Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective 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

Thursday, May 11, 2017

New process streamlines care for stroke patients


Once again going the lazy route, telling us about a fucking process, not the results of that process. How many patients were correctly identified as having a stroke? How many of those got tPA in time? And of those getting tPA, how many fully recovered? God, the stupidity out there in stroke is unbelieveable.

http://news.heart.org/new-process-streamlines-care-for-stroke-patients/
A recently developed process will help streamline initial emergency care for stroke patients.
The Severity-based Stroke Triage Algorithm developed by the American Heart Association/American Stroke Association provides ambulance crews with information and tools to better identify a stroke, assess a patient’s condition and determine the best hospital for specific treatment needs.
A diverse group of healthcare professionals, including EMS and all levels of the hospital-based stroke care teams, designed the algorithm. It’s broad enough to be applied across the country and flexible enough to be tailored to individual communities, said Peter D. Panagos, M.D., co-chair of the AHA/ASA’s Mission Lifeline: Stroke committee that helped oversee and develop the algorithm.
“The new algorithm is needed as new innovations in stroke treatment emerge, such as catheters used to remove large clots in the brain,” Panagos said.
“Although the intravenous use of tissue plasminogen activator … is still the most common standard for treating many strokes, these newer endovascular treatments are appropriate in certain cases. However, they require specific equipment and specially-trained personnel that aren’t available at all hospitals, especially those in rural or suburban areas.”
The algorithm puts more responsibility on EMS to provide fast, appropriate triage for the most severely impaired stroke patients. It calls for first responders to use a regionally approved stroke severity tool to help identify a larger ischemic stroke that may require both intravenous and endovascular thrombectomy treatments.
“With these available treatment options, the challenge is identifying severe strokes early, before arrival at the hospital, to get patients to the right facility to get the right therapy in the right amount of time,” Panagos said.

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