What is the primary goal for the acute management of stroke?

Updated: Sep 08, 2017
  • Author: Edward C Jauch, MD, MS, FAHA, FACEP; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

Answer

The goal for the acute management of patients with stroke is to stabilize the patient and to complete initial evaluation and assessment, including imaging and laboratory studies, within 60 minutes of patient arrival. [1] (See Table 1, below.) Critical decisions focus on the need for intubation, blood pressure control, and determination of risk/benefit for thrombolytic intervention.

Table 1. NINDS* and ACLS** Recommended Stroke Evaluation Time Benchmarks for Potential Thrombolysis Candidate (Open Table in a new window)

Time Interval

Time Target

Door to doctor

10 min

Access to neurologic expertise

15 min

Door to CT scan completion

25 min

Door to CT scan interpretation

45 min

Door to treatment

60 min

Admission to stroke unit or ICU

3 h

*National Institute of Neurological Disorders and Stroke

**Advanced Cardiac Life Support guidelines


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