Organization of prehospital medical care for patients with cerebral stroke
Abstract
The main tasks of prehospital medical care are to make a correct diagnosis of stroke and to minimize patient transportation delays. Stroke is a medical emergency so all patients with suspected stroke must be admitted by a first arrived ambulance team to a specialized neurology unit for stroke patients. Most rapidly transporting the patient to hospital, as well as reducing the time of examination to verify the pattern of stroke are a guarantee of successful thrombolytic therapy that is the most effective treatment for ischemic stroke. Substantially reducing the time of in-hospital transfers (the so-called door-to-needle time) allows stroke patients to be directly admitted to the around the clock computed tomography room, without being sent to the admission unit. Prehospital stroke treatment policy (basic therapy) is to correct the body’s vital functions and to maintain respiration, hemodynamics, and water-electrolyte balance and it can be performed without neuroimaging verification of the pattern of stroke. The application of current organizational, methodical, and educational approaches is useful in improving the quality of medical care for stroke patients, in enhancing the continuity between prehospital and hospital cares, and in promoting new effective technologies in stroke therapy.
About the Authors
Nikolai Anatolyevich Shamalov
Research Institute of Cerebrovascular Disease and Stroke, N.I. Pirogov Russian National Research
Medical University, Ministry of Health of Russia, Moscow
Russian Federation
Russian Federation
A M Sidorov
A.S. Puchkov Ambulance Station
Russian Federation
Russian Federation
A L Lukyanov
Research Institute of Cerebrovascular Disease and Stroke, N.I. Pirogov Russian National Research
Medical University, Ministry of Health of Russia, Moscow
Russian Federation
Russian Federation
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Review
For citations:
Shamalov N.A., Sidorov A.M., Lukyanov A.L. Organization of prehospital medical care for patients with cerebral stroke. Neurology, Neuropsychiatry, Psychosomatics. 2013;5(2S):4-8. (In Russ.) https://doi.org/10.14412/2074-2711-2013-2352
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