Emergency Stroke Management

Definition

A stroke, sometimes known as a brain attack, happens when something blocks blood supply to a part of the brain or when a blood vessel in the brain bursts. In both case, parts of the brain come to be damaged or die. A stroke can reason lasting brain damage, long-time period disability, or maybe death.

Stroke Management Timing

Best time for Screening            : Within first 3 hours

Hyper Acute Stroke                 : Less than 24 hours

Acute Stroke                            : 24 hours to 1 week

Sub-acute Stroke                      : 1 week – 3 weeks

Chronic/Old Stroke                  : More than 3 weeks

Why Is Stroke So Important?

• Stroke has already reached epidemic proportions.
• Stroke is the leading cause of death and disability worldwide.
• Over 13 million people have stroke each year.
• Around 5.5 million die off stroke each year.
• Globally 1 in 4 adults over the age of 25 will have a stroke in their lifetime.
• Stroke can occur at any age. But risk increases with age

Classification of Strokes:

Symptoms of Stroke

BE FAST Reminder of Stroke Signs:

B - Balance.

Is the person suddenly having trouble with balance or coordination?

E - Eyes.

Is the person experiencing suddenly blurred or double vision or a sudden loss of vision in one or both eyes without pain?

F - Face Drooping.

Is one side of the face drooping? Ask the person to smile.

A- Arm Weakness.

Does one arm drift downward? Have the person raise both arms in the air.

S - Speech Difficulty.

Is he or she slurring their speech or having difficulty getting the words out, right? Have the person repeat a simple phrase.

T - Time to call.

Time to call 10666 and get the person to Uniter Stroke center immediately.

Treatment for Acute Ischemic Stroke

• Antiplatelets
• Control of blood sugar, blood pressure
• Treatment of complications
• Thrombolysis
• Mechanical Thrombectomy