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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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27 A Swell Simulation: debrief from a stroke simulation on angioedema
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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 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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The 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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This 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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In 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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On 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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AHA 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…
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18 How It Started...How It’s Going
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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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17 High-performing Teams! (part 2 of 2) Crisis resource management in stroke care
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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 doma…
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16 High-performing Teams! (part 1 of 2) Crisis resource management in stroke care
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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 domai…
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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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Song written and performed by Jaime Cazes
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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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11 Stroke.FM COVID-19 Orientation
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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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10 Use Protection - Code Stroke
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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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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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08 Blood in the Brain is Bad (BBB)
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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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Key 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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Key Terms: Endovascular therapy (EVT), Mechanical Thrombectomy, Large Vessel Occlusion, CT-Perfusion, Perfusion Mismatch Hosts: Ryan Muir, Tess Fitzpatrick, Houman Khosravani Summary: What is endovascular therapy? What were the early trials of EVT – what did we learn from them? MULTI – MERCI PENUMBRA PIVOTAL IMS-III MR. RESCUE Modified Rankin Scale…
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Key terms: thrombolysis, door-to-needle, contraindications Hosts: Neha Patel, Phavalan Rajendram, & Katherine Sawicka Summary: 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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Key Terms: Code stroke, protocol, intravenous tPA risks, intravenous tPA contraindications, ASPECTS and stroke mimics 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 cont…
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Introducing Stroke.FM! This Stroke focused podcast is developed by faculty and residents who are in The University of Toronto Neurology Program. It is geared towards residents and medical students with a keen interest in Stroke and Stroke related topics. This podcast is hosted by Toronto Stroke Neurologist Dr. Houman Khosravani and is regularly fre…
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