Research over the last 20 years has proven that neurological emergencies once felt to be untreatable are, in fact, responsive to intervention. In particular, stroke and anoxic brain injury have been shown to be amenable to treatment. But, for all the exciting developments in emergency neurology, much remains to be done. Basic questions in emergency neurological disease remain unresolved and effective therapy is not always available to those who might benefit. This application describes a powerful tool for performing emergency neurological research.
Our specific aims i n setting up our Southeast Texas hub and spokes are: 1.To develop and expand our regional network of hospitals to efficiently conduct clinical trials of any neurological emergency. 2. To continue to enroll patiens at or above expected numbers for each trial and to follow all patients to study completion. 3. To maintain our small team of investigators to evaluate prospective trial participants, obtain consent and begin the trial. 4. To expand agreements which would allow our hub access to the electronic medical records of all patients enrolled in NETT studies by our spokes. This would enable us to better advice and monitor our remote spokes. 5. To increase participation by junior NETT investigators allowing them to assume leadership in hub management and spoke relations
Neurological Emergencies are common, affect all age groups and are particularly costly. Stroke, major head injuries and spinal cord injuries are major causes of death and disability. This research seeks to improve the outcomes of patients suffering from these devastating conditions.
| Dickert, Neal W; Scicluna, Victoria M; Baren, Jill M et al. (2015) Patients' perspectives of enrollment in research without consent: the patients' experiences in emergency research-progesterone for the treatment of traumatic brain injury study. Crit Care Med 43:603-12 |
| Welch, Robert D; Nicholas, Katherine; Durkalski-Mauldin, Valerie L et al. (2015) Intramuscular midazolam versus intravenous lorazepam for the prehospital treatment of status epilepticus in the pediatric population. Epilepsia 56:254-62 |
| Vohra, Taher T; Miller, Joseph B; Nicholas, Katherine S et al. (2015) Endotracheal Intubation in Patients Treated for Prehospital Status Epilepticus. Neurocrit Care 23:33-43 |
