PPT-Stroke Thrombolysis Pathway: 0 – 4.5 hours

Assessing clinician Time of symptom onset Time of arrival in ED Presenting symptoms Significant PMH Medications esp anticoagulants Total NIHSS score see scoring tool on page 5 . Implications for Clinical Practice. Jeffrey L. Saver, MD. Professor of Neurology. Director, UCLA Stroke Center . --All . slides in presentation are freely available under a Creative Commons “Share Freely with Attribution” License . PPH Llanelli. Medical interventions in ischaemic disease of the brain. Primary prevention. Secondary prevention. Treatment of acute stroke. Treatment of chronic stroke. Imaging in secondary prevention. National Stroke Association. ADVOCATE. – Influence public policy and legislation on stroke survivor issues.. EDUCATE. – Spread the word about stroke awareness.. PARTICIPATE. – Get involved and make a difference in the world of stroke.. Sarah Rickard, Network Manager. @. GMStrokeODN. www.gmsodn.org.uk. 2010. 2017. 2016. 2011. 2015. 2014. Partial centralisation of acute care in GM, full centralisation in London. Internal review of pathway concludes further change is needed. stroke team in . a . primary health care hospital. Jones . B . 1. , . Patel. . R . 1,2. , . Siracusa. . E . 1. , . Sahathevan. . R . 1. , . Gawarikar. . Y . 1,2. 1. Stroke Service, Calvary Health Care Bruce, ACT. Approach to TIA and Management of Stroke after 4.5 hours Robert Altman R4 McGill University August 25 th 2010 Summer Emergency Lecture Series What to take out of today. Everything I’m presenting is 12 versus 24-hour Bed Rest after Acute Ischemic Stroke Reperfusion Therapy Brian Silver, MD, Tariq Hamid, MD; Muhib Khan, MD; Mario DiNapoli , MD; Reza Behrouz, DO; Gustavo Saposnik , MD; Jo-Ann David Kirk. 1/22/2015. i. cubootcamp.com. Triage . Massive / Shock -> Thrombolysis. Submassive . No RV . strain -. > Routine Anticoagulation. Massive PEs. Need thrombolysis.. (CHEST 2002; 121:877–905) . 96 MR CLEAN (n=196)ESCAPE* (n=156)SWIFT PRIME (n=83)EXTEND-IA (n=29)REVASCAT (n=102)27 (13.8)6 (3.9)4 (4.8)1 (3)8 (7.8)11 (5.6)3 (1.9)1 (1.2)1 (3)2 (2.0)43 (21.9)34 (21.8)5 (6.0)2 (7)25 (24.5)68 (34.7 MBBS FRCP EdinConsultant Stroke PhysicianStepping Hill Hospital25/05/2017Stroke Study Day -Stepping Hill HospitalDefinition of Stroke / TIAHyper Acute StrokeHASUIV ThrombolysisBasics of ThrombectomySt Localized, cold-induced injury due to freezing of tissue. . Frost nip: localized numbness or . parasthesias. which resolve with warming, and without residual damage. Two primary mechanisms . Direct cell death from freezing, formation of ice crystals, fluid / electrolyte shifts. Prevalence of post-stroke fatigue. Post-stroke fatigue has been associated with:. 1. Depression and anxiety. Lower levels of physical activity. Possible inflammation. Post-stroke fatigue improves in approximately . AMEC International Communication Effectiveness Awards 2017. Lobby Government to continue the national Stroke strategy. Address “unacceptable” variations in stroke care and treatment on different areas of England. Stroke throughout history. CT=computerized tomography; MRI=magnetic resonance imaging. Donkor. Stroke Res Treat 2018;2018:3238165. ~400 BC. 1700s–1800s. 1658. 1970s. 2000s onwards. Wepfer. reported that apoplexy resulted from obstruction of the carotid or vertebral artery or bleeding into the brain.