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Improving Stroke Recognition

Similar to the need for early identification and treatment of sepsis, raising stroke awareness and recognizing stroke symptoms are critical for EMS today.中风现在是美国第五大死亡原因,也是成人残疾的主要原因.1

An EMS call may come in as a stroke, but it may also come in as a fall, a seizure, an unconscious person, or a person with “difficulty speaking”.

当EMT或护理人员到达现场时,患者可以表现出任何症状组合:

  • Difficulty swallowing
  • Numbness
  • 困惑
  • A severe headache.

As with all patients in the prehospital setting, the assessment of the airway, breathing and circulatory status is essential.

In stroke cases, however,每分钟的治疗延迟可能使患者花费190万个脑细胞.2

浪费的时间是大脑丢失。在没有恢复血流的情况下,每一分钟都会丢失200万个神经细胞。如果这些患者直到两个,三到四个小时才能得到保护药,则将发生不可逆的脑损伤。

Jeffrey Saver, M.D., Director at the UCLA Stroke Center

When caring for a stroke victim, the goal is to minimize brain injury and maximize the patient’s recovery. The use of a stroke assessment tool can help to improve prehospital triage and accomplish this goal. Specifically, theevaluation of facial droop, arm drift, and abnormal speech can be the key to rapidly identifying potential stroke patients.3

Simulations can play a large role in preparing providers for stroke cases. Pre-programmed scenarios are equipped with relevant patient history, and high-fidelity simulators can fulfill the need for a realistic patient assessment. Additionally, some advanced simulators allow for practice administering medication. Each of these training methods prepare first responders to realistically diagnose and treat a stroke victim.

参考

  1. National Stroke Association (2017).Stroke facts.Retrieved from http://www.stroke.org/understand-stroke/what-stroke/stroke-facts
  2. Maggiore, W.A. (2012).Time is brain in prehospital stroke treatment. Retrieved fromhttp://www.jems.com/articles/print/volume-37/issue-6/patient-care/time-brain-prehospital-stroke-treatment.html
  3. Maggiore, W.A. (2012). See reference #2.

*American Heart Association (2015).Paramedics may be first source of treatment for stroke patients. Retrieved fromhttps://news.heart.org/paramedics-first-source-treatment-stroke-patients/

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