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.

Tuesday, May 28, 2019

Diurnal Variations in the First 24/7 Mobile Stroke Unit

My God, the stupidity here is incredible. You are not even measuring how many got to 100% recovery. Are you that goddamn fucking stupid? Your mentors and senior researchers need to be fired. 

Diurnal Variations in the First 24/7 Mobile Stroke Unit


Originally publishedhttps://doi.org/10.1161/STROKEAHA.119.024950Stroke. ;0

Abstract

Background and Purpose—

Mobile Stroke Units (MSUs) provide innovative prehospital stroke care but their 24/7 operation has not been studied. Our study investigates 24/7 MSU diurnal variations related to transport frequency, patient characteristics, and stroke treatments. (The whole purpose of these mobile units is to get patients recovered, not just deliver tPA. You do have to measure that recovery. Patients care about recovery. Maybe you should talk to a couple.)

Methods—

We compared transportation frequency, demographics, thrombolytic and mechanical thrombectomy administration, and treatment metrics across 8-hour shifts (morning, evening, and nocturnal) from our 24/7 MSU in Northwest Ohio prospective database.

Results—

One hundred ninety-five patients were transported by the MSU. Most transports occurred during the morning shift (52.3%) followed by evening shift (35.8%) and nocturnal shift (11.9%; Ptrend<0.001). Twenty-three patients (11.9%) received intravenous thrombolytic in the MSU, most frequently in the morning shift (56.5%). No cases of mechanical thrombectomy were performed on MSU patients in the nocturnal shift.

Conclusions—

Morning and evening shifts account for the majority of our MSU transports (88.1%) and therapeutic interventions. Understanding temporal variations in a resource-intensive MSU is critical to its worldwide implementation.

Footnotes

*Drs Zaidat and Changal are co-first authors.
Correspondence to Osama O. Zaidat, MD, MS, FAHA, Northeast Ohio Medical University (NeoMed), St. Vincent Hospital, M200, Toledo, OH 43608. Email
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