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TRACE-5: Rethinking the 24-hour clock in Basilar Artery Occlusions
Journal Club Anita Goel Journal Club Anita Goel

TRACE-5: Rethinking the 24-hour clock in Basilar Artery Occlusions

Basilar artery occlusion (BAO) remains one of the most devastating strokes we face, and treatment decisions often stretch beyond the familiar anterior‑circulation playbook. This study, TRACE‑5, takes a bold step into that uncertainty, testing Tenecteplase in BAO patients presenting up to 24 hours from symptom onset. Join Dr. Onuzuruike as he unpacks the trial’s design, its surprising and practice‑shaping findings, and what this study might mean for the future of posterior circulation stroke care.

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The Pancreatitis Case File: From Suspects to Sentencing — An ED Guide to Pancreatitis
Bread & Butter EM, Diagnostics Anita Goel Bread & Butter EM, Diagnostics Anita Goel

The Pancreatitis Case File: From Suspects to Sentencing — An ED Guide to Pancreatitis

Pancreatitis is the most common gastrointestinal disease requiring acute hospital admission in the United States, generating over 300,000 ED visits per year. A wide variety of "suspects" can trigger the inflammation of the pancreas characteristic of this condition. Join Dr Landry as he investigates types of pancreatitis (acute vs chronic), etiologies, disposition, complications, and treatment for these patients to get to the bottom of the "case" — from mug shots to sentencing.

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No Pause, No Problem? Using Doppler Ultrasound to Detect ROSC Without Pausing Compressions for Pulse Check
Journal Club Anita Goel Journal Club Anita Goel

No Pause, No Problem? Using Doppler Ultrasound to Detect ROSC Without Pausing Compressions for Pulse Check

Cardiac arrest care hinges on high‑quality CPR, but pulse checks remain a stubborn source of interruptions — often longer than the recommended 10 seconds and repeated every two minutes. What if we could detect ROSC without ever pausing compressions? This diagnostic accuracy study evaluates whether femoral arterial Doppler waveforms obtained during active CPR can predict arterial line pulsatility at the next pulse check. Join Dr. Qin as she reviews how well Doppler‑detected pulsatility and anterograde flow signal true cardiac activity — and whether ultrasound could offer a future where pulse checks no longer slow us down.

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