Internal medicine journal
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Internal medicine journal · Jun 2020
Demographic and clinical profile of cardioembolic stroke patients in Western Sydney.
Cardioembolism (CE) contributes to a large proportion of ischaemic stroke. ⋯ Cardioembolic stroke remains a significant burden in Western Sydney, and it is likely that a significant proportion may be preventable, as evidenced by the substantial presence of modifiable cardiovascular risk factors, and inadequate anticoagulation of patients with atrial arrhythmias.
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Internal medicine journal · Jun 2020
Prevalence and risk factors of ischaemic stroke in the young: a regional Australian perspective.
There is no universally accepted age cut-off for defining young strokes. ⋯ The prevalence of vascular risk factors and mechanisms of stroke likewise differed significantly across age groups. This study suggests that 50 years is an appropriate age cut-off for defining young strokes and reinforces the importance of primary prevention in all age groups.
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Retrieval medicine and pre-hospital care in remote Australia are challenging, requiring competencies in major trauma, high-risk obstetrics, critical care in adults and children, severe mental health-related agitation and envenomation. They keep a city-based retrieval and pre-hospital care doctor on their toes. Cultural fluencies to enhance care for Aboriginal and remote communities are critical during the long hours taken for the patient journey from the accident scene or clinic to definitive care.