Skip to content
Open navigation
672A8196.jpg 672A8196.jpg

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.行程现在是美国死亡的第五个主要原因和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,患者可以显示任何症状的组合:

  • 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,延迟治疗的每一分钟都可以花费患者190万脑细胞.2

迷失的时间是脑丢失的。对于没有恢复血液流动的每一分钟,丢失了200万神经细胞。如果这些患者直到两年,三到四小时后,这些患者才能达到保护药物,则会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/

想要更多的内容吗?

Sign up for Laerdal Medical email updates. You can identify your interests and receive new educational content, updates, event information and more.

现在订阅

Baidu