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.

Monday, November 18, 2013

Formation and Function of Acute Stroke–Ready Hospitals Within a Stroke System of Care Recommendations From the Brain Attack Coalition

The whole problem with this study is that they were looking at current procedures, thats stupid. They should be looking at why specialized stroke hospitals evolved, mainly because to diagnose a stroke between ischemic and haemorrhagic needed specialized machines and a neurologist to read the output. Going down that route is complete insanity. You need to find an easy way to objectively diagnose a stroke. That will be accomplished with the tricorder possibly thru one of these 17 ways.
The whole point should be to get away from primary stroke centers because normal emergency rooms should be able to handle at least the ischemic strokes.  All these doctors involved and they don't have a lick of common sense.
http://stroke.ahajournals.org/content/early/2013/11/12/STROKEAHA.113.002285.short
  1. Michael D. Walker, MD
+ Author Affiliations
  1. From the Department of Neurology and Neurotherapeutics, University of Texas Southwestern, Dallas (M.J.A.); Department of Neurology, University of Pittsburgh, PA (L.R.W.); Department of Radiology and Medical Imaging (M.E.L.J.), Department of Neurology (D.G.), University of Virginia, Charlottesville; Department of Radiology, UC Davis Medical Center (R.E.L.); Department of Emergency Medicine, West Virginia University, Morgantown (T.J.C.); Centers for Disease Control and Prevention, Atlanta, GA (M.G.G.); National Stroke Association, Englewood, CO (J.B.); National Association of EMS Officials, Falls Church, VA (R.R.B.); Department of Neurology, VA Medical Center, Cleveland, OH (R.L.R.); Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, MD (J.H.); Inova, Inc, San Diego, CA (B.M.); American Heart Association, Dallas, TX (T.G.); and National Institute of Neurological Disorders and Stroke, Bethesda, MD (M.E., M.W., M.D.W.).
  1. Correspondence to Mark J. Alberts, MD, Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-8897. E-mail Mark.Alberts@UTSouthwestern.edu

Abstract

Background and Purpose—Many patients with an acute stroke live in areas without ready access to a Primary or Comprehensive Stroke Center. The formation of care facilities that meet the needs of these patients might improve their care and outcomes and guide them and emergency responders to such centers within a stroke system of care.
Methods—The Brain Attack Coalition conducted an electronic search of the English medical literature from January 2000 to December 2012 to identify care elements and processes shown to be beneficial for acute stroke care. We used evidence grading and consensus paradigms to synthesize recommendations for Acute Stroke–Ready Hospitals (ASRHs).
Results—Several key elements for an ASRH were identified, including acute stroke teams, written care protocols, involvement of emergency medical services and emergency department, and rapid laboratory and neuroimaging testing. Unique aspects include the use of telemedicine, hospital transfer protocols, and drip and ship therapies. Emergent therapies include the use of intravenous tissue-type plasminogen activator and the reversal of coagulopathies. Although many of the care elements are similar to those of a Primary Stroke Center, compliance rates of ≥67% are suggested in recognition of the staffing, logistical, and financial challenges faced by rural facilities.
Conclusions—ASRHs will form the foundation for acute stroke care in many settings. Recommended elements of an ASRH build on those proven to improve care and outcomes at Primary Stroke Centers. The ASRH will be a key component for patient care within an evolving stroke system of care.(totally wrong conclusion)

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