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Ethical Dilemmas II

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Assessment of apical radial pulse

Assessment of apical radial pulse

Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation

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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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Prioritizing gaps in stroke care: A two-round Delphi process.

Elke Ge Mathijssen¹, Jaap Ca Trappenburg¹, Mark J Alberts²

¹Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, The Netherlands.

European Stroke Journal

|April 3, 2025

Summary

This summary is machine-generated.

International experts identified key priorities for improving stroke care quality. Addressing these gaps requires significant effort but can lead to meaningful clinical improvements.

Keywords:

Delphi technique Stroke health services quality improvement quality indicators quality measures

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Area of Science:

Cerebrovascular Medicine
Public Health
Healthcare Quality Improvement

Background:

Stroke is a global health priority, yet significant gaps exist between ideal and actual stroke care quality.
International recognition of stroke's impact has not translated into consistent clinical practice improvements.

Purpose of the Study:

To achieve international expert consensus on prioritizing gaps in stroke care quality.
To identify key areas for intervention to improve stroke patient outcomes.

Main Methods:

A two-round Delphi process involving a diverse international expert panel.
Experts rated the importance and effort required to close 13 identified stroke care gaps.
Qualitative analysis of proposed solutions focused on care infrastructure, disparities, collaboration, and funding.

Main Results:

Consensus was reached on the high importance of closing 11 out of 13 stroke care gaps.
Most gaps require high effort to close, with one exception related to post-stroke complication prevention.
Key solution areas identified include care infrastructure, geographic disparities, interdisciplinary collaboration, and advocacy/funding.

Conclusions:

Closing stroke care gaps necessitates substantial effort and resources.
Targeted interventions in identified focus areas offer a feasible path to clinically meaningful improvements in stroke care.