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 jo...
Jun 10, 2023•34 min•Season 3Ep. 4
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 patien...
May 12, 2023•50 min
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 pathophysiology, there is immense potential for synergy and improved patient care through integrating these services. Listen in on insights provided b...
May 05, 2023•16 min
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 committed to delivering a series of captivating episodes that cover pragmatic topics across the spectrum. We'll discuss the latest breakthroughs, innov...
May 05, 2023•2 min
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 conference. Become a member of SVIN and the CSC . In this episode, our host @neuroccm joins SVIN's new President Dr. Ameer Hassan @AmeerEHassan to discuss ...
Dec 06, 2021•24 min•Season 2Ep. 9
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-NEXT is a multi-centre, randomized, double-blinded, placebo-controlled, parallel Group, single-dose trial designed to determine the efficacy and sa...
Sep 27, 2021•35 min•Season 2Ep. 8
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) to discuss challenges with anticoagulation using unfractionated heparin infusions. This is not to be confused with the fact that this agent provides ...
Aug 07, 2021•33 min•Season 2Ep. 7
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 episodes as the joint CSC-Stroke FM collaboration unfolds on this podcast. We aim to highligh new and exciting scientific breakthroughs, educational to...
Jul 09, 2021•33 min•Season 2Ep. 6
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 - Please Follow @BrkmstrCylinder and contribute at Patreon. Featured Studies: ANGIO-CAT Study " Nonetheless this represents an extremely exciting time, and...
Mar 22, 2021•19 min•Season 2Ep. 5
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 learning opportunities have manifested in the form of Virtual Care. #TakeCare Everyone and keep looking out for your #Wellness as we look forward to better...
Mar 09, 2021•22 min•Season 2Ep. 4
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,...
Mar 09, 2021•32 min•Season 2Ep. 3
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, ...
Jan 27, 2021•23 min•Season 2Ep. 1
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!
Jan 20, 2021•2 min•Season 2Ep. 1
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 assessm...
Apr 05, 2020•16 min•Season 1Ep. 13
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...
Apr 05, 2020•35 min•Season 1Ep. 12
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 t...
Apr 05, 2020•16 min•Season 1Ep. 11
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 ...
Apr 05, 2020•37 min•Season 1Ep. 10
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.
Apr 05, 2020•32 min•Season 1Ep. 9
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 increased risk of hematoma expansion) Etiologies Find out if the patient is on anticoagulation so that it can be reversed Make sure the patient is stable b...
Apr 05, 2020•30 min•Season 1Ep. 8
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
Apr 05, 2020•31 min•Season 1Ep. 7
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 ultimately...
Apr 04, 2020•14 min•Season 1Ep. 6
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 burn-out...
Apr 04, 2020•36 min•Season 1Ep. 5
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 2016. MR. CLEAN ESCAPE REVASCAT SWIFT ...
Apr 04, 2020•32 min•Season 1Ep. 4
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...
Apr 04, 2020•20 min•Season 1Ep. 3
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...
Apr 04, 2020•33 min•Season 1Ep. 2
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 Ca...
Apr 04, 2020•57 sec•Season 1Ep. 1
