シンポジウム9：脳梗塞急性期の治療
時間の壁を超える，超急性期脳梗塞治療
キーワード:
public awareness,
stroke bypass,
IVrt–PA,
information and communication technology (ICT),
stroke coordinate nurses (SCNs)
2018 年 35 巻 4 号 p. 518-521
詳細
2018 年 35 巻 4 号 p. 518-521
Prehospital stroke management plays an important role in conducting intravenous recombinant tissue plasminogen activator (IV rt–PA) and/or endovascular therapy (EVT) immediately after stroke onset because these hyper–acute therapies show new insights for stroke care. Firstly, proper reaction of patients and bystanders at a stroke onset is essential in order to start IV rt–PA and EVT, rapidly. Advertisement and education of stroke symptoms and adequate behavior for citizens are the great step for hyper–acute stroke therapy.
Secondarily, paramedics should use a prehospital stroke scale in order to establish direct transportation to a stroke center for stroke bypass. The requirements of prehospital stroke scales are sufficiently accurate straightforward enough for paramedics tasked with selecting stroke patients from mimic strokes.
Finally, it is important that we make shortening the interval between admission to treatment. A mobile stroke unit and biomarker may be beneficial. Expeditious transfer to a comprehensive stroke center should be conducted. Information and communication technology and expert stroke nurses yield extreme advantage for stroke service among medical staffs.
