Innovations in Care Delivery of Stroke from Emergency Medical Services to the Neurointerventional Operating Room

Karen Greenberg, Hirad S Hedayat, Mandy J Binning, Erol Veznedaroglu
Neurosurgery 2019 July 1, 85 (suppl_1): S18-S22
Acute ischemic stroke (AIS) and its care is currently one of the most dynamic and evolving illnesses across the globe. Among the most crucial factors in providing the best care to patients are the expedient delivery of thrombolytics and endovascular intervention when indicated. Here, we review our unique model of efficient care centered in our innovative Neurological Emergency Department (Neuro ED). The Neuro ED acts as our hub for EMS communication, imaging, administration of intravenous alteplase, and transition to the Neurointerventional OR. Our structure with its enabling of shortened IV alteplase delivery times and faster door-to-needle (DTN) times may serve as an international model for stroke centers.

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