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To Scan or Not to Scan: Trauma Imaging in the Age of the Pan-Scan
Trauma imaging has never been more accessible, and the pan‑scan often feels like the fastest path to certainty. In this edition of our resident journal club, join Drs Gallen and Vaughn as they pair and review two articles regarding trauma CT utilization - REACT-2 and Ather et al, with a hope of exploring the question of when whole-body CT improves care vs when selective imaging can be equally as effective.
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.
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.