Acute Ischemic Stroke

Acute Ischemic Stroke - Early Management

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Key Points ÎÎThe chain of events favoring good functional outcome from an acute ischemic stroke begins with the recognition of stroke when it occurs. ÎÎData show that the public's knowledge of stroke warning signs remains poor. ÎÎFewer than half of 9-1-1 calls for stroke events were made within one hour of symptom onset, and fewer than half of those callers thought stroke was the cause of their symptoms. ÎÎMany studies have demonstrated that intense and ongoing public education about the signs and symptoms of stroke improves stroke recognition. ÎÎThe California Acute Stroke Pilot Registry (CASPR) reported that the expected overall rate of fibrinolytic treatment within 3 hours could be increased from 4.3% to 28.6% if all patients arrived early after onset. ÎÎPublic education campaigns feature one of two stroke recognition tools: •  The 5 "Suddens" ▶▶ Sudden weakness ▶▶ Sudden speech difficulty ▶▶ Sudden visual loss ▶▶ Sudden dizziness ▶▶ Sudden, severe headache) •  FAST (Face, Arm, Speech, Time) ▶▶ One or more of face weakness, arm weakness, and speech difficulty symptoms are present in 88% of all strokes and transient ischemic attacks (TIAs)..

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