Joel Neves Briard
@nevesbriard.ca
physician-scientist
# coma, stroke & status epilepticus
université de mtl 🇨🇦
# coma, stroke & status epilepticus
université de mtl 🇨🇦
Reposted by Joel Neves Briard
Je suis un médecin.
Je ne quitterai pas le Québec.
Je serai « ailleurs » dans ma tête.
Tout simplement.
Strict minimum.
Zéro motivation.
#JeMeSouviens #Loi2
Je ne quitterai pas le Québec.
Je serai « ailleurs » dans ma tête.
Tout simplement.
Strict minimum.
Zéro motivation.
#JeMeSouviens #Loi2
November 14, 2025 at 11:43 AM
Je suis un médecin.
Je ne quitterai pas le Québec.
Je serai « ailleurs » dans ma tête.
Tout simplement.
Strict minimum.
Zéro motivation.
#JeMeSouviens #Loi2
Je ne quitterai pas le Québec.
Je serai « ailleurs » dans ma tête.
Tout simplement.
Strict minimum.
Zéro motivation.
#JeMeSouviens #Loi2
De retour au Québec, le choc est brutal www.lapresse.ca/dialogue/tem...
Systèmes de santé canadiens | De retour au Québec, le choc est brutal
Je suis médecin résident, à mi-chemin de ma résidence en spécialité.
www.lapresse.ca
November 13, 2025 at 2:02 PM
De retour au Québec, le choc est brutal www.lapresse.ca/dialogue/tem...
Nos hôpitaux et nos communautés en danger lp.ca/cnssAX?shari...
Loi 2 | Nos hôpitaux et nos communautés en danger
Pour le Dr David Mulder, chirurgien thoracique et traumatologue, qui a longtemps été le médecin du Canadien de Montréal, le contrôle étatique de la pratique médicale instauré par la loi 2 menace non s...
lp.ca
November 5, 2025 at 4:25 PM
Nos hôpitaux et nos communautés en danger lp.ca/cnssAX?shari...
European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2025: post-resuscitation care rdcu.be/eMNpO
European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2025: post-resuscitation care
rdcu.be
October 26, 2025 at 4:41 PM
European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2025: post-resuscitation care rdcu.be/eMNpO
Reposted by Joel Neves Briard
Au CHUM, les inhalothérapeutes, spécialistes incontournables du système cardiorespiratoire font partie de l’équipe d’intervention rapide 2.0 qui intervient auprès des patients qui développent de graves complications.
Pour en savoir plus 👇
urls.fr/c7uDrR
Pour en savoir plus 👇
urls.fr/c7uDrR
Les compétences des inhalothérapeutes mieux utilisées en contexte de pénurie
MONTRÉAL — Une transformation discrète du rôle des inhalothérapeutes — ces experts du système cardiorespiratoire — s'est mise en branle depuis quelques années au Québec. Au CHUM, ces professionnels de...
urls.fr
September 9, 2025 at 5:48 PM
Au CHUM, les inhalothérapeutes, spécialistes incontournables du système cardiorespiratoire font partie de l’équipe d’intervention rapide 2.0 qui intervient auprès des patients qui développent de graves complications.
Pour en savoir plus 👇
urls.fr/c7uDrR
Pour en savoir plus 👇
urls.fr/c7uDrR
Continuous EEG Monitoring in Canadian Hospitals: A Nationwide Cross-Sectional Survey
www.neurology.org/doi/10.1212/...
www.neurology.org/doi/10.1212/...
Continuous EEG Monitoring in Canadian Hospitals | Neurology Clinical Practice
Background and ObjectivesContinuous EEG (cEEG) is the gold standard for diagnosing nonconvulsive seizures (NCSs)
and nonconvulsive status epilepticus (NCSE) in critically ill patients, with NCSE
occur...
www.neurology.org
September 1, 2025 at 12:04 PM
Continuous EEG Monitoring in Canadian Hospitals: A Nationwide Cross-Sectional Survey
www.neurology.org/doi/10.1212/...
www.neurology.org/doi/10.1212/...
Reposted by Joel Neves Briard
A human brain network linked to restoration of consciousness after deep brain stimulation
www.nature.com/articles/s41...
www.nature.com/articles/s41...
A human brain network linked to restoration of consciousness after deep brain stimulation - Nature Communications
In people with severe brain injuries, stimulation restored consciousness by engaging a deep brain circuit for wakefulness—revealing a target that may also guide treatment in stroke and epilepsy.
www.nature.com
August 17, 2025 at 10:53 PM
A human brain network linked to restoration of consciousness after deep brain stimulation
www.nature.com/articles/s41...
www.nature.com/articles/s41...
A Phase 3 Trial of Inebilizumab in Generalized Myasthenia Gravis | New England Journal of Medicine www.nejm.org/doi/full/10....
A Phase 3 Trial of Inebilizumab in Generalized Myasthenia Gravis | NEJM
Autoimmune generalized myasthenia gravis is a disease that manifests with fluctuating
muscle weakness. Inebilizumab is a monoclonal antibody that depletes CD19+ B cells,
which are central to diseas...
www.nejm.org
July 7, 2025 at 1:57 PM
A Phase 3 Trial of Inebilizumab in Generalized Myasthenia Gravis | New England Journal of Medicine www.nejm.org/doi/full/10....
More data on this approach just published in the ANGEL-TNK Randomized Clinical Trial !
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
July 5, 2025 at 3:41 PM
More data on this approach just published in the ANGEL-TNK Randomized Clinical Trial !
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
This systematic review and meta analysis of RCTs found that intra-arterial thrombolysis after endovascular recanalization adds additional benefits to functional outcomes among patients with AIS due to LVO, with no increased risk of death or intracranial hemorrhage.
www.neurology.org/doi/10.1212/...
www.neurology.org/doi/10.1212/...
Intra-Arterial Thrombolysis Following Endovascular Recanalization for Large Vessel Occlusion Stroke | Neurology
Background and ObjectivesThis systematic review and meta-analysis aims to evaluate the treatment effects of
intra-arterial thrombolysis (IAT) after endovascular recanalization in patients with
acute i...
www.neurology.org
June 29, 2025 at 2:51 PM
This systematic review and meta analysis of RCTs found that intra-arterial thrombolysis after endovascular recanalization adds additional benefits to functional outcomes among patients with AIS due to LVO, with no increased risk of death or intracranial hemorrhage.
www.neurology.org/doi/10.1212/...
www.neurology.org/doi/10.1212/...
Reposted by Joel Neves Briard
From JAMA Pediatrics: More screen time is associated with more depressive symptoms, potentially due to shorter sleep and worse white matter organization during early adolescence. https://ja.ma/3TIXNKz
June 28, 2025 at 4:00 PM
From JAMA Pediatrics: More screen time is associated with more depressive symptoms, potentially due to shorter sleep and worse white matter organization during early adolescence. https://ja.ma/3TIXNKz
Recurrence and Mortality After a First Status Epilepticus: A Retrospective Nationwide Study From the French National Health Data System
www.neurology.org/doi/10.1212/...
www.neurology.org/doi/10.1212/...
Recurrence and Mortality After a First Status Epilepticus | Neurology
Background and ObjectivesStatus epilepticus (SE) is associated with high short-term mortality, but data on
long-term outcomes, including recurrence and mortality, are limited. The aim of this
study wa...
www.neurology.org
June 24, 2025 at 11:05 PM
Recurrence and Mortality After a First Status Epilepticus: A Retrospective Nationwide Study From the French National Health Data System
www.neurology.org/doi/10.1212/...
www.neurology.org/doi/10.1212/...
Effects of blood pressure lowering in relation to time in acute intracerebral haemorrhage: a pooled analysis of the four INTERACT trials - The Lancet Neurology www.thelancet.com/journals/lan...
Effects of blood pressure lowering in relation to time in acute intracerebral haemorrhage: a pooled analysis of the four INTERACT trials
Intensive BP-lowering initiated within several hours of intracerebral haemorrhage
onset was safe and improved functional recovery, without a clear effect on haematoma
growth. The greatest benefits for...
www.thelancet.com
June 18, 2025 at 2:32 PM
Effects of blood pressure lowering in relation to time in acute intracerebral haemorrhage: a pooled analysis of the four INTERACT trials - The Lancet Neurology www.thelancet.com/journals/lan...
Congratulations to my mentor Michaël Chassé and all colleagues in the INDex team for completing this work ! What a pleasure working on this together. A great 🇨🇦 collaboration !
From JAMA Neurology: CT perfusion and CT angiography showed less than optimal accuracy for confirming death by neurologic criteria.
#CCR25 @criticalcarereviews.com
ja.ma/3TeogPR
#CCR25 @criticalcarereviews.com
ja.ma/3TeogPR
June 13, 2025 at 5:26 PM
Congratulations to my mentor Michaël Chassé and all colleagues in the INDex team for completing this work ! What a pleasure working on this together. A great 🇨🇦 collaboration !
Reposted by Joel Neves Briard
Presented at #CCR25:
In a cluster-randomized, crossover trial, hospital-wide use of lactated Ringer’s solution as compared with normal saline did not alter the incidence of death or hospital readmission within 90 days. Full trial results: nej.md/45SaEBs
@criticalcarereviews.com
In a cluster-randomized, crossover trial, hospital-wide use of lactated Ringer’s solution as compared with normal saline did not alter the incidence of death or hospital readmission within 90 days. Full trial results: nej.md/45SaEBs
@criticalcarereviews.com
June 12, 2025 at 2:56 PM
Presented at #CCR25:
In a cluster-randomized, crossover trial, hospital-wide use of lactated Ringer’s solution as compared with normal saline did not alter the incidence of death or hospital readmission within 90 days. Full trial results: nej.md/45SaEBs
@criticalcarereviews.com
In a cluster-randomized, crossover trial, hospital-wide use of lactated Ringer’s solution as compared with normal saline did not alter the incidence of death or hospital readmission within 90 days. Full trial results: nej.md/45SaEBs
@criticalcarereviews.com
Oveporexton shows promise for the treatment of narcolepsy in this phase 2 trial. Exciting findings for those impacted by this rare condition and everyone in the sleep medicine community !
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
Oveporexton, an Oral Orexin Receptor 2–Selective Agonist, in Narcolepsy Type 1 | NEJM
Narcolepsy type 1 is a disorder of hypersomnolence caused by a loss of orexin neurons,
which results in low orexin levels in the brain. In this phase 2, randomized, placebo-controlled
trial, partic...
www.nejm.org
June 12, 2025 at 3:58 PM
Oveporexton shows promise for the treatment of narcolepsy in this phase 2 trial. Exciting findings for those impacted by this rare condition and everyone in the sleep medicine community !
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
Reposted by Joel Neves Briard
Most viewed this week from JAMA: Restrictive platelet transfusion strategies are recommended for various clinical populations to minimize adverse reactions, mitigate platelet shortages, reduce costs, and ensure patient-centric care.
https://ja.ma/4jtHFan
https://ja.ma/4jtHFan
May 31, 2025 at 11:00 AM
Most viewed this week from JAMA: Restrictive platelet transfusion strategies are recommended for various clinical populations to minimize adverse reactions, mitigate platelet shortages, reduce costs, and ensure patient-centric care.
https://ja.ma/4jtHFan
https://ja.ma/4jtHFan
DAYLIGHT study from Western University finds higher rates of cardioaortic thrombus in the extended CT angiography group (8·8%) than the standard CT angiography group (1·7%; odds ratio 5·70, 95% CI 1·92–16·96; p=0·002).
www.thelancet.com/journals/lan...
www.thelancet.com/journals/lan...
Extended CT angiography versus standard CT angiography for the detection of cardioaortic thrombus in patients with ischaemic stroke and transient ischaemic attack (DAYLIGHT): a prospective, randomised...
Performing extended CT angiography during acute code strokes is feasible and results
in increased cardioaortic thrombi detection without causing delays in CT angiography
completion. Future studies sho...
www.thelancet.com
May 21, 2025 at 11:23 AM
DAYLIGHT study from Western University finds higher rates of cardioaortic thrombus in the extended CT angiography group (8·8%) than the standard CT angiography group (1·7%; odds ratio 5·70, 95% CI 1·92–16·96; p=0·002).
www.thelancet.com/journals/lan...
www.thelancet.com/journals/lan...
Reposted by Joel Neves Briard
In critically ill patients, neither dexmedetomidine nor clonidine was superior to propofol in reducing time to successful extubation. #ATS2025
https://ja.ma/3Sw1K4Z
https://ja.ma/3Sw1K4Z
May 19, 2025 at 9:35 PM
In critically ill patients, neither dexmedetomidine nor clonidine was superior to propofol in reducing time to successful extubation. #ATS2025
https://ja.ma/3Sw1K4Z
https://ja.ma/3Sw1K4Z
All 25 participants in this study of « New Brunswick Neurological Syndrome of Unknown Cause (NSUC) » had a well known condition diagnosed on second evaluation or neuropathology. Medical, scientific and journalistic rigor are essential in addressing « mystery » cases.
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Evaluations of the New Brunswick Neurological Syndrome of Unknown Cause
This cross-sectional study examines findings from second, independent clinical evaluations of patients initially diagnosed with an alleged “mystery” neurological illness in New Brunswick, Canada, to d...
jamanetwork.com
May 8, 2025 at 3:06 AM
All 25 participants in this study of « New Brunswick Neurological Syndrome of Unknown Cause (NSUC) » had a well known condition diagnosed on second evaluation or neuropathology. Medical, scientific and journalistic rigor are essential in addressing « mystery » cases.
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...