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, August 14, 2020

Streamlined Poststroke Treatment Order Sets During the SARS-CoV-2 Pandemic Simplifying While Not Compromising Care

 Notice the full display of the tyranny of low expectations. 'Care' NOT RESULTS OR RECOVERY. This crapola is why survivors need to be in charge, we won't take our eyes off the only goal in stroke; 100% recovery.

Streamlined Poststroke Treatment Order Sets During the SARS-CoV-2 Pandemic Simplifying While Not Compromising Care

 

Originally published13 Aug 2020https://doi.org/10.1161/STROKEAHA.120.031008Stroke. ;0

Abstract

Background and Purpose:

Standard poststroke treatment monitoring protocols are made problematic during the coronavirus disease 2019 (COVID-19) pandemic by the frequency of patient assessments, requiring repeated donning and doffing procedures in a short interval of time.

Methods:

A streamlined poststroke treatment protocol was developed to limit frequency of patient encounters while maximizing the yield of each encounter by grouping together different components of poststroke care into single bedside visits.

Results:

Streamlined order sets were developed late March 2020. During the first 6 weeks following implementation, 70 patients were admitted to a geographically defined designated warm COVID-19 unit with modified poststroke care order sets. Of these, 33 (47.1%) patients received acute reperfusion therapy. All but 3 patients evolved favorably with either stable or improving National Institutes of Health Stroke Scale at 24 hours. In the 3 patients who experienced early neurological deterioration, none were found to be attributable to insufficient patient monitoring.

Conclusions:

Adapting preexisting poststroke care protocols may be necessary while the risk of COVID-19 infection remains high. We propose a streamlined approach to facilitate poststroke monitoring in patients with stroke with unknown COVID status.

Footnotes

For Sources of Funding and Disclosures, see page xxx.

This article was sent to Marc Fisher, Senior Consulting Editor, for review by expert referees, editorial decision, and final disposition.

Correspondence to: Laura C. Gioia, MD, MSc, Centre hospitalier de l’Université de Montréal (University of Montreal), 1051, Sanguinet, H2X 3E4 Montreal QC, Canada. Email

 

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