Managing the cerebral insult patients on the prehospital stage

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Abstract

Prehospital stage is the first link in the system of care for patients with acute cerebrovascular accident (CVA). All patients with suspected stroke should be hospitalized first brigade arrived on a call to a specialized neurological department for the treatment of patients with CVA. Base tasks of prehospital medical care are accurate diagnosis and differential diagnosis of stroke stroke with other emergency conditions, and minimizing delays in transportation. When using a formalized algorithm telephone survey frequency coincidence reason to call the brigade arrived and the diagnosis can be up to 61.2%. Maximally fast transportation of the patient directly to the office round the clock computer tomography, bypassing receiving department also reduces the time the survey takes to verify the nature of the stroke are the key to the success of thrombolytic therapy in patients with ischemic stroke. Important for improving the quality of care for patients with stroke in the prehospital phase has a professional development of ambulance employees.

About the authors

N. A Shamalov

N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Email: shamalov@gmail.ru
д-р мед. наук, проф. НИИ цереброваскулярной патологии и инсульта ГБОУ ВПО РНИМУ им. Н.И.Пирогова 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1

A. M Sidorov

A.S.Puchkov Station of Emergency Medical Assistance

канд. мед. наук, ГБУ ССиНМП им. А.С.Пучкова 129090, Russian Federation, Moscow, 1-i Koptel'skii per., d. 3, str. 1

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