You can read about the excuses for the lack of protocols in identifying stroke and the subsequent interventions. Until that changes your children and grandchildren that have strokes will still be screwed.
contributor Kat Dakay discusses
The pertinent paragraph here:
All in all, what struck me most about this symposium was that
although we have a growing amount of data, there is
a lot of practice
variability in advanced neuroimaging and that neuroimaging decisions are
tied into many other factors. One especially pertinent factor is the
pre-hospital triage system and how patients with severe stroke
ultimately end up at a CSC (whether it is bypass, drip and ship, mobile
stroke, or another iteration). I can envision how CSCs that receive
patients from a large geographical area and multiple hospitals with
longer transfer times
would have different protocols and neuroimaging
needs than CSCs covering smaller geographical areas in which bypass may
be more feasible and transfers may be less frequent. A theme throughout
many of the lectures was to consider the time cost of repeating imaging,
balanced with the additional information the physician may gain from
it. Though many diverse, compelling viewpoints were articulated in this
symposium, it is clear that we are all striving for the goal of treating
patients as safely and as quickly as possible.
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