Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 12131 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.
Deans' stroke musings
Changing stroke rehab and research worldwide now.Time is Brain!Just think of all thetrillions and trillions of neuronsthateach daybecause there areeffective hyperacute therapies besides tPA(only 12% effective). I have 493 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:
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's quite disgusting that this information is not available from every stroke association and doctors group. My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html
Friday, February 21, 2014
Abstract T P262: Door to Needle Times Reduced With Enhanced Brain Attack Activation
guidelines for care of the acute stroke patient demonstrate that the
benefits of tissue plasminogen activator (tPA)
are time dependent and recommend it be given
within 60 minutes from arrival to the Emergency Department (ED).
Hypothesis: Door to tPA times would be reduced by using a multidisciplinary approach to acute stroke patients and by transporting them
directly to the CT scanner.
Methods: The community
hospital restructured its Brain Attack process after creating a Door to
Needle team to evaluate and expedite
the care of the acute stroke patient. This
multidisciplinary team was assembled in order to plan, implement, and
new Brain Attack alert process. The team is
activated via a touchscreen in the ED, many times prior to patient
patients who do not require airway intervention
are taken directly to a newly renovated CT scan anteroom for initial
point of care anticoagulation testing, and
initial NIH stroke scale. In addition, education concerning the new
well as acute stroke care in general was
presented to 35 local EMS services by emergency physicians and an EMS
Results: In July of
2012, 54 Brain Attacks were evaluated with a median door to CT time of
41 minutes and door to CT interpretation
time of 51 minutes. The new Brain Attack process
was implemented on December 3, 2012. During the first month of the new
51 Brain Attacks were evaluated with median door
to CT time of 28 minutes and door to CT interpretation time of 38
This represents a decrease in time to CT
acquisition and interpretation of 13 minutes. tPA was given to 4
patients in July
2012 with only one patient (25%) receiving the
medication in <60 minutes. In December, 4 patients received tPA, 3
the 60 minute window.
who received tPA were treated more expeditiously after implementation of
the restructured activation process. 75%
of tPA patients were treated within the 60
minute timeframe as recommended by current guidelines. EMS also provided
positive feedback concerning the education and
restructured Brain Attack activation.