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:

Wednesday, July 19, 2017

“Time is brain”. Optimizing prehospital stroke management

I would expect that this article is all about diagnosis and delivery of tPA in the ambulance. Anything else is complete incompetence.

Hats off to Helmet of Hope - stroke diagnosis in 30 seconds


Microwave Imaging for Brain Stroke Detection and Monitoring using High Performance Computing in 94 seconds


New Device Quickly Assesses Brain Bleeding in Head Injuries - 5-10 minutes
"Zeit ist Hirn“. Optimierung des prähospitalen Schlaganfallmanagements.  Der Nervenarzt , Volume 85(2) , Pgs. 189-194.

NARIC Accession Number: I243201.  What's this?
Author(s): A. Haass; S. Walter; A. Ragoschke-Schumm; I.Q. Grunwald; M. Lesmeister; A.V. Khaw; K. Fassbender.
Publication Year: 2014.
Abstract: This article discusses ways to optimize prehospital treatment of acute stroke, one of the main causes of death and chronic disability. Thrombolysis, achieved by administering recombinant tissue plasminogen activator within 4.5 hours, is an effective therapeutic option(NO, it is not, 12% full success rate) for ischemic stroke. However, less than 2–12% of patients receive this treatment and a major reason is that most patients reach the hospital too late. Several time-saving measures should be implemented. Firstly, optimized and continual public awareness campaigns for patients should be initiated to reduce delays in notifying the emergency medical service. Secondly, emergency medical service personnel should develop protocols for pre-notification of the receiving hospital. Other suggested measures involve educating emergency medical service personnel to systematically use scales for recognizing the symptoms of stroke and to triage patients to experienced stroke centers. In the future, administering treatment at the emergency site (mobile stroke unit concept) may allow more than a small minority of patients to benefit from available recanalization treatment options.
Descriptor Terms: Guidelines/protocols, Mobile facilities, Stroke.
Language: German
Geographic Location(s): Europe, Germany.

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Citation: A. Haass, S. Walter, A. Ragoschke-Schumm, I.Q. Grunwald, M. Lesmeister, A.V. Khaw, K. Fassbender. (2014). “Time is brain”. Optimizing prehospital stroke management.  "Zeit ist Hirn“. Optimierung des prähospitalen Schlaganfallmanagements.  Der Nervenarzt , 85(2), Pgs. 189-194. Retrieved 7/14/2017, from REHABDATA database.

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