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Michelle Lin's Twitter Updates

@precordialthump I totally forgot about the EKG library! Awesome stuff. Keep up the great work (when do you sleep?!) 259 days ago
@emeducation Perfect, thanks for the suggestions! Turns out one is co-authored by Jeff Tabas. He already gave them all books. 259 days ago
Recommendations for an EKG resource to review bread & butter cases for senior residents? Pre-graduation panic setting in for our residents. 259 days ago
@danipedia Good point. I use the studies to convince the trauma consults NOT to get c-spine imaging on EVERYONE (citing distracting injury)! 264 days ago
@doctorflash Hi there. Just wanted to drop a note to thank you for all the extra traffic you're sending to blog. Much appreciated!! 275 days ago
 

Paucis Verbis card: Thrombolytic contraindications in CVA

Posted Sep 10 2010 12:00am

With the recent widening of the thrombolytic window from ≤3 hours to ≤4.5 hours for ischemic strokes, I wanted to review the contraindications for thrombolytics (rtPA). To review the NIH Stroke Scale (NIHSS), go to the Paucis Verbis card on NIHSS .

Thanks to Dr. Jason Nomura for making this card and summarizing the long list of exclusion criteria.
If anyone has a practical topic, algorithm, or table, please feel free to share! I'd be happy to format and upload into the PV series.


Feel free to download this card and print on a 4'' x 6'' index card.
[ MS Word ] [ PDF ]

Reference

NINDS (1995). Tissue Plasminogen Activator for Acute Ischemic Stroke New England Journal of Medicine, 333 (24), 1581-1588 DOI: 10.1056/NEJM199512143332401

del Zoppo, G., Saver, J., Jauch, E., Adams, H., & , . (2009). Expansion of the Time Window for Treatment of Acute Ischemic Stroke With Intravenous Tissue Plasminogen Activator: A Science Advisory From the American Heart Association/American Stroke Association Stroke, 40 (8), 2945-2948 DOI: 10.1161/STROKEAHA.109.192535

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