You as a survivor will need to get involved.
Otherwise it will never occur to them that they need to write protocols
NOT guidelines.
The real problem here is using recommendations and guidelines. If
you were using protocols you would have a defined objective starting
diagnosis, exact instructions on what to do and an efficacy rating.
and on behalf of the American Heart Association Stroke
Council
Originally published24 Jan 2018Stroke. 2018;49:e46–e99
Abstract
Corrections
Please see the following corrections to this publication:
Background and Purpose—
The purpose of these guidelines is to provide an up-to-date comprehensive set
of recommendations for clinicians caring for adult patients with acute
arterial ischemic stroke in a single document. The intended audiences are
prehospital care providers, physicians, allied health professionals, and
hospital administrators. These guidelines supersede the 2013 guidelines and
subsequent updates.
Methods—
Members of the writing group were appointed by the American Heart Association
Stroke Council’s Scientific Statements Oversight Committee, representing
various areas of medical expertise
(Missing the most important people - survivors). Strict adherence to the American Heart
Association conflict of interest policy was maintained. Members were not
allowed to participate in discussions or to vote on topics relevant to their
relations with industry. The members of the writing group unanimously
approved all recommendations except when relations with industry precluded
members voting. Prerelease review of the draft guideline was performed by 4
expert peer reviewers and by the members of the Stroke Council’s Scientific
Statements Oversight Committee and Stroke Council Leadership Committee.
These guidelines use the American College of Cardiology/American Heart
Association 2015 Class of Recommendations and Levels of Evidence and the new
American Heart Association guidelines format.
Results—
These guidelines detail prehospital care, urgent and emergency evaluation and
treatment with intravenous and intra-arterial therapies, and in-hospital
management, including secondary prevention measures that are appropriately
instituted within the first 2 weeks. The guidelines support the overarching
concept of stroke systems of care in both the prehospital and hospital
settings.
Conclusions—
These guidelines are based on the best evidence currently available. In many
instances, however, only limited data exist demonstrating the urgent need
for continued research on treatment of acute ischemic stroke.
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