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After 50,000 ER Patients, These 7 Symptoms Still Worry Me Analytics Table
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https://www.dralexnewsletter.com/ Join the community by signing up to my daily newsletter! Practical health advice, straight to your inbox, every morning. How do you know when a strange headache, a bit of chest discomfort or a few minutes of slurred speech is worth a trip to A&E? After years of working as an emergency doctor, these are the stroke symptoms, heart attack warning signs and red flag symptoms I would never want you to sit on at home. Some of the most dangerous conditions I have treated, from a brain bleed to a blood clot in the lung or sepsis, started with symptoms that seemed too small to mention. The patients who stay with me rarely arrive by ambulance. They walk in hours or days later, apologise for wasting our time, and turn out to have something that could have killed them or left them disabled if they had waited a little longer. In this video I go through the seven symptoms I take most seriously, what is going on behind each one, and what I would want you to do if it happened to you or someone you love. We look at thunderclap headaches and subarachnoid haemorrhage, TIA and the FAST signs of stroke, silent heart attacks in women and people with diabetes, pulmonary embolism, cauda equina syndrome and abdominal aortic aneurysm, sudden confusion in an older relative, and head injuries in anyone taking warfarin, apixaban or rivaroxaban. The aim is to help you recognise the moments when calling 999 or 911 is the right thing to do. In this video you'll learn: -Why a sudden headache that peaks within a minute needs an ambulance -What a sentinel headache is and why it so often gets brushed off -Why mini stroke symptoms that go away still need urgent care the same day -The FAST signs of stroke, plus two warning signs that often get missed -How a heart attack can feel like indigestion, jaw ache or breathlessness -Why diabetes can quieten the warning signs of a heart attack -The link between a swollen calf, breathlessness and a blood clot in the lung -The back pain red flags that mean go to hospital straight away -How to tell delirium apart from dementia in an older relative -What to do if you bump your head while taking a blood thinner If you have ever talked yourself out of going to hospital, or watched a parent do that, this one is worth watching to the end. Trust your gut, and never apologise for getting checked. TIMESTAMPS 00:00 – Introduction 03:35 – A headache that arrives like a thunderclap 06:38 – The face or arm that went funny and then came back 09:52 – Indigestion that isn't indigestion 13:25 – Breathlessness out of nowhere, especially with a swollen calf 15:20 – Back pain with numbness, or back pain that feels different 17:56 – New confusion in someone older 20:43 – A knock on the head when you're on a blood thinner 23:04 – What ties all seven together REFERENCES Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study https://pubmed.ncbi.nlm.nih.gov/21768192/ Sentinel headaches in aneurysmal subarachnoid haemorrhage: what is the true incidence? A systematic review https://pubmed.ncbi.nlm.nih.gov/14984225/ Sensitivity of Early Brain Computed Tomography to Exclude Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis https://pubmed.ncbi.nlm.nih.gov/26797666/ Short-term prognosis after emergency department diagnosis of TIA https://pubmed.ncbi.nlm.nih.gov/11147987/ One-Year Risk of Stroke after Transient Ischemic Attack or Minor Stroke https://pubmed.ncbi.nlm.nih.gov/27096581/ Effect of urgent treatment of transient ischaemic attack and minor stroke on early recurrent stroke (EXPRESS study): a prospective population-based sequential comparison https://pubmed.ncbi.nlm.nih.gov/17928046/ Association of age and sex with myocardial infarction symptom presentation and in-hospital mortality https://pubmed.ncbi.nlm.nih.gov/22357832/ Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction: every minute of delay counts https://pubmed.ncbi.nlm.nih.gov/15007008/ Misdiagnosis of ruptured abdominal aortic aneurysm: systematic review and meta-analysis https://pubmed.ncbi.nlm.nih.gov/25101588/ Delirium in elderly people https://pubmed.ncbi.nlm.nih.gov/23992774/ The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) https://pubmed.ncbi.nlm.nih.gov/26903338/ Risk of Delayed Intracranial Hemorrhage in Anticoagulated Patients with Mild Traumatic Brain Injury: Systematic Review and Meta-Analysis https://pubmed.ncbi.nlm.nih.gov/27473443/ Delayed Intracranial Hemorrhage after Blunt Head Trauma while on Direct Oral Anticoagulant: Systematic Review and Meta-Analysis https://pubmed.ncbi.nlm.nih.gov/33766725/ Disclaimer: This is not personal medical advice and does not override what your doctor says. #dralex #doctoralex #strokesymptoms #heartattack #emergencymedicine #healthtips
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