Stroke FM – Détails, épisodes et analyse

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Stroke FM

Forme & Santé

Fréquence : 1 épisode/46j. Total Éps: 26

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 medical advice. The purpose of this podcast is medical education. https://www.stroke.fm/the-team/disclaimer

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Liens partagés entre épisodes et podcasts

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https://strokeconsortium.ca/
5 partages
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736
4 partages
https://breakmastercylinder.bandcamp.com/
4 partages

https://twitter.com/neuroccm
8 partages
https://twitter.com/BrkmstrCylinder
5 partages
https://twitter.com/JaimeCazes
4 partages

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166036/
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4530420/
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Liste des épisodes récents, avec titres, durées et descriptions.

27 A Swell Simulation: debrief from a stroke simulation on angioedema

Saison 3 · Épisode 4

samedi 10 juin 2023 • Durée 34:27

Welcome 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 team of expert cohosts. Whether you're a seasoned medical professional or starting your journey in health, you will want to experience this engaging journey into the heart of medical simulation training. This is a part of our ongoing efforts in a joint collaborative effort between Stroke and Emergency medicine. With that said, there is no duty of care. This is purely an educational podcast.

In this exciting episode, join our expert panel @MirandaLambRN, @LowylNotario, @emeduc, @neuroccm; we delve into the critical topic of Crisis Resource Management (CRM) in acute stroke care. In our podcast, we will apply these principles to a real-world scenario: managing a stroke emergency in the case of angioedema. The aim is to highlight the practical application of these CRM principles and discuss how they can facilitate consistent, safe, and efficacious care, helping to alleviate human factors and support high-performing teams. To make the transition from simulation to actual patient care as seamless as possible, thereby reducing stress, promoting certainty, and enhancing patient outcomes. So don't miss out. Tune in to our discussion to learn more about the transformative power of CRM in acute stroke care!

StrokeFM is the Official Podcast of the CSC (⁠Canadian Stroke Consortium⁠), Founder and Producer Dr. Houman Khosravani ⁠@neuroccm⁠; Producer and Audio Engineer Dr. Jaime Cazes ⁠@JaimeCazes⁠.

The music for this educational podcast is graciously provided by the musician ⁠breakmastercylinder⁠ ⁠@BrkmstrCylinder⁠

As always, you abide by our Disclaimer statement by listening to this podcast.

#CrisisResourceManagement, #HighPerformingTeam

Read our ⁠CRM manuscript⁠.

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26 CSC StrokeFM Time to AcT

vendredi 12 mai 2023 • Durée 49:51

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 years or older and had suffered an acute ischemic stroke within 4.5 hours of symptom onset, were randomly divided into two groups. Group one (816 patients) received intravenous tenecteplase (0.25 mg/kg, maximum of 25 mg), and group two (784 patients) received intravenous alteplase (0.09 mg/kg bolus, followed by a 60-minute infusion of the remaining 0.81 mg/kg).

The primary outcome measured was the modified Rankin Scale score of 0 or 1, which indicates no significant disability. This was achieved by 36.9% of patients in the tenecteplase group compared to 34.8% in the alteplase group, establishing tenecteplase's noninferiority (p for superiority = 0.19).

Secondary outcomes, such as intracerebral hemorrhage, were similar in both groups, with 3.4% in the tenecteplase group and 3.2% in the alteplase group.

The conclusion drawn from the AcT trial is that tenecteplase was noninferior to alteplase in preserving neurological function in patients with acute ischemic stroke. Due to its ease of administration, tenecteplase may become a preferred treatment option.

This episode is based on the study "Intravenous tenecteplase compared with alteplase for acute ischemic stroke in Canada (AcT): a pragmatic, multicenter, open-label, registry-linked, randomized, controlled, non-inferiority trial" published in Lancet in 2022.

Disclaimer - StrokeFM is an Educational Podcast, by listening you understand that there is no duty of care, please read the full disclaimer.

StrokeFM is the Official Podcast of the CSC (), Founder and Executive Producer Dr. Houman Khosravani ; Audio Engineer and Producer Dr. Jaime Cazes .

17 High-performing Teams! (part 2 of 2) Crisis resource management in stroke care

Saison 2 · Épisode 3

mardi 9 mars 2021 • Durée 31:36

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 framework for optimizing clinical performance and working in high-performing teams. CRM is a tool to master four operational domains: that of the self, teamwork, our working environment, and of course, (care for) our patient. Using CRM principles helps make us better clinicians, work more effectively in teams, and maintain a calm sense of vigilance. We re-introduce the concept of a "zero point survey" (Reid et al. 2018) as a starting point before coming on-call for a code stroke and as a tool for better self-awareness and performance. High-performing teams support good clinical outcomes at the resuscitation phase and apply to all subsequent patient care settings. Central to a high-performing team are principles of CRM and their timely application to stroke care. We review our paper in Neurocritical Care titled: "Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care" with three of the authors: Rajendram, Notario, Khosravani - In this episode we conclude this talk on "how to be a bad-a$$ stroke" resus doc!

Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care by: Phavalan Rajendram, Lowyl Notario, Cliff Reid, Charles R. Wira, Jose I. Suarez, Scott D. Weingart & Houman Khosravani (Neurocritical Care, published in 2020)
Zero point survey: a multidisciplinary idea to STEP UP resuscitation effectiveness Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance
Cliff's Great talk - Making Things Happen

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16 High-performing Teams! (part 1 of 2) Crisis resource management in stroke care

Saison 2 · Épisode 1

mercredi 27 janvier 2021 • Durée 22:40

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 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 domains: that of the self, teamwork, our working environment, and of course, (care for) our patient. Using CRM principles helps make us better clinicians, work more effectively in teams, and maintain a calm sense of vigilance. We re-introduce the concept of a "zero point survey" (Reid et al. 2018) as a starting point before coming on-call for a code stroke and as a tool for better self-awareness and performance. High-performing teams support good clinical outcomes at the resuscitation phase and apply to all subsequent patient care settings. Central to a high-performing team are principles of CRM and their timely application to stroke care. We review our paper in Neurocritical Care titled: "Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care" with three of the authors: Rajendram, Notario, Khosravani

Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care by: Phavalan Rajendram, Lowyl Notario, Cliff Reid, Charles R. Wira, Jose I. Suarez, Scott D. Weingart & Houman Khosravani (Neurocritical Care, published in 2020)
Zero point survey: a multidisciplinary idea to STEP UP resuscitation effectiveness
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance

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15 Welcome to Season 2

Saison 2 · Épisode 1

mercredi 20 janvier 2021 • Durée 01:57

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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13 Stroke in 2030

Saison 1 · Épisode 13

dimanche 5 avril 2020 • Durée 15:44

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
Improving geographic access to endovascular therapy (especially for wide spread countries like Canada)
The role of the NIHSS score in the acute assessment of stroke in the future and the increasing reliance on imaging parameters to guide decision making
The future of thrombolysis
The future of neuroimaging: Evolving understanding of ASPECTS and MRI Brain (Solid state MRI in acute stroke assessments), and potential role for focused ultrasound
Neuroprotection and extending time-windows

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12 Stroke.FM Fresh Meat

Saison 1 · Épisode 12

dimanche 5 avril 2020 • Durée 35:10

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 points

A positive attitude will take you far
Reach out to your fellow residents
Enjoy yourself as much as possible

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11 Stroke.FM COVID-19 Orientation

Saison 1 · Épisode 11

dimanche 5 avril 2020 • Durée 16:11

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 meetings focused on keeping discussions concise
Send residents home early if the day's tasks are complete and they are not needed
Assign only one resident to go with the staff to stroke codes as opposed to the whole team
https://www.codestroke.net/covid19

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10 Use Protection - Code Stroke

Saison 1 · Épisode 10

dimanche 5 avril 2020 • Durée 36:53

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
Know when to activate a PCS
Always use PPE with correct donning & doffing techniques
Always appoint a safety leader
Use crisis resource management principles

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09 #PandemicLife

Saison 1 · Épisode 9

dimanche 5 avril 2020 • Durée 32:18

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.

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