ACLS Supplementary materials by American heart Association

By American heart Association

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If the neurologic symptoms completely resolve within 1 hour, the event is then classified as a TIA. 88 © 2006 American Heart Association 38 A physician should evaluate patients who experience a TIA to identify therapies that may reduce the risk of stroke. Antiplatelet agents such as aspirin can reduce the risk of subsequent stroke in patients with TIA, and other treatment may be needed. Stroke Definition A stroke is a temporary or permanent loss of functioning in a region of the brain caused by an interruption in the blood supply to the brain.

99-101 This delay can eliminate the possibility of fibrinolytic therapy. 101,117 BLS EMS providers now play a critical role in • Recognition and stabilization of the potential stroke victim • Selection of a receiving hospital capable of administering fibrinolytic therapy • Rapid transport Each receiving hospital should define its capability for treating patients with acute stroke and should communicate this information to the EMS system and the community. Although not every hospital can organize the necessary resources to safely administer fibrinolytic therapy, every hospital with an emergency department should have a written plan describing how to manage patients with acute stroke in that institution.

The following are conditions associated with good outcome: • Anticipated rescuers should have formal training in CPR and use of an AED (a nationally recognized course, such as the AHA Heartsaver AED Course or its equivalent, may be recommended). • Use treatment protocols such as the CPR-AED algorithm that are approved by healthcare provider oversight. • Perform routine checks and maintenance on the AED. © 2006 American Heart Association 62 • Notify local EMS authorities of AED placement so that EMS personnel, particularly the EMS dispatcher, are aware that the 911 caller is in a location in which an AED is available.

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