01 Apr 2015
Young man’s brain teeming with maggots
Young man’s brain teeming with maggots The surgery was performed for a 28-year-old male patient in a surgical hospital in Vietnam on March 24, 2015. Patient had a surgical decompression for traumatic brain injury a few months ago. Surgeons found maggots in wound on the head of the patient some days before, and then a
23 Mar 2015
The 2015 International Critical care Symposium – Da Nang, Vietnam
WELCOME MESSAGES Warmest greetings to delegates attending the International Critical care medicine conference held in Da Nang City, Vietnam! On behalf of Vietnam Association of Emergency, Critical Care Medicine and Medical Toxicology , we would like to express our deepest gratitude towards Professor J. C. Farmer, President of Society of Critical Care Medicine USA, Professor
22 Mar 2015
Role of Blood Pressure, Glucose and Temperature in Acute Stroke
Role of Blood Pressure, Glucose and Temperature in Acute Stroke Stroke is an injury that induces stress mechanisms and inflammation that result in worse sequelae. It also causes secondary damage through lipid peroxidation and excitotoxicity. These biochemical changes are related to blood pressure, glucose and temperature. Controlling these physiological parameters has been shown to improve
22 Mar 2015
What Is the Role of Ventriculostomy, Hemicraniectomy, and Local Thrombolysis in the Patient with Hemorrhagic Stroke?
What Is the Role of Ventriculostomy, Hemicraniectomy, and Local Thrombolysis in the Patient with Hemorrhagic Stroke? Despite potential for a devastating outcome, there is some cause for optimism in the future management of intracerebral hemorrhage. Higher level of care acutely is key! Highly heterogeneous disease, every intervention needs to be tailored to each patient needs.
22 Mar 2015
When Do I Start Antiplatelet Therapy in the Patients with Stroke?
Antiplatelet therapy in stroke Objectives Describe when to start antiplatelet agents after ischemic stroke Understand when to start antiplatelet agents after hemorrhagic stroke Learn when to use aspirin if neuroimaging is not available Acute ischemic stroke Use of aspirin within 48 hours: Decreases mortality Decreases repeat stroke risk 9 non-fatal strokes prevented for every 1,000
22 Mar 2015
The Stroke Patient Who Is Taking a “Blood Thinner” Ischemic Stroke & Warfarin
The Stroke Patient Who Is Taking a “Blood Thinner” Ischemic Stroke & Warfarin “Because time is critical, fibrinolytic therapy should not be delayed while awaiting the results of the PT, aPTT, or platelet count unless a bleeding abnormality or thrombocytopenia is suspected, the patient has been taking warfarin and heparin, or anticoagulation use is uncertain.”
22 Mar 2015
Summary of “How Do I Treat Hemorrhagic Stroke?”
Summary of “How Do I Treat Hemorrhagic Stroke?” Presentation primarily based on most recent American Heart Association (AHA) and American Stroke Association (ASA) guidelines for Intra-cerebral Hemorrhage (ICH) 2010 and Subarachnoid Hemorrhage (SAH) 2012. http://my.americanheart.org/professional/StatementsGuidelines/ByTopic/TopicsQ-Z/Stroke-Statements-Guidelines_UCM_320600_Article.jsp Intra-cerebral hemorrhage: – Severe (comatose) presentation should not mean withhold further treatment – Intubate comatose patients – especially if vomiting –
22 Mar 2015
The Brain CT Shows Blood: What Next? Further Imaging Options
The Brain CT scan Shows Blood: What Next? Further Imaging Options Objectives Review widely available imaging options and pathology specific findings Suggest framework to help clinicians (in consultation with their specialists) – Decide whether emergent ancillary imaging is warranted – Which type of further imaging may be best in a given clinical scenario Menu of
22 Mar 2015
Involvement of endothelin B receptor in peripheral nerve regeneration using sciatic nerve transection-regeneration model
Involvement of endothelin B receptor in peripheral nerve regeneration using sciatic nerve transection-regeneration model Abstract Whereas the central nervous system usually cannot regenerate, axons within the peripheral nervous system regenerate spontaneously and rapidly after injury. To study molecular mechanisms of peripheral nerve regeneration, we established the sciatic nerve transectionregeneration model by using a combination of
20 Mar 2015
Effectiveness of Thrombolytic Therapy by Alteplase (rt-PA) on the Treatment of Intraventricular Hemorrhage
EFFECTIVENESS OF THROMBOLYTIC THERAPY BY ALTEPLASE (rt-PA) ON THE TREATMENT OF INTRAVENTRICULAR HEMORRHAGE A study on 41 patient admitted to Emergency Department of Bach Mai Hospital due to intraventricular hemorrhge with acute dilatation who were undergone ventriculostomy to drain CSF externally at Emergency Department of Bach Mai Hospital from 8/2012 to 2/2014 aims at to
