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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...
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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...
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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,...
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Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Acute stroke management in the Caribbean: a scoping review protocol.

Hélène Clervius1,2,3, Tadeusz H Wroblewski4,5, Nadia Bennett6

  • 1Department of Neurology, SUNY Downstate Health Sciences University, Brooklyn, New York, USA.

BMJ Open
|November 25, 2025
PubMed
Summary

Limited information exists on stroke care in the Caribbean. This review maps literature on diagnostic and treatment access to identify gaps and improve outcomes in stroke patients within the region.

Keywords:
Health Services AccessibilitySTROKE MEDICINEStroke

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Area of Science:

  • Neurology
  • Public Health
  • Health Services Research

Background:

  • Stroke is a major cause of death and disability in the Caribbean.
  • Limited data exists on diagnostic imaging and treatment availability and utilization for stroke care.
  • Healthcare inequities may worsen stroke outcomes in the region's low-resource settings.

Purpose of the Study:

  • To map existing literature on access to diagnostic and therapeutic modalities for adult stroke care in the Caribbean.
  • To identify limitations in acute stroke treatment and their impact on outcomes.
  • To inform strategies for improving stroke care access in resource-limited Caribbean communities.

Main Methods:

  • A three-step literature search strategy based on the Joanna Briggs Institute methodology.
  • Searches will cover 1 January 1995 to 1 June 2025, focusing on ischemic and hemorrhagic stroke in the Caribbean.
  • Studies will be screened by two independent reviewers following PRISMA-ScR guidelines.

Main Results:

  • This section will present findings on the availability and utilization of diagnostic imaging (e.g., neuroimaging) and acute treatment options for stroke.
  • The review will highlight gaps in stroke centers, prehospital management, and emergent treatment capacity.
  • Data will illustrate how restricted access to these modalities impacts stroke patient outcomes.

Conclusions:

  • The review will provide a comprehensive overview of stroke care access in the Caribbean.
  • Identified limitations will guide the development of targeted interventions to enhance stroke management.
  • Findings will support efforts to reduce stroke-related mortality and disability in the region.