With this information this should cause changes in the stroke world. There is way too much reliance on the pathetic efficacy of tPA(12%). 17 years to find out that tPA is hard to implement and barely works is a colossal failure. Maybe one of these 14.
Everyone involved should be fired.
F.A.S.T. is a failure because it requires patients to self-diagnose and even when presented to the ER there is no objective way to diagnose a stroke in a reasonable amount of time. But you could have them try one of these 17 ways.
Does anyone in the stroke medical world ever use their brains at all?
Only a minority of stroke victims are being seen by doctors within the recommended timeframe
In a study, published online today in the journal Age and Ageing, of
over 270 patients newly diagnosed with minor strokes or transient
ischaemic attack (TIA), only a minority sought medical help within the
timeframe recommended by the Royal College of Physicians. This is
despite the high profile FAST campaign, which was taking place at the
time that the study was conducted.
Rapid assessment and treatment of patients with TIA or minor stroke
reduces the risk of early recurrent stroke. The Royal College of
Physicians’ Guidelines suggests that TIA patients who are deemed
high-risk should be seen within 24 hours of the onset of symptoms, while
those at lower risk should be seen within a week.
A team of researchers led by Professor Andrew Wilson of the
University of Leicester interviewed 278 patients from a TIA rapid
response clinic who had been newly diagnosed with TIA or minor stroke
between 1 December 2008 and 30 April 2010. Of those 278, 222 were
diagnosed with TIA and 56 with stroke. The patients were interviewed
about the onset of their symptoms, seeking help, their first
consultation with a health care professional, attendance at the TIA
clinic, and any additional contact with health care professionals before
clinic attendance.
There were 133 TIA patients who were assessed as high-risk. Of these,
only 11 (8%) attended the TIA clinic within 24 hours. Of the 89
low-risk TIA patients, 47 (53%) attended the clinic within the
recommended 7 days.
Professor Wilson said: “Factors contributing to delay include
incorrect interpretation of symptoms and failure to contact the
emergency services, which demonstrates an on-going need for patient
education. Despite the FAST campaign, which was taking place at the time
of the study, only 60% of the patients we interviewed reported a FAST
symptom, which is actually fewer than in some other studies.”
The FAST campaign promoted awareness of Face or Arm weakness, Speech difficulty, Time to call 999.
The researchers also found that service factors contributed to a
delay in referral to the TIA clinic. Most of the patients who first
consulted an out-of-hours GP, and all who consulted an optometrist,
experienced a further consultation before clinic attendance, usually
with a GP.
Professor Wilson and his team, from the University of Leicester’s
Department of Health Sciences, recommend that services could be
streamlined to encourage clinic referral, as well as continued education
for patients themselves: “Patients are encourage to respond urgently to
symptoms, but when they do so, a significant number are then referred
back to their GP. Our findings suggest that referral pathways from
emergency departments and acute medical units could be improved.”
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 28,972 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
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.
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Do you know the stats on people who have a stroke and get to the hospital in PLENTY of time but are not diagnosed and not even given tPA?
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