[If I had a stroke in 2015].
The management of stroke is now recognized as a real medical emergency as well as myocardial infarct, because we have now an efficacious treatment in cerebral infarct, intravenous fibrinolysis that decreases the risk of death and motor and cognitive handicap. The second characteristic is its very important frequency, and its risk that increases in young people. This medical emergency enforces the care systems because it needs a speedy network for the patient, his family and the care professionals, useful for intravenous fibrinolysis before 3 hours after 80 years and before 4 hours and a half before 80 years. It is necessary to start treatment as soon as possible because it is most effective when given early. The consequences to avoid the lost of chance, need several actions: inform the public about the interest of FAST score to identify the first signs (facial palsy, palsy of arm, aphasia and time of stroke onset); call 15; translate the patient towards an appropriate medical center; use tele-stroke when the hospital has no neurologist; and manage the patient in a stroke unit, to introduce in a second time secondary prevention thanks to therapeutical education. Therefore, stroke care is a real multiprofessional emergency around the neurologist.
CHU de Dijon, unité de soins intensifs neuro-vasculaires, 21000 Dijon, France.
Benoît
B
Daubail
CHU de Dijon, Samu 21, 21000 Dijon, France.
Cindy
C
Tissier
CHU de Dijon, unité de soins intensifs neuro-vasculaires, 21000 Dijon, France.
Nicolas
N
Legris
CHU de Dijon, unité de soins intensifs neuro-vasculaires, 21000 Dijon, France.
Marie
M
Hervieu-Begue
CHU de Dijon, service de neuro-radiologie, 21000 Dijon, France.
Frédéric
F
Ricolfi
CHU de Dijon, service régional d'accueil des urgences, 21000 Dijon, France.
Didier
D
Honnart
CHU de Dijon, unité de soins intensifs neuro-vasculaires, 21000 Dijon, France. Electronic address: maurice.giroud@chu-dijon.fr.
Maurice
M
Giroud
CHU de Dijon, unité de soins intensifs neuro-vasculaires, 21000 Dijon, France.
Yannick
Y
Bejot
CHU de Dijon, Samu 21, 21000 Dijon, France.
Marc
M
Freysz
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004630:Emergencies; D004632:Emergency Medical Services / Q000458:organization & administration; D049674:History, 21st Century; D006760:Hospitalization; D006801:Humans; D008875:Middle Aged; D020521:Stroke / Q000453:epidemiology / Q000628:therapy*; D015912:Thrombolytic Therapy / Q000592:standards / Q000639:trends