Skip to main content

Improving Early Referral and Emergency Care in Acute Stroke

  • Chapter
Stroke

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 27))

Abstract

Tissue plasminogen activator (TPA) and other new drugs that may improve outcome if acute stroke is treated early, but optimal use of these agents will require earlier stroke detection by the public, faster transportation of the stroke patient to the hospital, faster evaluation by emergency room staff, and prompt administration of therapeutic agents. Improving stroke referral and treatment systems is key to achieving maximum benefits from these new agents.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Pancioli A, Broderick J, Kothari R, et al (1997) Public perception of stroke warning signs and potential risk factors. Stroke 28: 236 – 238

    Google Scholar 

  2. Barsan WG, Brott TG, Broderick JP, et al (1993) Time of hospital presentation in patients with acute stroke. Arch Intern Med 153: 2558 – 2566

    Article  PubMed  CAS  Google Scholar 

  3. Kothari R, Barsan W, Brott T et al (1995) The potential prehospital care providers to impact early treatment in acute stroke: a pilot study. Stroke 26: 937 – 941

    Article  PubMed  CAS  Google Scholar 

  4. Houser G, Spilker J (1995) The NSA clinical trials acceleration program (CTAP). Presented at a meeting on Ischemic Stroke: Recent Advances in Understanding and Therapy, International Business Communications, South Burham, MA, pp 107 – 143

    Google Scholar 

  5. Albers MF, Bartels C, Dawson DV (1990) An analysis of time of presentation after stroke. JAMA 263: 65 – 68

    Article  Google Scholar 

  6. Barsan WG, Brott TG, Olinger CP, et al (1988) Identification and entry of the patient with acute cerebral infarction. Ann Emer Med 17 (11): 1192 – 1195

    Article  CAS  Google Scholar 

  7. Muffelmann B, Glahn J, Kunz S, et al (1995) Busse: Strategien zur fruhen Aufnahme von Schlaganfallpatienten. Nervenarzt 66: 111 – 115

    PubMed  CAS  Google Scholar 

  8. Trunkey DD (1982) The value of trauma centers. ACS Bulletin 67: 5 – 7

    CAS  Google Scholar 

  9. Cummins RO, Graves JR, Horan S, et al (1984) The relative contributions of early defibrillation and aces interventions to resuscitation and survival from prehospital cardiac arrest. Ann Emerg Med 18: 468–469 (Abst)

    Article  Google Scholar 

  10. Cummins RO (ed) (1997) Textbook of advanced cardiac life support. The American Heart Association, Dallas

    Google Scholar 

  11. National Heart Attack Alert Program Coordinating Committee, 60 Minutes to Treatment Working Group (1994) Emergency department: rapid identification and treatment of patients with acute myocardial infarction. Ann Emer Med 23: 311 – 329

    Article  Google Scholar 

  12. . Hazinski MF (1996) Demystifying the recognition and management of stroke. Currents in Emergency Cardiac Care 7: 8

    Google Scholar 

  13. Gomez J (1993) Editorial: Time is Brain. J Stroke Cardiovascular Disease 3: 1 – 2

    Article  Google Scholar 

  14. Lyden PD, Rapp K, Babcock T, et al (1994) Ultrarapid identification, triage, and enrollment of stroke patients into clinical trials. J Stroke Cerebrovascular Dis 4: 106 – 107

    Article  Google Scholar 

  15. Kothari R, Barsan W, Brott T, et al (1995 Jun) Frequency and accuracy of prehospital diagnosis of acute stroke. Stroke 26 (6): 937 – 941

    Article  PubMed  CAS  Google Scholar 

  16. Bratina P, Greenberg L, Pasteur W et al (1995) Current emergency department management of stroke. Stroke 26: 409 – 414

    Article  PubMed  CAS  Google Scholar 

  17. Kothari R, Hall K, Broderick J, et al (1997) Early stroke recognition, developing an out of hospital stroke scale, (WHAT) Nead Emerg Med. In press

    Google Scholar 

  18. Cummins RO (ed) Acute stroke. In: Textbook of advanced cardiac life support. American Heart Association, Dallas, pp 10–16

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Broderick, J.P., Diener, HC., Mori, E., Rickels, E., Hazinski, M.F. (1998). Improving Early Referral and Emergency Care in Acute Stroke. In: Steiner, T., Hacke, W., Hanley, D.F. (eds) Stroke. Update in Intensive Care and Emergency Medicine, vol 27. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60264-1_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-60264-1_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64326-2

  • Online ISBN: 978-3-642-60264-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics