You really do think that survivors are that fucking stupid? Accepting the absolute stupidity of 'management' rather than CURE OR 100% RECOVERY. You all need to be keel hauled. Discuss, care and likely mean nothing to survivors. Do you not even know the only goal in stroke? 100% RECOVERY!
Management of acute ischemic stroke
BMJ 2020; 368 doi: https://doi.org/10.1136/bmj.l6983 (Published 13 February 2020) Cite this as: BMJ 2020;368:l6983- Correspondence to: M S Phipps mphipps@som.umaryland.edu
ABSTRACT
Stroke
is the leading cause of long term disability in developed countries and
one of the top causes of mortality worldwide. The past decade has seen
substantial advances in the diagnostic and treatment options available
to minimize the impact of acute ischemic stroke. The key first step in
stroke care is early identification of patients with stroke and triage
to centers capable of delivering the appropriate treatment, as fast as
possible. Here, we review the data supporting pre-hospital and emergency
stroke care, including use of emergency medical services protocols for
identification of patients with stroke, intravenous thrombolysis in
acute ischemic stroke including updates to recommended patient
eligibility criteria and treatment time windows, and advanced imaging
techniques with automated interpretation to identify patients with large
areas of brain at risk but without large completed infarcts who are
likely to benefit from endovascular thrombectomy in extended time
windows from symptom onset. We also review protocols for management of
patient physiologic parameters to minimize infarct volumes and recent
updates in secondary prevention recommendations including short term use
of dual antiplatelet therapy to prevent recurrent stroke in the high
risk period immediately after stroke. Finally, we discuss emerging
therapies and questions for future research.
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