CullmanTimes.com - Cullman, Alabama

Health

February 3, 2013

American Stroke Association: Quick action key to stroke treatment

New guidelines recommend therapy within 60 minutes of hospital arrival

People having an ischemic stroke -- which accounts for nine in 10 strokes -- should receive clot-dissolving therapy, if appropriate, within 60 minutes of arriving at the hospital, according to new American Stroke Association guidelines published in the American Heart Association journal Stroke.

Ischemic stroke is caused by a blood clot in the arteries leading to the brain. Calling 9-1-1 immediately after recognizing any of the warning signs of stroke -- and getting to a stroke center as fast as possible -- are still the most important steps for optimal stroke care.

Rapid action a must

During an acute stroke, physicians must evaluate and diagnose the patient as soon as possible to determine if the patient is eligible to receive the clot-dissolving drug recombinant tissue plasminogen activator (tPA), which must be given 4.5 hours within hours of symptom onset. The goal is to minimize "door to needle" time which provides the patient with the best opportunity for benefit from the treatment.

"tPA can now be considered for a larger group of patients, including some those who present up to 4.5 hours from stroke onset," said Edward Jauch, M.D., lead author of the guidelines and director of the Division of Emergency Medicine at the Medical University of South Carolina.

The new guidelines recommend integrating regional networks of comprehensive stroke centers (which offer 24/7, highly specialized treatment for all types of stroke); primary stroke centers (which provide 24/7 specialized care mainly for ischemic stroke); and acute stroke-ready hospitals (which can evaluate and treat most strokes but lack highly specialized capabilities), and community hospitals.

"This is the first time we've brought these healthcare elements together -- including community hospitals which may lack onsite stroke expertise -- which reflects the emerging role of telemedicine in these hospitals," Jauch said.

Guidelines revised

Among other major revisions to the guidelines, if feasible, patients should be transferred rapidly to the closest available certified primary care stroke center or comprehensive stroke center, which might involve air medical transport.

Text Only
Health
  • treadmill-very-fast.jpg Tax deduction for a gym membership?

    April marks another tax season when millions of Americans will deduct expenses related to home ownership, children and education from their annual tax bill. These deductions exist because of their perceived value to society; they encourage behaviors that keep the wheels of the economy turning. So why shouldn't the tax code be revised to reward preventive health?

    April 15, 2014 1 Photo

  • Boston doctors can now prescribe you a bike

    The City of Boston this week is rolling out a new program that's whimsically known as "Prescribe-a-Bike." Part medicine, part welfare, the initiative allows doctors at Boston Medical Center to write "prescriptions" for low-income patients to get yearlong memberships to Hubway, the city's bike-share system, for only $5.

    April 12, 2014

  • Fast, cheap test can help save lives of many babies

    As Easley did more research into her daughter's death, she learned that a pilot program had started just months earlier at Holy Cross Hospital in Silver Spring, Md. (Easley had delivered at a different hospital in the Washington area.) The program's goal was to screen every newborn with a simple pulse oximeter test that can help detect heart problems such as Veronica's, allowing doctors to respond.

    April 8, 2014

  • CEMS groundbreaking CEMS holds groundbreaking

    March 31, 2014 1 Photo

  • Which foods are the worst for the environment?

    As with most arguments about our food supply, though, it's not that simple. Although beef is always climatically costly, pork or chicken can be a better choice than broccoli, calorie for calorie.

    March 15, 2014

  • ERIC-HOLDER.jpg Holder: Heroin deaths an 'urgent and growing public health crisis'

    Attorney General Eric Holder, calling the rise in deaths from overdoses of heroin and prescription painkillers an "urgent and growing public health crisis," is outlining a series of efforts by the Justice Department to combat the epidemic.

    March 11, 2014 1 Photo

  • Study says too much protein could lead to early death

    Even as researchers warned of the health risks of high-protein diets in middle age, they said eating more protein actually could be a smart move for people over 65.

    March 4, 2014

  • Six reasons childhood obesity has fallen so much

    A major new paper appearing in Wednesday's edition of the Journal of the American Medical Association finds that childhood obesity - age 2 to 5 - has fallen from 13.9 percent in 2003-04 to 8.4 percent in 2011-12.

    February 27, 2014

  • Does your insurance plan cover self-inflicted injuries?

    Dealing with a suicide or attempted suicide is stressful enough. Some health plans make the experience worse by refusing to cover medical costs for injuries that are related to suicide or an attempt - even though experts say that in many cases such exclusions aren't permitted under federal law.

    February 26, 2014

  • You can examine your doctor's record, but don't expect to learn everything

    Recently a reader wrote me to ask how patients can perform background checks on their doctors, to make sure that they're in good standing. He had a reason for asking: A few years ago, he said, he'd agreed to have a spinal fusion performed by an apparently well-regarded surgeon.

    February 25, 2014