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Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Atherosclerosis IV: Nursing Management01:23

Atherosclerosis IV: Nursing Management

Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
Stroke: Introduction and Types01:29

Stroke: Introduction and Types

A stroke is an acute neurological event caused by the sudden disruption of cerebral blood flow, leading to rapid loss of neuronal function. Neurons depend on continuous oxygen and glucose supply, so even brief interruptions can cause irreversible injury within minutes. Strokes are classified into ischemic and hemorrhagic types.Ischemic StrokeIschemic strokes are most common and occur due to arterial occlusion, depriving brain tissue of oxygen and nutrients. This leads to energy failure, ionic...
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
Ischemic Stroke ll: Pathophysiology01:15

Ischemic Stroke ll: Pathophysiology

An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...

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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Stroke: acute stroke receiving facilities and management.

Marek Humpich1, Christian Byhahn, Raymond L Fowler

  • 1Department of Anaesthesiology, Intensive Care Medicine, and Pain Management, Johann Wolfgang Goethe-University, Theodor-Stern-Kai 7, Frankfurt am Main D-60590, Germany. m.humpich@em.uni-frankfurt.de

Current Opinion in Critical Care
|June 11, 2009
PubMed
Summary
This summary is machine-generated.

Rapid treatment for ischemic stroke is crucial. Optimizing prehospital care and stroke systems of care improves patient outcomes by reducing delays to reperfusion therapy.

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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Prehospital Thrombolysis: A Manual from Berlin
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Prehospital Thrombolysis: A Manual from Berlin

Published on: November 26, 2013

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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Published on: January 18, 2018

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

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Published on: January 15, 2017

Prehospital Thrombolysis: A Manual from Berlin
05:52

Prehospital Thrombolysis: A Manual from Berlin

Published on: November 26, 2013

Area of Science:

  • Neurology
  • Emergency Medicine
  • Public Health

Background:

  • Ischemic stroke management is complex, lacking prehospital treatment options.
  • Systemic thrombolysis, the sole approved pharmacologic therapy, has a narrow therapeutic window and requires brain imaging.
  • Significant treatment gaps persist, with few eligible patients receiving timely thrombolysis.

Purpose of the Study:

  • To review recent advancements in optimizing acute stroke management.
  • To focus on reducing the time from symptom onset to reperfusion therapy.
  • To address challenges in translating scientific progress into clinical practice.

Main Methods:

  • Review of current literature on stroke management strategies.
  • Analysis of clinical trial data, including the European Cooperative Acute Stroke Study-III.
  • Evaluation of advanced imaging technologies for patient selection.
  • Assessment of integrated prehospital and clinical pathway systems.

Main Results:

  • Stroke patients benefit significantly from thrombolysis in specialized stroke centers.
  • Advanced imaging enhances patient selection, expanding therapeutic possibilities.
  • Despite evidence, a small fraction of eligible patients receive thrombolysis due to systemic obstacles.

Conclusions:

  • The principle 'time is brain' remains paramount in acute stroke treatment.
  • Public and first responder education on stroke symptoms and treatments is vital.
  • Integrated stroke systems of care are essential for timely access to expertise and treatment.