Pre- and in-hospital intersection of stroke care
AuthorMeretoja, A; Kaste, M
EditorDelZoppo, GJ; Alexandrov, AV
Source TitleAnnals of the New York Academy of Sciences
PublisherBLACKWELL SCIENCE PUBL
University of Melbourne Author/sMeretoja, Atte
AffiliationMedicine - Royal Melbourne Hospital
Document TypeJournal Article
CitationsMeretoja, 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 StatusThis item is currently not available from this repository
C1 - Journal Articles Refereed
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.
KeywordsCentral Nervous System; Nervous System and Disorders
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