Reliability of stroke diagnosis in emergency departments

[Reliability of stroke diagnosis in emergency departments].

INTRODUCTION According to the Spanish Stroke Health Care Plan and the Spanish Health National Service Stroke Strategy, thrombolysis should only be performed in hospitals with Stroke Units. However, the Andalusian Stroke Health Care Plan includes, within the list of services of the Stroke Team, the need to have a neurologist present for the performing of thrombolysis in local hospitals. The obje...

Reliability of stroke diagnosis in emergency departments

Accuracy and Reliability of Stroke Diagnosis in the Pediatric Emergency Department.

BACKGROUND AND PURPOSE Access to acute stroke interventions in the emergency department (ED) relies on correct clinical diagnosis. Our aims were to determine the accuracy and reliability of pediatric ED physician diagnosis of childhood stroke and other conditions presenting with brain attack symptoms. METHODS Prospective study of consecutive children aged 1 month to 18 years presenting to the...

Diagnosis of Stroke and Stroke Mimics in the Emergency Setting

Patients with suspected stroke require urgent evaluation in order to identify those who may be eligible for time-sensitive therapies. A focused and systematic approach to diagnosis improves the likelihood of identifying patients with probable ischemic stroke and minimizes the chances of exposing patients with alternate diagnoses to potentially harmful treatment. This chapter emphasizes the hist...

Stroke Diagnosis in the Pediatric Emergency Department

See related article, p 1198. Diagnosis of pediatric stroke is often delayed, which has ramifications for the eligibility of children for hyperacute treatments such as thrombolysis and endovascular recanalization. Delayed pediatric stroke diagnosis occurs across developed countries, and delays occur at multiple stages of the prehospital, emergency room, and hospital course. In a Canadian cohort,...