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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Antiplatelet drugs emerge as frontline defenders against the insidious threat of thromboembolic diseases, where abnormal clots obstruct vital blood vessels. These drugs stand as bulwarks, inhibiting platelet aggregation and clot formation, thereby mitigating the risk of life-threatening conditions like myocardial infarction, coronary artery disease, and thrombotic strokes.
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Prehospital Thrombolysis: A Manual from Berlin
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Maintaining high thrombectomy rates during pandemics.

Tomas Dobrocky1,2, Johannes Kaesmacher1,3, Vitor Mendes Pereira2

  • 1University Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Current Opinion in Neurology
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Summary

The coronavirus disease 2019 (COVID-19) lockdown may have reduced acute ischemic stroke admissions and endovascular treatments. Public awareness of stroke symptoms is crucial to prevent long-term health consequences.

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Area of Science:

  • Neurology
  • Vascular Medicine
  • Public Health

Background:

  • The COVID-19 pandemic significantly impacted global healthcare systems.
  • Healthcare providers faced challenges in managing both COVID-19 and non-COVID-19 patient care.
  • Restrictions and social distancing measures were implemented worldwide.

Purpose of the Study:

  • To review current literature on endovascular treatment for acute ischemic stroke post-COVID-19 lockdown.
  • To analyze the impact of the pandemic on stroke admissions and treatments.
  • To emphasize the importance of public awareness regarding stroke symptoms.

Main Methods:

  • Literature review of recent studies.
  • Analysis of trends in acute ischemic stroke admissions.
  • Examination of data on endovascular treatment rates.

Main Results:

  • Evidence suggests a decrease in acute ischemic stroke admissions.
  • A reduction in the total number of endovascular treatments performed was observed.
  • Patients may have had a higher threshold for seeking medical attention due to restrictions.

Conclusions:

  • The reasons for decreased stroke treatment rates require further investigation.
  • Maintaining efficient healthcare workflows while ensuring patient and staff safety is paramount.
  • Increased public awareness of stroke and transient ischemic attacks is vital to mitigate morbidity and economic impact.