Deans' stroke musings: Pupil measurements added to American Heart Association guidance for brain injury prognosis

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.

Friday, November 27, 2020

Pupil measurements added to American Heart Association guidance for brain injury prognosis

You better figure out how to beat this test because if you don't the plug gets pulled on you and you die.

Pupil measurements added to American Heart Association guidance for brain injury prognosis

Updated American Heart Association Guidelines for CPR and Emergency Cardiovascular Care included the Neurological Pupil Index and automated pupillometry as an objective measure of brain injury prognosis after cardiac arrest.

Health care providers can assess pupillary light reflex with automated infrared pupillometry, according to a press release on the updated guidelines. The NPi-200 Pupillometer from NeurOptics, a medical technology company, measures pupil size and reactivity and calculates a patient’s neurological pupil index (NPi) value. NPi scores range from 0 to 4.9; scores under 3 are considered abnormal, according to the release.

NeurOptics NPI-200 Pupillometer — NeurOptics' NPi-200 Pupillometer is a handheld device that provides accurate, reliable and objective pupil size and reactivity data.

*(Photo/NeurOptics Inc.)*

“The NPi scale removes subjectivity from the neurological evaluation, providing clinicians with more accurate, objective and reliable pupil data that can be trended over time and allows earlier detection of changes for timelier patient treatment,” William Worthen, president and CEO of NeurOptics, said in the release.

According to the new guidelines from the American Heart Association, most deaths attributed to brain injury after cardiac arrest result from removal of life-sustaining treatment because of predictions for a poor neurological outcome. Automated evaluation of pupillary reactivity, as is done with the NPi scale, offers a standard way to examine pupil size and reactivity to inform a prognosis of a poor neurological outcome in patients who remain comatose 72 hours after cardiac arrest.