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Stroke - An Infarct Rather Than an Accident - The Heart Course
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- 1 Intro
- 2 Stroke State of the art
- 3 Era of mechanical thrombectomy
- 4 Mild symptoms NIHSS 5
- 5 AHA/ASA: Intravenous alteplase administration within 3 hours is equally recommended for patients 80 years of age. IA
- 6 Rapidly improving symptoms
- 7 Intravenous alteplase treatment is reasonable for patients who present with moderate to severe ischemic stroke and demonstrate early improvement but remain moderately impaired and potentially disable…
- 8 Wake-up strokes: DAWN and DEFUSE 3
- 9 AHA/ASA Patients with a positive stroke screen and/or a strong suspicion of stroke should be transported rapidly to the closest healthcare facilities that can capably administer IV alteplase.
- 10 Large vessel occlusion, 6 hours Refer for possible thrombectomy
- 11 These are not decisions to be made on shift
