| Autor: |
Zuzan, O., Müller-Vahl, H. |
| Zdroj: |
Intensivmedizin und Notfallmedizin; 19970301, Vol. 34 Issue: 2 p131-139, 9p |
| Abstrakt: |
Summary: Objektive: To review the prehospital management of patients with suspected acute stroke. Method: The records of 298 consecutive patients with suspected acute stroke treated out-of-hospital by an emergency physician were analyzed. Results: 67 patients had a Glasgow Coma Scale below 8; 14 of those were intubated and received artificial ventilation. Oxygen inhalation was administered to 116 patients. 62 patients were given antihypertensive drugs; 21 of these patients had a systolic blood pressure above 200 mmHg. Blood glucose testing revealed values below 70 mg/dl or above 180 mg/dl in 14 of 68 patients. Conclusions: Patients with suspected stroke often suffer from severely impaired consciousness. Physicians in this study restricted intubation and controlled ventilation to a small number of patients. In our opinion this practice should be reconsidered as pathophysiologic data indicate that comatose stroke patients will benefit from early securing of adequate ventilation and oxygenation. Oxygen inhalation is not administered often enough regarding the potential benefit. Caution is required with antihypertensive drugs as they were applied too often in this study. Blood glucose should be tested in every stroke patient as early as possible. Suspected stroke represents an emergency requiring immediate professional medical care. Improvements in the treatment protocol have to be made. |
| Databáze: |
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