PPT-The Future of Stroke

James D Fleck MD Medical Director IU Health Methodist Hospital Comprehensive Stroke Center Disclosures None Stroke Statistics Heart Disease and Stroke Statistics 2014 795000 new or recurrent strokesyear. August 2014 Stroke Fact Sheet  Stroke is a leading cause of death in the United States, killing nearly 130,000 Americans each year — that’s 1 of every 19 deaths . 1  A Sarah L. Livesay, DNP, RN, ACNP-BC. Assistant Professor. Rush University. Typical V. Atypical: Semantics?. Stroke identification according to the AHA/ASA. ASA . 5 . Suddens. Numbness or weakness of leg, arm, face. https://www.youtube.com/watch?v=wH7k5CFp4hI. Barriers to seeking Care. Barriers. Lack of Knowledge. Fear of Hospitals. Denial . Living Alone. Preexisting Health Concerns. Budgets. 50/50. What is Community. Premier Health Partners / . Wright . State University . Neuroscience Institute. WHY. NEUROSCIENCE? . Decade of the Brain. Disease Burden. Importance of Neuroscience. EPILEPSY. 10. % of the population will have a seizure in their lifetime. How American Stroke Association Works for. . You. 1. Discussion. . Today. Why should you . care about. . stroke?. About. . stroke. Risk . factors . for. . stroke. When a . stroke occurs: . what do . 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.. Medical Director. IU Health Methodist Hospital. Comprehensive Stroke Center. Disclosures. None. Stroke Statistics. Heart Disease and Stroke Statistics 2014. ~795,000 new or recurrent strokes/year. 87% Ischemic, 10% ICH, 3% SAH. 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.. Physical and pshychosocial handicap. Lesions of brain parenchima due to pathology of cerebral circulatory system that leads to hemorrhageae or ichemic lesions. Cerebral Anatomy . Vascular circulation: Anterior and Posterior . There are two types of strokes . –. . ischaemic. (clot) and . haemorrhagic. (bleed). . About 85% of all strokes are . ischaemic. and 15% . haemorrhagic. How often does stroke strike?. Occurs 152,00 times a year in the UK . James C. . Grotta. MD. Director, Mobile Stroke Unit Consortium. Clinical Innovation and Research Institute. Memorial Hermann Hospital-TMC. Houston, Texas. Disclosures for Dr Grotta. Grants/Research Support: AHA, Genentech (. R. apid . A. rterial . o. C. clusion. . E. valuation. created by SCD DHEC Bureau of EMS. History. Historical Context. EMS is the first medical contact in over 50% of all stroke victims in U.S.. Unless the patient had altered LOC, strokes were treated as non-emergent events and transported routine to ER. 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. What effect does glycemic control with insulin have on these complications?. None. . Insulin does not improve mortality rates/neurological outcomes after stroke. Why do we care?. Stroke is the 5. th.