CTE, Chronic Traumatic Encephalopathy, is coming to the forefront of public awareness after numerous professional American football players began suffering a constellation of symptoms: paranoia, confusion, memory lapses, etc. It was initially observed, however, in boxers. It was initially called dementia pugilistica and referred to as being “punch-drunk”. Now we understand that those repetitive blows […]

A new development in the TPA debate as ACEP (American College of Emergency Physicians) has updated their policy regarding TPA use in stroke. The draft policy can be viewed here in full, but let’s take a look at this: “Patient Management Recommendations Level A recommendations. The increased risk of symptomatic intracerebral hemorrhage (approximately 7% compared to […]