Dexamethasone, I wouldn't reduce from 16mg to 4-6mg after 4-5 days, seems a little quick if you want to establish minimum effective dose. And please give dexamethasone ideally before 12noon, 2pm latest, not 6pm as advised below.

With our European partners in CIVIS - Europe's Civic University Alliance we have put together a webinar series on ageing. Suitable for clinicians and academics with an interest in ageing science. .....and its free! More details and registration here: civis.eu/en/events/demo…

This is a great programme. Come and join us in the College in person for great CPD and to meet colleagues!

World Delirium Awareness Day (WDAD) is a day of delirium recognition, education, and prevention through community engagement. #WDAD2022 #4AT #fallsprevention #Delirium

It's #WDAD2022! Did you know that we have a Delirium Hub, bringing together articles, national guidelines and best practice related to delirium? You can find it here: bgs.org.uk/deliriumhub #delirium

Now late breaking at #esoc2022 NOR-TEST 2A RCT. TNK v Alteplase, NIHSS>5. Primary outcome mRS at 90 days. N=216. Poorer outcomes with TNK, with more ICH. Is this all driven by baseline imbalance or chance? IPD meta-analysis of all TNK trials now needed. European Stroke Org

ATTICUS trial of Apixaban vs aspirin for stroke prevention in ESUS patients was stopped early for futility. This marks 3/3 neutral trial of DOAC for ESUS.

Pay ATTENTION Late breaking #ESOC2022 RCT of endovascular Rx versus BMT in basilar artery occlusion within 12 hours, NIHSS>10. PROBE design, n=342 Primary:mRS at 90/7. (very) significant benefit for EVT. NNT 4. (similar to anterior LVO) European Stroke Org

A really important issue for those that can spare the time. Please sign. petition.parliament.uk/petitions/6200…

Thrombectomy is a game-changing treatment for stroke. It saves lives and money. So why has Scottish Government decided to cut funding for its use in Scotland? If Majorca can do it for Norrie, why can't we? Uniting with Chest Heart & Stroke Scotland | also on bluesky and clinicians we are calling for a reversal of this cut.

The Scottish Government’s proposed funding cuts & recruitment freeze will fuel ongoing inequity of access within Scotland to thrombectomy, a life saving & life changing treatment. Chest Heart & Stroke Scotland | also on bluesky Stroke Association Dr Terry Quinn💙 Scot Gov Health

Congratulations to Professor Rustam Salman @BleedingStroke on his appointment as Trustee with Stroke Association. Prof. Salman has contributed enormously to stroke research and practice and we are delighted to welcome such a renowned researcher to our charity.

“The vast majority of patients who would benefit from a thrombectomy still don’t have access.” Dr Matt Lambert identified the limitations to treatment being human resource and facilities, with data from 2022 showing only 1% of confirmed strokes receiving the treatment. #UKSF23

Working on a project and want to include stroke survivors? Today we heard from the Stroke Association Aphasia and Accessible Voices Group about how they shaped a Communication Support Pack, loved by health professionals AND stroke survivors! Catch up on the #UKSF23 app!

Thrilled to meet with the newly-appointed chair of the Scottish Stroke Care Audit, Professor Mary Joan MacLeod, and hear about her ongoing research work at the University of Aberdeen.

A survey of junior doctors showed lacked confidence in the diagnosis and management of #delirium and gaps in basic knowledge. Only 16% felt they had adequate training. #BGSconf

Recommended reading: 'Developing #delirium best practice: a systematic review of education interventions for healthcare professionals working in inpatient settings'doi.org/10.1007/s41999… #BGSconf

New figures for stroke in Scotland show health boards are struggling to provide pre-Covid levels of care and need stroke to be made a priority for the alarming number of people all over the country affected by stroke tinyurl.com/yk4eujc3 #MakeStrokeAPriority

Delirium is a very strong predictor of mortality. But it is not perceived as such by most practitioners. It's a weird gap in modern healthcare. Study: "A call to action for delirium research: Meta-analysis and regression of delirium-associated mortality." 🔗

Every hospital has pathways for recognition & management of acute coronary syndromes and stroke - but why not #delirium, a condition with a higher 30-day mortality?