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Strategies to Reduce  Door-to-Puncture Times Strategies to Reduce  Door-to-Puncture Times

Strategies to Reduce Door-to-Puncture Times - PowerPoint Presentation

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Uploaded On 2018-11-09

Strategies to Reduce Door-to-Puncture Times - PPT Presentation

in Acute Stroke Gregory W Albers MD Time is Brain Lee H Schwaam MD Improving Transport of the Stroke Patient to Hospital Ameer E Hassan DO Streamlining DoortotPA Time Daniel H Sahlein MD ID: 724013

time stroke improving trials stroke time trials improving cont door dawn care defuse brain steps center endovascular abbreviations pathway

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Presentation Transcript

Slide1

Strategies to Reduce Door-to-Puncture Times in Acute StrokeSlide2

Gregory W. Albers, MD:

Time is Brain

Lee H. Schwaam, MD: Improving Transport of the Stroke Patient to HospitalAmeer E. Hassan, DO: Streamlining Door-to-t-PA TimeDaniel H. Sahlein, MD: Improving Door-to-Needle TimeSlide3

Time is BrainSlide4

How Quickly Do Strokes Progress?Slide5

CT ScansSlide6

Thrombectomy TrialsSlide7

Improving Transport of Stroke Patients to the HospitalSlide8

Public Awareness of StrokeSlide9

EMS DispatchSlide10

Screening ToolsSlide11

Primary Stroke Center vs Comprehensive Stroke CenterSlide12

Severity-Based Stroke Triage Algorithm for EMSSlide13

Improving CareSlide14

Improving Care (cont)Slide15

Streamlining Door-to-t-PA and Recanalization Slide16

Valley Baptist Medical Center Slide17

The Importance of TimeSlide18

Loss of NeuronsSlide19

Time Is BrainSlide20

Time MattersSlide21

Trend for Thrombolytic Use in the USSlide22

Criticism of Negative Trials in 2013Slide23

Time to Speed Things Up!Slide24

Endovascular Trials 2015Slide25

Endovascular ThrombolysisSlide26

Image-Based SelectionCT Perfusion Imaging of Core and PenumbraSlide27

Stroke Triage Education, Procedure Standardization, & Technology (STEPS-T)Slide28

The Stroke Care PathwaySlide29

Endovascular Stroke Care PathwaySlide30

STEPS-TL Results: Evolution of Intervention DurationSlide31

STEPS-TL Results/Clinical Outcomes: Modified Rankin Scores 0 to 2 at 90 daysSlide32

ConclusionsSlide33

Food for ThoughtSlide34

Improving Door-to-Needle TimesSlide35

Improving Stroke Awareness Slide36

DAWN[a] and DEFUSE-3[b] TrialsSlide37

DiagnosisSlide38

ASPECTSSlide39

CT ScanSlide40

CT Scan (cont)Slide41

Time is BrainSlide42

DAWN and DEFUSE 3 TrialsSlide43

DAWN and DEFUSE 3 Trials (cont)Slide44

DAWN and DEFUSE 3 Trials (cont)Slide45

AbbreviationsSlide46

Abbreviations (cont)Slide47

Abbreviations (cont)