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Stroke should be treated as an emergency. Patients and their families and their doctors need to understand the need to minimize the time spent getting the patient to the emergency room. Arriving at the initial emergency room and diagnostic procedures are considered here. This section also covers acute stroke monitoring and care, the roles of antithrombotic therapy, anticoagulants and platelet inhibitors in acute stroke.

Emergency Medical Service
The Chain of Survival
The most important question is, how much time is justified for the different steps (American Stroke Association recommendations)?
Respiratory / Cardiac monitoring and care
Normal respiratory function and adequate blood oxygenation are essential to preserve metabolic function in the ischaemic penumbra
General Stroke Therapy
Respiratory / Cardiac monitoring and care
Normal respiratory function and adequate blood oxygenation are essential to preserve metabolic function in the ischaemic penumbra
Blood pressure control
No randomized controlled trial (RCT) is available to guide blood pressure(BP) management in acute stroke. In the absence
Fluid and electrolyte balance
Control of glucose metabolism
Treatment of fever
Managment of dysphagia, and appropriate nutrition
Acute Antithrombotic Treatment
Anticoagulation for DVT and PE Prophylaxis
Therapeutic Anticoagulation
Acute Treatment: Platelet Inhibitors
Thrombolytic Therapy
Intra-arterial Thrombolysis: PROACT II
PROACT II trial (pro-urokinase) is positive for primary endpoint
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© 2005 Boehringer Ingelheim GmbH, Germany. All rights reserved.
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