Adel Hamed ELBAIH, Mahmoud DIBAS

Approach of ACLS for stroke patients

Stroke has become one of the leading causes of serious, long-term neurologic impairment and functional disability and is the cause of mortality. However, first aid providers should be trained to utilize a simple stroke assessment tool such as the Face, Arm, Speech, Time scale (FAST) or the Cincinnati Prehospital Stroke Scale (CPSS) to identify individuals with suspected acute stroke. Initial assessment and evaluate the suspected stroke patient’s presentation to recognize potentially life-threatening conditions and to convey life-saving treatment It is collection of all possible available data about the Stroke patients’ therapy in the Emergency department. By many research questions to achieve these aims so a midline literature search was performed with the keywords “critical care”, “emergency medicine”, “principals of ACLS therapy in stroke", "ACLS and stroke”. All studies introduced that the initial stroke therapy is a serious condition that face patients of the emergency and critical care departments. Literature search included an overview of recent definition, causes and recent therapeutic strategies. Practitioner’s experts should be known approach stroke from the ACLS aspect. It is important to always remember, “Brain is time”, and whenever we intervene fast, there is a higher chance that we salvage the brain of the patient and preserve his functional and neurological abilities.

PDF

___

1. Feigin VL, Forouzanfar MH, Krishnamurthi R, et al. Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010. Lancet. 2014;38:245-55.

2. Krishnamurthi RV, Moran AE, Feigin VL, et al. Stroke prevalence, mortality and disability-adjusted life years in adults aged 20-64 years in 1990-2013: data from the global burden of disease 2013 study. Neuroepidemiology. 2015;45:190-202.

3. Elbaih AH, Elshaboury IM, Ahmed RM, et al.Validity and prognostic value of serum albumin level in emergency acute ischemic stroke Egyptian patients. Med Sci. 2018;7:736-44.

4. Asirvatham AR, Marwan MZ. Stroke in Saudi Arabia: a review of the recent literature. Pan Afric Med J. 2014;17:2-15.

5. Adeloye D. An estimate of the incidence and prevalence of stroke in Africa: a systematic review and meta-analysis. PloS one. 2014;9:21-30.

6. Taha M, Elbaih A. Review Article, Pathophysiology and management of different types of shock. NMJ. 2017;6:14-39.

7. Monsieurs KG, Nolan JP, Bossaert LL, et al. European resuscitation council guidelines for resuscitation 2015 section 1. Executive summary. Resuscitation. -Limerick, 1972, currens. 2015;9:1-80.

8. Field JM, Gonzales L, Hazinski MF, et al. Advanced cardiovascular life support: provider manual (pp. 51-62). Dallas, TX: American Heart Association. 2016;3:11-23.

9. Kasundra, Gaurav, Isha Sood. Prognostic significance of serum albumin levels in acute ischemic stroke. Stroke. 2014;5:1-4.

10. Powers WJ, Rabinstein AA, Ackerson T, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2019;50:344-18.

11. Elbaih AH, Elzeky EA, Elshaboury I, et al. A comparative study of risk stratifications scores for acute heart failure patients in the emergency department, Egypt. Int J Surg Med. 2017;3:140-9.

12. Elbaih A, Abouzeid A, Nasr GM, et al .A comparative study of risk stratificationtools for chest pain in Egyptians emergency patients. Int J Surg Med. 2018;4:61-70