protect: Neuroprotection in Stroke
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34:45This is an official Canadian Stroke Consortium (CSC) - StrokeFM Podcast episode: Neuroprotection and stroke care What does the future hold? Where are we coming from and where are we going? These and other exciting topics of discussion in conversation with Dr. Michael Hill (Calgary Stroke Program) as we chat about ESCAPE NA1 and ESCAPE NEXT. ESCAPE-…
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21 We had a hunch (about heparin infusions!)
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32:58In this episode we get together with Dr. Tess Fitzpatrick @TessFitzNeuro (first author on a recent paper on this topic: Quality of anticoagulation using intravenous unfractionated heparin for cerebrovascular indications) and Dr. Katherine Sawicka @KatherineSawic1 (our resident guru in Clinical Epidemiology and lover of all things research methods) …
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20 CSC Stroke FM - Elementary? Pragmatically speaking about MR CLEAN-NO IV
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33:25On this inaugural joint CSC (Canadian Stroke Consortium) Stroke FM episode, two colleagues from Calgary's Stroke program Bijoy Menon @bijoymenon and Andrew Demchuk discuss nuances of the soon-to-be-published MR CLEAN-NO IV trial (direct to EVT vs. bridging therapy) after the trial's results were showcased at ISC 2021. We look forward to future epis…
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19 ISC2021 Highlight - BEST & CLEAN things come in 3s
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19:17AHA International Stroke Conference 2021 In this episode @neuroccm highlights three studies from #ISC2021 AHA's International Stroke Conference. We have the distinct privilege of having music by BreakMasterCylinder who has graciously contributed their compositions to our podcast focused on Stroke Education and awareness. We are most thankful - Plea…
…
continue reading
In this episode, two keen Resident MDs Drs. Ryan Muir (PGY4) and Jaime Cazes (PGY1) join us for an in-depth at how things are going! A recent look back from within the 2'nd wave of COVID (in Canada), which thankfully is subsiding. They provide insight into how COVID has impacted their residency training, what our program has done, and how new learn…
…
continue reading
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17 High-performing Teams! (part 2 of 2) Crisis resource management in stroke care
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31:36Did you ask about thrombolysis? We are here to deliver anxiolysis! In this second of a two-part episode of 2021, we discuss "crisis resource management" (CRM) in acute stroke - a cognitive, mindfulness, and non-technical framework for optimizing clinical performance and working in high-performing teams. CRM is a tool to master four operational doma…
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16 High-performing Teams! (part 1 of 2) Crisis resource management in stroke care
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22:40Did you ask about thrombolysis? We are here to deliver anxiolysis! In this first of a two-part episode of 2021, we discuss "crisis resource management" (CRM) in acute stroke - a cognitive, mindfulness, and non-technical framework for optimizing clinical performance and working in high-performing teams. CRM is a tool to master four operational domai…
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continue reading
Greetings Stroke FM listeners. We are back in 2021 with an exciting series of Podcasts, follow-up episodes, clinical and non-technical discussions and new future partnerships. Looking forward to releasing episodes as we record them this year and moving onwards! Take care + stay safe!
…
continue reading
Key Terms: Thrombolysis, endovascular therapy, Hosts: Ryan Muir, Houman Khosravani Summary: In this episode the hosts discuss the future of stroke by exploring and proposing novel applied modern concepts of endovascular and thrombolytic therapies to innovative and creative ideas for the future. Endovascular therapy for distal vessels is discussed I…
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Key Terms: Transition to residency, Work-life balance, Mentorship, Surviving PGY1 Hosts: Sydney Lee, Jaime Cazes and Houman Khosravani Summary: First few days of residency Managing expectations Discovering the rewards of residency Going from off-service to on-service Balancing residency with lifestyle Mentorship Surviving call Three take home point…
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Key Terms: COVID-19, Stroke Orientation, NVU Hosts: Jane Liao, Houman Khosravani Summary: Purpose of modified procedures - Limit human-human interaction Handover in separate rooms Limit hand-off of items (pager, tools) and wipe down after doing so Virtual meeting apps (Zoom, Google Meet) for rounds/teaching when possible Have a moderator for meetin…
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Key Terms: Protected Code Stroke, COVID-19, Personal Protective Equipment Hosts: Phavalan Rajendram, Jaime Cazes, Houman Khosravani Summary: The COVID-19 pandemic poses unique challenges in delivering hyperacute stroke care The “Protected Code Stroke” (PCS) protocol provides a framework for safely and efficiently delivering hyperacute stroke care K…
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continue reading
Key Terms: COVID-19, PPE, Pandemic, medical education Hosts: Jaime Cazes, Houman Khosravani Summary: This episode covers how COVID-19 has impacted healthcare and medical education from the viewpoints of a graduating 4th year medical student and a staff physician.
…
continue reading
Key Terms: ICH, blood pressure control, spot sign Hosts: Phavalan Rajendram, Neha Patel, Houman Khosravani Summary: Hemorrhagic strokes (HS) account for ~15-20% of all strokes There is a significant morbidity and mortality associated with HS Early blood pressure control is key in the management of HS CTA can identify a spot sign (may indicate incre…
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Key terms: DAPT, Minor stroke, TIA Hosts: Tess Fitzpatrick, Katherine Sawicka, and Houman Khosravani Summary: Monotherapy with antiplatelet Dual antiplatelet evidence critical appraisal CHANCE POINT
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06 Would you like fries with that? Giving Feedback
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13:47Key terms: Feedback, communication, competence by design Hosts: Neha Patel, Phavalan Rajendram and Houman Khosravani Summary: Feedback can feel uncomfortable More feedback at more time points is effective for resident growth Competence by design Types of feedback Debriefing as a team after difficult and complex medical situations How to learn and g…
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Key terms: Stroke rotation survival guide, NIHSS tips, Burnout prevention Hosts: Katherine Sawicka, Tess Fitzpatrick, and Houman Khosravani Summary: Code stroke basics Establish roles within the team – history-taker, examiner Clarify history from EMS, family, bystanders (ie: last seen well) Know your NIHSS Anxiolysis Useful apps NIHSS score & strok…
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