Stroke FM

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

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 grow from feedback as a resident Sandwich approach to feedback Be constructive, goal is to help person improve

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 & stroke tools Neuro toolkit Do some reading ahead of time Canadian Best Practices guidelines are a great resource Learn ASPECTS Prevent

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 (MRS) at 90 days). These trials were summarized in a meta-analysis performed by the HERMES in collaboration in

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

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 contraindications and absolute contraindications to thrombolysis. Defining roles within the Code Stroke Team: splitting the team into MD1 and MD2. Assess

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 frequented by residents in the program including Phavalan Rajendram, Ryan Muir, Katherine Sawicka, Tess Fitzpatrick, Neha Patel, Sydney Lee, and Jaime Cazes