| Autor: |
Bret Nicks, Jackson Henley, Juma Mfinanga, David Manthey |
| Jazyk: |
angličtina |
| Rok vydání: |
2015 |
| Předmět: |
|
| Zdroj: |
African Journal of Emergency Medicine, Vol 5, Iss 1, Pp 37-44 (2015) |
| Druh dokumentu: |
article |
| ISSN: |
2211-419X |
| DOI: |
10.1016/j.afjem.2014.06.002 |
| Popis: |
The current guidelines and evidence supporting acute stroke management have limitations in resource austere environments despite being a leading cause of death worldwide. Developing countries face a rapidly increasing and disproportionate burden of cerebrovascular disease yet differences in setting and resource limitations bring challenges that have a major influence in management options – especially with routine imaging and interventional considerations. In addition, general awareness, diagnosis and management of stroke remain poor. Objectives: To outline current acute stroke management and critical interventions that should be integrated into current practice while highlighting resource-limited care considerations. Methods: A systematic search of Ovid MEDLINE and reference lists of the literature on stroke, guidelines, and acute stroke management including care considerations in resource-limited settings was conducted through March 2014. Recommendations: Within emergency medicine, emphasis should be placed on establishing a robust stroke assessment and care process that is resource appropriate and scalable. Adherence as resources allow to current stroke care guidelines including acute management, stroke center coordination, palliation and resource allocation may improve outcomes. Further research related to resource-limited management is essential. Risk reduction through population-based interventions and early recognition may help to reduce the burden of disease. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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