Stroke Management : 4 and a half hour window to save a life
The time span for treatment of a stroke is rather short, hence treatment can be time-sensitive. In order to save the life of a stroke sufferer, Sri Ramakrishna Hospital offers an in-depth look into Stroke Management.
A stroke happens when a blood artery in the brain becomes occluded or ruptures, cutting off oxygen and blood flow. Brain cells eventually die as a result of this. A lack of oxygen delivery and cell death can cause irreversible brain damage, and in the worst-case scenario, death.
One of the most prevalent types of strokes is acute ischemic stroke (AIS). When a blood clot blocks a blood vessel's oxygen supply, AIS ensues. AIS is a medical emergency that necessitates immediate attention because every second counts in the rehabilitation process. Two million neurons die per minute as a result of an ischemic stroke, according to medical reports. In the medical field, every advance has been a gift to humanity. Stroke treatment has evolved in a similar way to help people recover from a life-threatening circumstance.
Treatments that have been shown to be both effective and widely accepted are:
- Intravenous thrombolysis, or IVT for short.
- EVT stands for Endovascular Therapy (i.e Mechanical Thrombectomy)
Although Nihilism was a widely used treatment for stroke prior to the emergence of these treatments. Before going to a hospital for stroke treatment, it's critical to know the symptoms of a stroke so that you can take action right away. FAST is an acronym that can assist people better comprehend the symptoms of a stroke.
F: Facial Droop - One side of the face shows no sign of movement.
A: One-Arm Drift - One arm will sway.
S : Slurred and muttered speech is frequently unintelligible because of its slurring.
T : The word time means it's time to seek medical attention.
When the above-mentioned symptoms appear and someone is suspected of having a stroke, getting to an emergency room is critical. The diagnosis and treatment must be provided in less than four and a half hours. It takes around sixty minutes after the patient is brought into an emergency department to see what occurs next.
- An emergency physician sees the patient in around ten minutes.
- The Neurologists finish their examination of the patient in around fifteen minutes.
- The contrast CT brain scan and MRI used in the diagnosis can be completed in twenty-five minutes if the procedure is followed.
- The scan results are normally available in forty-five minutes, at which point the condition can be assessed and treatment options discussed.
- Thrombolytic therapy is started in sixty minutes for the patient.
In order to break or dissolve the clot in a stroke victim within the golden window of four and a half hours, the thrombolytic procedure is used, which involves injecting an intravenous medication as soon as the diagnosis is made. Mechanical thrombectomy may be used in conjunction with thrombolytic therapy to assist remove clots from big brain vessels by sucking them up. If the patient arrives at the hospital after the stroke's golden window, a direct thrombectomy can be planned for up to 24 hours if the blockage is in a big channel.
The golden window is prolonged for thrombolysis to six hours and for thrombectomy to twenty-four hours in patients with posterior circulation strokes.
To treat ischemic stroke and enable people return to their normal body activities without any significant disability, Sri Ramakrishna Hospital offers both treatment approaches.
Patients who do not go to the hospital quickly after suffering a stroke run the risk of permanent disability and perhaps death. Many treatment options are available from Sri Ramakrishna Hospital's neurologists to help patients recover from stroke and its sequelae.
Seek advice from the hospital's Best Neurologists in Coimbatore, who are leaders in their fields of study and practise. People who live a long distance away can use the online video consultation service if they have a medical emergency and need rapid attention. Doctors are on call 24 hours a day, seven days a week to treat patients. The services provided by Sri Ramakrishna Hospital are on par with international standards, ensuring that patients receive the care they require.