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Treating Ischemic Stroke as an Emergency
Arch Neurol 55:457-461, Adams,H.P., 1998
See this aricle in Pubmed

Article Abstract
The success of treatment with tissue plasminogen activator serves as an impetus to approach stroke as a medical emergency;diagnosis and treatment must be accurate and prompt.The initial evaluation should be straightforward and aimed at confirming ischemic stroke as the cause of the patient's acute neurologic impairments.Until the usefulness of diagnostic tests to demonstrate an arterial occlusion is established in emergent management,their application before treatment should not be mandated.Most individuals with acute ischemic stroke will will receive their initial,key treatment in a community setting.Thus,strategies for emergent treatment should aim at management of patients whose strokes are diagnosed and first treated by emergency treatment and primary care physicians with the collaboration of neurologists.
 
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algorithm
cerebral infarction
cerebral ischemia
cerebrovascular accident
cerebrovascular accident,acute management of
cerebrovascular accident,thrombolytic agents in treatment
emergencies,neurologic
emergency medical technicians
emergency physician
fibrinolytic agents
review article
tissue plasminogen activator,intravenous
treatment of neurologic disorder

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