{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Episode 983: Head-of-Bed Position in Large Vessel Occlusion Strokes","description":"Contributor: Aaron Lessen MD Educational Pearls:  Recent prospective randomized clinical trial assessed optimal head-of-bed positioning in patients with LVO 0\u00ba vs. 30\u00ba elevation Objective was to determine superiority of the two angles in stability prior to thrombectomy for LVO patients 45 patients randomized to the group with 0\u00b0 head positioning and 47 patients randomized to the group with 30\u00b0 head positioning Patients in the 30\u00ba group experienced worsening of NIHSS by 2 points or more Patients with head position at 0\u00b0 showed score stability Hazard ratio 34.40; 95% CI, 4.65-254.37; P\u2009<\u2009.001 All-cause death occurred in 2 patients in the 0\u00b0 group, compared with 10 patients in the 30\u00b0 group. Results suggest that 0\u00ba positioning of the head of the bed may be protective to maintain clinical stability in patients with LVO prior to thrombectomy References Alexandrov AW, Shearin AJ, Mandava P, et al. Optimal Head-of-Bed Positioning Before Thrombectomy in Large Vessel Occlusion Stroke: A Randomized Clinical Trial. JAMA Neurol. 2025;82(9):905-914. doi:10.1001\/jamaneurol.2025.2253 Summarized & Edited by Jorge Chalit, OMS4 Donate: https:\/\/emergencymedicalminute.org\/donate\/ ","author_name":"Emergency Medical Minute","author_url":"https:\/\/www.emergencymedicalminute.com","html":"