The American journal of emergency medicine
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Case Reports
Ischemic stroke presenting as fluctuating focal weakness in an otherwise healthy young man.
A 32-year-old man presented to our emergency department (ED) with no complaints after paramedics responded to a fall. Medics noted left-sided weakness on scene. ⋯ An acute middle cerebral artery ischemic stroke was diagnosed, and tissue plasminogen activator was administered. Despite a fluctuating course of symptoms, our patient ultimately achieved a complete recovery.
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Conducting a thorough after-action review (AAR) process is an important component in improving preparedness for mass casualty incidents (MCIs). ⋯ Conducting a structured AAR in all emergency departments after an MCI facilitates both learning lessons regarding the function of the medical staff and ventilation of feelings, thus mitigating anxieties and expediting a speedy return to normalcy.