Emergi-paths and stroke teams: an emergency department approach to acute ischemic stroke.
In patients with early acute ischemic stroke (AIS), studies have shown improved recovery rates when thrombolytic therapy is appropriately initiated. However, in clinical practice, there are several barriers to rapid patient evaluation and drug administration. To facilitate the management of this population, an AIS clinical pathway, Emergi-path, was developed. Initiated at the time of the patients' arrival to the emergency department, Emergi-path provides a step-by-step guide for early care of AIS patients. A citywide stroke team plays an integral role in this process by responding to stroke codes. Implementation of an AIS pathway and activation of an organized team of stroke specialists can facilitate rapid evaluation and treatment of this high-risk population.
Bonnono
C
C
Oregon Health Sciences University, 12320 SW 127th Avenue, Tigard, OR 97223, USA.
Criddle
L M
LM
Lutsep
H
H
Stevens
P
P
Kearns
K
K
Norton
R
R
D000368:Aged; D002544:Cerebral Infarction / Q000175:diagnosis / Q000451:nursing*; D019091:Critical Pathways; D004636:Emergency Service, Hospital; D006801:Humans; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment; D009733:Nursing Diagnosis; D010348:Patient Care Team