Acute Stroke Systems Of Care

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By using the Acute Stroke System of Care, you can greatly improve the outcomes of stroke victims. Greater awareness of strokes can be achieved by teaching the community to recognize it as a “brain attack” rather than a stroke, thus emphasizing how important it is to receive medical care within an hour of the first symptoms. Moving victims to stroke care centers equipped with fibrinolytics is crucial, and EMS systems have been taught to do so.

Stroke Chain of Survival

ACLS Stroke Chain of Survival

Figure 17

Goals of Acute Ischemic Stroke Care

Stroke care is concerned with optimizing the patient’s recovery while simultaneously minimizing brain injury from the stroke. By focusing on transporting patients to stroke-capable centers, general results are improved. This is because stroke centers are much better equipped with the facilities and resources that smaller community hospitals may lack. Specialists such as stroke care specialists and neurologists, as well as multidisciplinary teams with advanced imaging modalities and several other therapeutic options, provide the best chances for a stroke victim’s survival and recovery. Within just 10 minutes, these specialized teams can examine and diagnose the patient who is suspected to have had a stroke.

Take Note

The major steps of stroke diagnosis and treatment, as well as key points at which delays can occur, are highlighted in the 8 D’s of Stroke Care (Table 2).

The 8 D’s of Stroke Care

Detection Rapid recognition of stroke systems
Dispatch Early activation and dispatch of EMS by 911
Delivery Rapid EMS identification, management, and transport
Door Transport to stroke center
Data Rapid triage, evaluation, and management in ED
Decision Stroke expertise and therapy selection
Drug Fibrinolytic therapy, intra-arterial strategies
Disposition Rapid admission to the stroke unit or critical care unit

Table 2

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