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Treating Ischemic Stroke as an Emergency
Journal article   Open access   Peer reviewed

Treating Ischemic Stroke as an Emergency

Harold P Adams
Archives of neurology (Chicago), Vol.55(4), pp.457-461
04/01/1998
DOI: 10.1001/archneur.55.4.457
PMID: 9561972
url
https://doi.org/10.1001/archneur.55.4.457View
Published (Version of record) Open Access

Abstract

The success of treatment with tissue plasminogen activator serves as an impetus to approach stroke as a medical emergency; diagnosis and treatment must be accurate and prompt. The initial evaluation should be straightforward and aimed at confirming ischemic stroke as the cause of the patient's acute neurologic impairments. Until the usefulness of diagnostic tests to demonstrate an arterial occlusion is established in emergent management, their application before treatment should not be mandated. Most individuals with acute ischemic stroke will receive their initial, key treatment in a community setting. Thus, strategies for emergent treatment should aim at management of patients whose strokes are diagnosed and first treated by emergency treatment and primary care physicians with the collaboration of neurologists.Arch Neurol. 1998;55:457-461-->

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