Statistics
How often does a stroke occur in the US?
Every 40 seconds
Patients are only eligible to receive IV TNK if they arrive to the hospital within ____ hours.
4.5
What is a TIA?
Self resolving stroke-like symptoms with no evidence of tissue damage on MRI.
How many patients develop dysphagia post stroke?
51-55% with clinical testing and 64-78% with instrumental testing.
https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2022.823189/full
What does the BEFAST scale stand for?
Balance, Eyes, Face, Arm, Speech, and Time
How many people per year have a stroke in the US?
800,000
This is a invasive endovascular procedure for stroke patients with large or medium vessel occlusions with a goal of clot removal
Mechanical thrombectomy
Blockage of blood flow to the brain causing tissue damage visualized on MRI.
When should therapy begin post-stroke?
As soon as it is SAFE!
A patient with left hemiplegia and right gaze likely has a _____ hemispheric stroke.
Right
What is Arkansas currently ranked for stroke mortality in the US?
9th!
What are two types of occlusions that may benefit from mechanical thrombectomy?
Large and medium vessel occlusions
Ie MCA M1, M2, M3 Segments
What is a hemorrhagic stroke?
While working with a patient, they develop stroke-like symptoms. What should you do?
DON'T WAIT, CALL 88
A patient with aphasia and right hemiparesis, likely has a _____ hemispheric stroke.
Left
Stroke is the # ____ cause of disability.
1
Patients must present to the hospital within ___ hours to be a candidate for mechanical thrombectomy.
24
Some patients with a LKW over 24 hours may benefit from thrombectomy based on the amount of salvageable tissue.
What is permissive hypertension?
Allowing an acute ischemic stroke patient to have blood pressure up to 220/120 to allow perfusion to the brain that has been ischemic.
Name some situations where you should "hold" therapy?
Hypotension in an acute ischemic stroke patient.
Hypertension in a hemorrhagic stroke patient.
Intubated.
Expansion of a hemorrhage
etc.
A patient that has ataxia and a right or left visual field cut, likely has a _____ stroke.
Cerebellar
How many neurons are lost per second of an acute ischemic stroke?
32,000
What are post-thrombolytic patients at risk for?
Hemorrhage
What is a TICI score?
Grading score for reperfusion of a previously occluded artery.
Goal TICI score post thrombectomy is TICI 2b or 3.
Who is the coolest team in the hospital?
THE THERAPY TEAM
Brainstem