Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, July 3, 2013

Prehospital Triage Policy for Suspected Stroke Ups tPA Use

But who cares if the process works better?  What are the facts, less deaths? less disability? If we don't complain about puff pieces like this we will never get real changes in our care. Thats why survivors need to be in charge.
The stupidity of it all. Gaw!!! 
http://www.empr.com/prehospital-triage-policy-for-suspected-stroke-ups-tpa-use/article/301422/#
One paragraph, rest at link.

In the pre- and post-triage periods, the researchers identified 1,075 and 1,172 stroke and transient ischemic attack admissions, respectively. After implementation of the policy, there were significant increases in the use of emergency medical services and emergency medical services prenotification, compared with the pre-triage period. The rates of IV tPA use increased significantly, from 3.8 to 10.1% pre- and post-triage, respectively. Onset-to-treatment times decreased significantly, from 171.7 minutes in the pre-triage period to 145.7 minutes in the post-triage period. For patients with ischemic stroke presenting through the emergency department, the post-triage period was independently associated with increased tPA use, after adjustment for mode of arrival, prehospital notification, and onset-to-arrival time (adjusted odds ratio, 2.21).

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