Avtor/Urednik		Kovač, Miha
Naslov		Ukrepi na terenu pri bolniku z akutno možgansko kapjo
Prevedeni naslov		Field measures in the case of an acute stroke
Tip		članek
Vir		In: Križančič M, editor. Nujna medicinska pomoč. Zbornik izbranih tem Delavnica Urgentne medicine; 2003; Ljubljana. Ljubljana: Društvo študentov medicine Slovenije,
Leto izdaje		2003
Obseg		str. 41-7
Jezik		slo
Abstrakt		In 1998, prehospital emergency doctors of the Ljubljana Medical Centre treated 175 patients diagnosed with a transient ischaemic attack and 497 patients diagnosed with cerebrovascular insult. With the introduction of trombolitic medication the treatment of a stroke became very similar to the treatment of the heart attack. Between the ischaemic core and the normally perfused brain tissue is an area of compromized but salvageable tissue in a zone of reduced blood flow-the penumbra. The penumbra is viable for up to several hours after the onset of a stroke, and progressive cell death occurs if the penumbra is not rescued by reperfusion or neuroprotective measures started during the early hours following occlusion. Despite frequent complications (bleedings) the results are favourable and force us to reflect the treatment of a stroke from a different aspect. The therapeutic window is extremely narrow, there are only three hours on disposal for a successful use of trombolitics. Every link in the chain of survival must be optimal. The patient and his or her relatives should recognise the symptoms of the stroke immediately and active pre-hospital emergency units which must react right away and, after having given full pre-hospital care, hand the patient over to the admitting neurologist. The neurologist must use all necessary diagnostic methods, including the CT and, providing that all conditions are fulfilled, apply trombolitic medication. At present this chain still has many weak links. It will probably be easier and faster to strengthen the pre-hospital treatment since already now the field care of a patient with a stroke practically doesnt differ from the indicated directions.
Deskriptorji		EMERGENCY MEDICAL SERVICES CEREBRAL INFARCTION THROMBOLYTIC THERAPY HYPERTENSION