Acute Stroke is the topic of discussion in this lesson. Along with acute stroke, the Stroke Chain of Survival and goals of acute stroke are emphasized. Outcomes for individuals with stroke have improved significantly due to the implementation of an Acute Stroke System of Care. Systems enhancements and increased knowledge of the subject have led to this improvement in stroke care.

Outcomes for individuals with stroke have improved significantly due to the implementation of
Acute Stroke System of Care. The community is better equipped to recognize stroke as a “brain
attack,” and there is greater awareness of the importance of medical care within three hours of
symptom onset because you will have the opportunity to reverse said symptoms with the fibrinolytic. Likewise, EMS systems have been enhanced to transport individuals to regional stroke care centers that are equipped to administer fibrinolytics.

The Stroke Chain of Survival suggests to first recognize symptoms and activate EMS and expects a timely EMS response. Next, you should notify a stroke-capable center and transport the individual to the center. At the stroke center, the individual receives guideline-based stroke care. Lastly, they receive quality post-stroke care.

The overall goal of stroke care is to minimize brain injury and optimize the individual’s recovery. Preferential transport to stroke-capable centers has been shown to improve outcomes.


Next is Dispatch, which is the early activation and dispatch of EMS by 911.

Delivery refers to rapid EMS identification, management, and transport.

Door refers to adhere to all door to delivery times, such as door to needle in less than 60 minutes, etc.

Data includes rapid triage, evaluation, and management in ED.

Decision involves stroke expertise and therapy selection.

Drug involves fibrinolytic therapy and intra-arterial strategies.

Lastly, Disposition is rapid admission of the stroke unit or critical care unit.

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To find out more about the Save a Life Initiative and the Disque foundation please visit our site or email us at info@DisqueFoundation.org

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