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Related Experiment Videos

An expedited code stroke protocol is feasible and safe.

Justin A Sattin1, Scott E Olson, Lin Liu

  • 1Department of Neurosciences, University of California, San Diego School of Medicine, San Diego, CA, USA.

Stroke
|November 11, 2006
PubMed
Summary
This summary is machine-generated.

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An expedited code stroke protocol is feasible and safe for improving stroke treatment times. This protocol aims for rapid reperfusion, showing promising results in patient care without increasing hemorrhage risks.

Area of Science:

  • Neurology
  • Emergency Medicine
  • Cardiovascular Research

Background:

  • Timely reperfusion is critical for stroke recovery.
  • Established a benchmark onset-to-treatment time of ≤2 hours.
  • Implemented an expedited code stroke protocol to achieve this goal.

Purpose of the Study:

  • To demonstrate the feasibility of the expedited code stroke protocol.
  • To assess the safety of the expedited code stroke protocol.
  • To evaluate the impact of the protocol on treatment times.

Main Methods:

  • Protocol included in-person triage and bedside treatment with tissue plasminogen activator.
  • Eliminated delays for coagulation tests, chest x-ray, or stool guiac unless indicated.
  • No delays for formal CT interpretation or written consent were permitted.

Related Experiment Videos

Main Results:

  • Evaluated 781 patients; 103 (13.2%) treated with IV recombinant tissue plasminogen activator within 3 hours.
  • 47.6% treated within 2 hours, 52.4% between 2-3 hours.
  • Symptomatic intracerebral hemorrhage risk was 3.9%, not significantly different from baseline (6.4%).

Conclusions:

  • The expedited code stroke protocol is feasible.
  • The protocol appears safe, with no significant increase in hemorrhage risk.
  • Further research is needed to confirm safety and clinical outcomes.