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UVA Health's Karen Johnston, MD, the SHINE trial leader, was pleased to see the new insights into bestpractices for stroke care. These brain bleeds, known as symptomatic intracerebral hemorrhages, are considered one of the most dangerous complications of ischemic stroke treatment.
Intracerebral hemorrhage is the most serious type of stroke, leading to high rates of severe disability and mortality. A wide range of evidence suggests that ultra-early bundled care, with multiple simultaneous interventions in the acute phase, offers the best hope of limiting hematoma expansion and improving functional recovery.
We evaluated the participants ability to complete critical actions that were developed based on bestpractices and relevant American Heart Association guidelines and the Neurocritical Care Society's Emergency Neurological Life Support protocols.
Background:The 2023 American Heart Association/American Stroke AssociationsGuideline for Management of Patients with Aneurysmal Subarachnoid Hemorrhage(SAH) support use of the Ottawa Rule to screen individuals at risk. If criterion is met, a bestpractice alert (BPA) triggers within the electronic medical record.
Background:Stroke centers across the country followadhere to established bestpractice timeframes for stroke care delivery, such as door-to-doctor, door-to-CT, and door-to-needle times. Stroke, Volume 56, Issue Suppl_1 , Page AWP83-AWP83, February 1, 2025.
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