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, June 27, 2016

Digital strategies show promise for emergency heart and stroke care

What to do in an emergency is pretty useless if our ER doctors still can't objectively diagnose a stroke. You can do the lazy awareness crap after you have solved the more important problem of fast easy and accurate diagnosis of stroke and its type. But our fucking failures of stroke associations think this is more important than solving actual problems in stroke.
http://www.alphagalileo.org/ViewItem.aspx?ItemId=165166&CultureCode=en

Mobile devices, social media, visual media and crowdsourcing have the potential to improve emergency care for cardiac arrests, heart attacks and strokes, according to a new scientific statement from the American Heart Association.
The new statement, published in the American Heart Association journal Circulation, reviewed scientific studies to evaluate current knowledge on the effectiveness digital strategies at improving emergency cardiac and stroke care.
“When seconds count, early recognition of the symptoms of cardiac arrest, heart attack or stroke and quick action can make a huge difference in whether someone lives or dies or has serious complications afterwards,” said Raina Merchant, M.D., M.S.H.P., director of the Social Media Lab at the Penn Medicine Center for Health Care Innovation in Philadelphia, Pennsylvania, and co-author of the new scientific statement. “Digital platforms can support existing efforts to educate people about what to do in an emergency. Learning what to do – including how to perform CPR and recognizing the symptoms of stroke – is something many people can do that can save lives.”
Some studies on digital strategies have shown positive results, such as a Swedish study that used a mobile phone application to alert volunteers within 500 meters of a cardiac arrest victim to respond and start CPR. It found that 62 percent of the volunteers with the app started CPR, while only 48 percent of bystanders without the app started CPR.
A Japanese study found that when emergency department personnel sent pictures of 12-lead ECGs via their smartphone to interventional cardiologists for interpretation, the smartphone method shaved 1.5 minutes off the time clinicians needed to diagnose a patient, compared to sending the images via fax.
Smartphone apps to view brain images for stroke and Face Time videoconferencing apps to assess stroke patients by a remote neurologist may also be feasible.
However, the statement authors emphasize that, while the potential for applying these tools to improve care is compelling, they require evidence of their effectiveness.
While no research to date has shown negative results of using digital tools for emergency cardiac or stroke care, the authors raise the issue of unintended consequences to patients due to inaccurate information being provided via digital tools, which could lead to medical errors and higher costs, and the risk of disclosing patients’ health information in violation of federal privacy law.
“As many of these interventions are new and emerging, it is an optimal time to conduct rigorous evaluations just as are done for traditional medical therapies and interventions,” Merchant said.
Some unanswered questions that should be the focus of future studies include:
  • Can mobile devices be converted into defibrillators?
  • Can video sharing platforms help real-time bystander CPR and automated external defibrillator (AED)  coaching?
  • Can emergency personnel use cell phones to pinpoint the best hospital for treatment based on the patient, traffic, hospital readiness and average treatment times?
http://newsroom.heart.org/news/digital-strategies-show-promise-for-emergency-heart-and-stroke-care?preview=e438a95a31c1228f3448fc6b69e1ee59

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