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Innovations in Care Delivery of Stroke from Emergency Medical Services to the Neurointerventional Operating Room. Neurosurgery 2019 Jul 01;85(suppl_1):S18-S22

Date

06/15/2019

Pubmed ID

31197327

DOI

10.1093/neuros/nyz021

Scopus ID

2-s2.0-85068167086 (requires institutional sign-in at Scopus site)   2 Citations

Abstract

Acute ischemic stroke (AIS) and its care is currently one of the most dynamic and evolving illnesses across the globe. Among the most crucial factors in providing the best care to patients are the expedient delivery of thrombolytics and endovascular intervention when indicated. Here, we review our unique model of efficient care centered in our innovative Neurological Emergency Department (Neuro ED). The Neuro ED acts as our hub for EMS communication, imaging, administration of intravenous alteplase, and transition to the Neurointerventional OR. Our structure with its enabling of shortened IV alteplase delivery times and faster door-to-needle (DTN) times may serve as an international model for stroke centers.

Author List

Greenberg K, Hedayat HS, Binning MJ, Veznedaroglu E

Author

Hirad S. Hedayat MD Associate Professor in the Neurosurgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged
Brain Ischemia
Delivery of Health Care
Emergency Medical Services
Emergency Service, Hospital
Female
Fibrinolytic Agents
Humans
Male
Operating Rooms
Stroke
Thrombolytic Therapy
Time-to-Treatment
Tissue Plasminogen Activator