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    Pre- and in-hospital intersection of stroke care

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    Author
    Meretoja, A; Kaste, M
    Editor
    DelZoppo, GJ; Alexandrov, AV
    Date
    2012-01-01
    Source Title
    THROMBOLYSIS AND ACUTE STROKE TREATMENT: PREPARING FOR THE NEXT DECADE
    Publisher
    BLACKWELL SCIENCE PUBL
    University of Melbourne Author/s
    Meretoja, Atte
    Affiliation
    Medicine - Royal Melbourne Hospital
    Metadata
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    Document Type
    Journal Article
    Citations
    Meretoja, A. & Kaste, M. (2012). Pre- and in-hospital intersection of stroke care. THROMBOLYSIS AND ACUTE STROKE TREATMENT: PREPARING FOR THE NEXT DECADE, 1268 (1), pp.145-151. https://doi.org/10.1111/j.1749-6632.2012.06664.x.
    Access Status
    This item is currently not available from this repository
    URI
    http://hdl.handle.net/11343/33105
    DOI
    10.1111/j.1749-6632.2012.06664.x
    Description

    C1 - Journal Articles Refereed

    Abstract
    Acute ischemic stroke is a time-critical emergency for which thrombolytic therapy is the only medical treatment. Many patients who would benefit from this treatment are deprived of it due to delays. Failure to call for help rapidly is the main obstacle, but even when the call is made in time, the prehospital evaluation, transportation, and emergency department (ED) diagnostics often take too long to treat the patient with thrombolysis. Interventions to reduce pre- and in-hospital delays have been described; although no single intervention is likely to make a major difference, a whole set of interventions needs to be implemented. The intersection of the pre- and in-hospital care is of special importance. With successful protocols and good communication between the emergency medical service and ED, delays can be significantly reduced. On the basis of our experience, 94% of patients can be treated within 60 min of arrival, based largely on using the prehospital time effectively.
    Keywords
    Central Nervous System; Nervous System and Disorders

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