-ok_ stroke INDICATOR IN AIS for nurse neuro

neurosugery nurse

1. QUALITY INDICATOR IN ACUTE ISCHEMIC STROKE Presented by Lesley Samraj Stroke Coordinator Kauvery Institute of Brain and spine

2. You never get a second chance to make a first impression - Will Rogers

3. GOOD TIMES IN JAKARTA

4. ACNN PROGRAMME IN PAST YEARS

5. STROKE = BRAIN ATTACK

6. RECOGNIZE STROKE

7. STROKE FACTS

8. WHAT IS A STROKE?

9. 30,000 BRAIN CELLS DIE EVERY SECOND

10. Why we are Chasing Time ?

11. ACUTE STROKE CARE

12. Preparing the Patient for rt-PA in 30 min (Optimally 15 min) Vital parameters, sugar, INR 5 min (3 min) History, Labs, call CT 3 min (2 min) NIHSS 5 min (2 min) CT (with rt -PA at hand) To CT 5 min (2 min) CT 5 min (4 min) Reading 3 min (1 min) ICH ? Large and/or demarcated infarction ? Measure / Estimate weight 1 min (0 min) Prepare rt -PA, inject 3 min (1 min)

13. EVT / MT (MECHANICAL THROMBECTOMY)

14. STROKE METRICS IN WSO

15. KAUVERY INTEGRATED STROKE CENTRE

16. Summary-Stroke Burden

17. Stroke prevention

18. THANK YOU