Le sieur Ellrodt, d'ailleurs, fait partie de "la bande", falait le pr�ciser. M�me si, � outrage, il alimente un site (in)pertinent (le famous zorglub), il lui arrive de manier le clavier pour le plus grand bien des Urgentistes Fran�ais de tous poils sur celui de la French Society.
Hip hip hip ....... YL -----Message d'origine----- De: axel ellrodt [mailto:[EMAIL PROTECTED]] Date: mercredi 28 novembre 2001 22:29 �: [EMAIL PROTECTED] Objet: URG-L: Management des ischemies cerebrales transitoires M'enfin, il faut aller voir sur le site excellent de la francophone societe de medecine d'urgence (merci Yves Lanenhoa et la bande) !!! Il y a l� les conf�rences de consensus de ladite soci�t� et d'autres si pertinentes: http://www.sfmu.org/documents/consensus/cc_avc.pdf <http://www.sfmu.org/documents/consensus/cc_avc.pdf> http://www.sfmu.org/ <http://www.sfmu.org/> Martin Pham-Dinh a �crit : Question: Lorsque vous voyez un patient qui a subi un ICT, l'hospitalisez-vous ou l'investiguez-vous en externe? Je n'ai pas trouve de bonnes references repondant a cette question. Peut-etre aurez-vous de meilleures reponses que celles-ci... Martin. ---------------------------------------bibPractice variability in management of transient ischemic attacks.Johnston SC - Eur Neurol - 1999; 42(2): 105-8 >From NIH/NLM MEDLINE, HealthSTAR NLM Citation ID: 99406639 Full Source Title: European Neurology Publication Type: Journal Article Language: English Author Affiliation: Neurovascular Service, Department of Neurology, University of California, San Francisco, Calif 94143-0114, USA. Authors: Johnston SC; Smith WS absAbstract: To define practice patterns in the management of transient ischemic attacks (TIAs), we surveyed practicing neurologists attending an educational conference in San Francisco, evaluating management decisions in 2 TIA case vignettes. In a vignette describing a hemispheric TIA 1 day prior with ipsilateral bruit, 53% chose admission, 47% elected an outpatient work-up, 28% treated with intravenous heparin and 70% chose aspirin, reflecting the disagreement about medical management of carotid stenosis in the literature. There was more agreement in the second case, a posterior circulation TIA 1 day prior with atrial fibrillation, in which 84% chose hospital admission, 74% chose intravenous heparin and 90% treated with some form of anticoagulation. There are areas of important practice variability in the management of TIAs. Further research is justified to guide patient care decisions in TIA patients. ------------------------------------------- Guidelines for the Management of Transient Ischemic Attacks 1994;71-0051 >From the Ad Hoc Committee on Guidelines for the Management of Transient Ischemic Attacks of the Stroke Council of the American Heart Association .... Is hospitalization justified to expedite diagnostic evaluation and treatment of TIA? There are no prospective data on this question. The specific type and pattern of the TIA, the efficiency with which a patient can be evaluated, and the patient's ability to return quickly if further symptoms occur are all factors in this decision. The diagnostic evaluation of patients seen within 1 week of a TIA should be completed within 1 week or less. Hospitalization is often justified to expedite evaluation and lessen the possibility of stroke. Some patients may be at increased risk of stroke and warrant closer observation, while the physician may elect to treat others with intravenous medication. The decision whether to hospitalize a patient depends on that patient's individual circumstances. .... -- Dr Axel Ellrodt Essonne, France http://zzorglub.ifrance.com/ <http://zzorglub.ifrance.com/> Data, medical literature and links for emergency physicians. Un site pour urgentistes. Un sitio web para m�dicos de urgencias Lomana uebio nan partonagjatri
