The Clinton Herald, Clinton, Iowa

Top News

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
Top News
  • Medicaid paid $12M for Illinois dead

    The Illinois Medicaid program paid an estimated $12 million for medical services for people listed as deceased in other state records, according to an internal state government memo.

    The memo dated Friday, which The Associated Press obtained through a Freedom of Information Act request, says the state auditor compared clients enrolled in the Medicaid database last June with state death records dating back to 1970. Auditors identified overpayments for services to roughly 2,900 people after the date of their deaths.

    April 19, 2014

  • Ohio couple married 70 years die 15 hours apart

    A couple who held hands at breakfast every morning even after 70 years of marriage have died 15 hours apart.

    Helen Felumlee, of Nashport, died at 92 on April 12. Her husband, 91-year-old Kenneth Felumlee, died the next morning.

    April 19, 2014

  • Prince reaches agreement with music label

    Prince now owns the rights to the music he recorded on Warner Bros. Records after years of disputes and battles with the record label.

    Warner Bros. announced Friday it had reached an agreement with the pop icon, who was signed to the label from 1978 to the mid-1990s, during which time he released key projects like "Purple Rain," ''1999," ''Diamonds and Pearls" and "Around the World in a Day."

    Financial terms weren't disclosed.

    April 19, 2014

  • Ill. GOP officials who wanted Brady out replaced

    A crop of Republican officials who wanted to oust former Illinois GOP Chairman Pat Brady for his statements supporting same-sex marriage have been replaced in their party positions.

    Illinois Republicans across the state held elections for all 18 state central committee member posts this week, replacing six of the seven officials who signed on to a letter last year to hold a vote on removing Brady as chairman. The seventh person to sign the letter, Mark Shaw of the 10th Congressional District, was re-elected to a four-year term.

    April 19, 2014

  • Iowa gets nearly $72M in yearly tobacco payment

    Iowa received $71 million this week from tobacco companies — its annual share of a 1998 landmark legal settlement in which tobacco companies pay states for smoking-related health care costs.

    The Iowa Attorney General's Office says that since 1999, the state has received more than $960 million in tobacco payments.

    April 19, 2014

  • U of I burn center sees jump in ammonia burns

    The University of Iowa Burn Treatment Center is reporting a higher-than-normal number of patients suffering from anhydrous ammonia burns.

    The center says it has treated five people in the last two weeks. The center's medical personnel say they usually only see one or two cases each year. Official say the high number of patients in such a short amount of time is concerning.

    April 19, 2014

  • 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

  • Smartphone kill switches are coming

    Smartphones need kill switches. It's a relatively easy solution to the pricey (and irritating) problem of smartphone theft. But who would have thought that the big carriers would team up with Apple, Google, Microsoft, Nokia, Samsung and lots of other manufacturers to voluntarily begin adding the technology by July 2015? The cooperative spirit! It makes so much sense!

    April 19, 2014

  • 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

  • John Hood A year after 'chaos'

    It happened two hours after John Hood finished his run. Like many, he thought the loud boom was just the sound of cannons going off, something that shook the ground. It was odd, but Hood — a 1989 Clinton High School graduate — tried to make it logical, associating the noise with another good happening at the Boston Marathon.

    April 18, 2014 1 Photo

AP Video