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Ultima descărcare din IBN: 2023-12-19 10:30 |
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616.831-005.4-07-084(478) (1) |
Инфекционные заболевания. Инфекционные лихорадки (974) |
SM ISO690:2012 CATANOI, Natalia. Management of ischemic stroke at the prehospital stage in the Republic of Moldova. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 73. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.831-005.4-07-084(478) | ||||||
Pag. 73-73 | ||||||
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Rezumat | ||||||
Background. Early recognition of the symptoms of a stroke, emergency transportation, and immediate takeover of the patient in the emergency department (ED) is essential for initiating thrombolytic therapy in ischemic stroke and remains one of the biggest challenges in emergency medicine. Objective of the study. To appreciate the importance of emergency medical care (EMC) in reducing the time from the onset of symptoms and the call to EMC to transportation to the ED, takeover by the Stroke team, and administering specific treatment. Material and methods. The data presented were collected from the standardized Request Sheets, 110/e form of the Prehospital EMC service from the Republic of Moldova, during the 2017 - 2021 years. Results. Cincinnati and FAST assessment scales have been implemented to quickly identify stroke for medical dispatchers and prehospital EMC teams, which are easy to use and increase operativity. In the structure of medical-surgical emergencies according to the nosological profile, the neurological emergencies are in the 3rd place with a level higher than 13.0%. The average time to service stroke requests in 2018 – 71.4 min, in 2021 – 69.8 min. Distribution of stroke cases according to patients’ age: ≤40 years in 2017 – 2.4%, 2021 – 1.6%; 40-50 years in 2017 – 5.1%, in 2021 – 3.4%. In the therapeutic window were served 23.1% in 2020 and 63,8% in 2021 of the total number of stroke patients. Conclusion. Early recognition and minimization of time from the onset of stroke to takeover of the patient by the STROKE team at ED and initiating treatment are the main levers that can be influenced. Therefore, the role of the Prehospital EMC Service in the management of ischemic stroke is essential. |
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Cuvinte-cheie stroke, ischemic, emergency, Prehospital, accident, vascular, cerebral, ischemic, urgență, Prespital |
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