We welcome another fantastic returning guest in the form of Dr Paul Sellors, consultant in stroke medicine at North Bristol Hospital NHS Trust. Sam and Paul discuss tricky cases in Stroke medicine including stroke mimics, the modified Rankin score, the NIHSS, thrombolysis and thrombectomy! Plenty to unpack in this episode so sit back and enjoy!
Paul was so generous with his time, we have had to make this into another double header episode! Next episode you will get the end of this pre-recorded episode where we discuss mechanical thrombectomy but also an update on the new National Clinical Guidelines for Stroke published in 2023.
03:00 Basic stroke nomenclature and physiology
11:00 Thrombolysis and stroke assessment
22:20 Seizure activity and stroke
28:00 Contraindications to thrombolysis
38:00 Calling the Stroke Consultant
42:00 Digression: BP control in stroke
47:30 Digression: Glucose control in stroke
50:00 Wake-up strokes
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