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.

Thursday, January 11, 2024

A Call for Urgent Action to Redefine Stroke Protocols: Stephan A. Mayer, MD, FCCM, FNCS

 They can't be 'experts' if they don't know enough to measure 100% recovery!  Survivors want recovery bundles NOT 'care' bundles!

“What's measured, improves.” So said management legend and author Peter F. Drucker 

The latest crapola here:

A Call for Urgent Action to Redefine Stroke Protocols: Stephan A. Mayer, MD, FCCM, FNCS

Commentary
Video
The director of neurocritical care and emergency neurology services at Westchester Medical Center Health System talked about a recently published paper that highlighted the need to address the disparity in quality metrics for stroke care, especially for intracerebral hemorrhage. [WATCH TIME: 4 minutes]

WATCH TIME: 4 minutes

"Well, the trend that's happening right now is what we call ‘care bundles.’ Care bundles [are] when you do a couple of crucial things in parallel at the same time, especially for medical emergency, like intracerebral hemorrhage.”

Intracerebral hemorrhage (ICH), a condition caused by rupture of a cerebral vessel and entry of blood into the brain parenchyma, is a major contributor to stroke-related mortality and dependency. According to a recent review published in Nature Reviews Disease Primers, onlyhalf of patients who experience ICH survive for 1 year, and those who survive have sequelae that impacts their quality of life.1 Despite improvement of identification of the causes of ICH in the past decade, there remains no specific treatment available for patients.

A new report published in the journal Stroke by an international panel of experts in ICH care stated that quality improvement efforts in the emergency management of ICH should be a priority for patients. The consensus statement suggested that a protocol for Code ICH is needed, similar to used strategies for acute ischemic stroke, which may provide a framework for future research and innovation in the treatment of ICH.2 The panel of experts, which ranged across several countries worldwide, reviewed the latest evidence for treating ICH supporting the effectiveness of various strategies. These strategies included lowering of elevated blood pressure, reversal of blood thinners, treatment for brain swelling, and surgical hematoma removal.

Cosenior author Stephan A. Mayer, MD, FCCM, FNCS, director of neurocritical care and emergency neurology services at Westchester Medical Center Health System, recently sat down in an interview with NeurologyLive® to discuss how the disparities in quality metrics for acute ischemic stroke need be addressed to improve patient outcomes. Mayer, who also serves as a professor of neurology and neurosurgery at New York Medical College, talked about how findings from the INTERACT 3 trial have impacted the implementation of care bundles for ICH. In addition, he explained why there is a call for a standardized 'Code ICH' protocol with a 60-minute door-to-needle target time, and how it may impact stroke care overall.
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