PPT-The Future of Stroke James D. Fleck, M.D.

Medical Director IU Health Methodist Hospital Comprehensive Stroke Center Disclosures None Stroke Statistics Heart Disease and Stroke Statistics 2014 795000 new or recurrent strokesyear 87 Ischemic 10 ICH 3 SAH. the extraordinary life of . ELIJAH. James 5:16-18. Elijah. James 5:16-18. no ordinary life. no ordinary death. no ordinary return. no ordinary future. are you . ELIJAH?. James 5:16-18. John 1:19-27. Malachi 3:1, 4:5. Why is dialogue important?. It breaks up the narrative. . Makes our writing lively.. Its useful for characterisation. . Excellent for showing reactions to events and relationship between characters.. Design by James Clarke Design by James. Design by James Clarke. Design by James Clarke Design by James Clarke. Design by James Clarke De. Super Hot. Lookouts!. FLASH. . Practice. Design by James Clarke. Slide Kit. March 2013. Disclaimer. Please be aware pharmaceuticals presented here may have slightly different labels in different . countries.. For . more detailed information on the regulatory status, please contact the . James D. Fleck, M.D.. Medical Director. IU Health Methodist Hospital. Comprehensive Stroke Center. Disclosures. None. Stroke Statistics. Heart Disease and Stroke Statistics 2014. ~795,000 new or recurrent strokes/year. – Jacob . JAMES. ½ brother of Jesus. Leader of the Jerusalem church. “James the Just” and “Old Camel Knees”. . After that He was seen by James, then by all the. apostles.. 1Corinthians 15.7. La gamme de thé MORPHEE vise toute générations recherchant le sommeil paisible tant désiré et non procuré par tout types de médicaments. Essentiellement composé de feuille de morphine, ce thé vous assurera d’un rétablissement digne d’un voyage sur . “ James bond” (ongoing) The James Bond series focuses on a fictional British “ Secret Service ” (MI6)  agent created in 1953 by writer Ian Fleming, who featured him in twelve novels and two short-story collections. Since Fleming's death in 1964 James was Elizabeth’s closest relation. Even . though Elizabeth refused to acknowledge . James openly as her heir, in . her letters she addressed him as 'dearest brother and cousin'. . Although Elizabeth did not say who should be next on the throne after her, there . Physical and pshychosocial handicap. Lesions of brain parenchima due to pathology of cerebral circulatory system that leads to hemorrhageae or ichemic lesions. Cerebral Anatomy . Vascular circulation: Anterior and Posterior . There are two types of strokes . –. . ischaemic. (clot) and . haemorrhagic. (bleed). . About 85% of all strokes are . ischaemic. and 15% . haemorrhagic. How often does stroke strike?. Occurs 152,00 times a year in the UK . R. apid . A. rterial . o. C. clusion. . E. valuation. created by SCD DHEC Bureau of EMS. History. Historical Context. EMS is the first medical contact in over 50% of all stroke victims in U.S.. Unless the patient had altered LOC, strokes were treated as non-emergent events and transported routine to ER. What effect does glycemic control with insulin have on these complications?. None. . Insulin does not improve mortality rates/neurological outcomes after stroke. Why do we care?. Stroke is the 5. th. Stroke throughout history. CT=computerized tomography; MRI=magnetic resonance imaging. Donkor. Stroke Res Treat 2018;2018:3238165. ~400 BC. 1700s–1800s. 1658. 1970s. 2000s onwards. Wepfer. reported that apoplexy resulted from obstruction of the carotid or vertebral artery or bleeding into the brain.