The Clinton Herald, Clinton, Iowa

Lifestyles

February 2, 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
Lifestyles
  • Way of the Cross photo The Way of the Cross By Amy Kent Herald Staff Writer The Way of the Cross

    April 19, 2014 1 Photo

  • Screen shot 2014-04-18 at 4.44.15 PM.png Paint, doodle and sketch: 3 apps for art lovers

    In the absence of a palette of watercolors and a sketchpad, these three apps can fill in as your art supplies of choice.

    April 19, 2014 1 Photo

  • Costume jewelry popular at auction It was a large and varied auction on April 12 at the National Guard Armory and by the start of the auction more than 100 people had already registered for their bidding number, and 30 to 40 additional people showed up during the first 20 minutes of t

    April 19, 2014

  • Student leadership Alumni honor students at luncheon CLINTON -- Clinton Community College student leaders were recognized at a student leader luncheon. The CCC Alumni Association honored 30 students, who were nominated by the CCC staff and faculty for showing leadership in the classroom, on campus and

    April 18, 2014 1 Photo

  • EICC to host career fair DAVENPORT-- Manufacturing jobs are available for those who look for them. Eastern Iowa Community College's Blong Technology Center is helping in that search with its upcoming Advanced Manufacturing Career Fair, from 2 to 6 p.m April 29. Several area

    April 18, 2014

  • CCC Veterans Association host 'Honor Flight' showing CLINTON -- The Clinton Community College Student Veterans Association will be host a public showing of the Honor Flight Movie at 6 p.m. Thursday, May 8. The movie will be shown at Clinton Community College Auditorium, 1000 Lincoln Blvd., Clinton. The

    April 17, 2014

  • Sound of Music Screenings showcase films at TLP MOUNT CARROLL, Ill. -- Timber Lake Playhouse will host two events next month. A sing-along "Sound of Music" event will be held at 6:30 p.m. Saturday, May 3, and at 2 p.m. Sunday, May 4, at the Mount Carroll theater. A screening of "Young Frankenstein

    April 17, 2014 1 Photo

  • April is Donate Life Month

    CLINTON -- The month of April is National Donate Life Month across the United States. Hospitals across the nation, like Mercy Medical Center in Clinton, join to recognize the impact that organ and tissue donations make and to honor the generosity of

    April 17, 2014

  • Screen shot 2014-04-11 at 4.49.09 PM.png Train, entertain your pets with these 3 smartphone apps

    While they may not have thumbs to use the phone, pets can benefit from smartphone apps designed specifically for them.

    April 13, 2014 1 Photo

  • Alternatives available for addicts DEAR ANNIE: I enjoy reading your column and agree with most of your advice, including your recommendations when it comes to handling alcohol addictions and binge drinking. I do not work in this field, but I've seen alternatives to AA that may be more

    April 12, 2014

Elections
Front page
Clinton Herald Photos


Browse, buy and submit pictures with our photo site.

Poll

Should the city of Clinton appeal the open records violation ruling that will cost taxpayers $40,600?

Yes
No
     View Results
AP Video
Olympics 2014
Featured Comment
Featured Ads
Blue Zones Project
Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.