Thrombolysis - European Society of Cardiology · IV Thrombolysis Supported by Bayer, Bristol-Myers...
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Transcript of Thrombolysis - European Society of Cardiology · IV Thrombolysis Supported by Bayer, Bristol-Myers...
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ESC Heart & Brain Workshop
IV Thrombolysis
Supported by Bayer, Bristol-Myers Squibb and Pfizer Alliance, Boehringer Ingelheim, Daiichi Sankyo Europe GmbH and Medtronic in the form of educational grants. The scientific programme has not been influenced in any way by its sponsors.
Natan Bornstein & Marta RubieraStroke Neurologists
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57 years-old female, hypertensive, who presents withsomnolence, deep right hemiplegia and severe aphasia…
WHEN ? Witnessed, 2.5 hours ago…
WHAT ? RACE 8 TACI
WHY NOT?
Strokeneurologist
EMS
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Probability of Large Vessel Occlusion
TRIAGE
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57 years-old female, hypertensive, who presents withsomnolence, deep right hemiplegia and severe aphasia…
WHEN ? Witnessed, 2.5 hours ago…
WHAT ? RACE 9 TACI
WHY NOT? No contraindications BP 160/98 Glc 122
Coagulation / platelets ??
Strokeneurologist
EMS
Coagulation /platelets ??
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Emergency Room
CT-Scan
Angio-Suite
Pre-notificationRACE>4 o NIHSS >10< 6 hours
ER CODE
CT CODE
ANGIO CODE
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24h NIHSS: 2
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WHEN ? Last seen normal 12h ago, when he went to bed
WHAT ? RACE 6 TACI
WHY NOT?
Comarcal neurologist
83 years-old male, mRS 2, DM, HTA, who is found at bedwith dysarthria and moderate left hemiparesia and heminegligency…
Last seen normal 12h ago !!
EMS
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?
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J.strokecerebrovascdis. 2016, 25; 11:2063-69
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