Chapter 3 – Ischemic Stroke
Abstract This chapter discusses the four main components of acute ischemic stroke care. The sections on prevention of complications, and recovery and rehabilitation, are applicable to both ischemic and hemorrhagic…
EMERGENCY MEDICINE
Chapter 1 – Stroke in the Emergency Department
Abstract Stroke is the most common neurological emergency, and, because effective treatments are available that must be started within minutes, most acute neurological presentations should be assumed to be a…
Chapter 2 – What to Do First
Abstract The following initial measures apply to all stroke patients. They are necessary to stabilize and assess the patient, and prepare for definitive therapy. All current and, probably, future stroke…
Chapter 8 – Ischemic Stroke Etiology and Secondary Prevention
Abstract In this chapter, we discuss mainly secondary prevention for stroke, although many of the measures, especially control of risk factors and lifestyle changes such as not smoking, controlling blood…
Chapter 7 – Neurological Deterioration in Acute Ischemic Stroke
Abstract Although, classically, stroke symptoms are maximal at onset and patients gradually recover over days, weeks, and months, patients sometimes deteriorate. People have termed the phenomenon stroke progression, stroke in…
Chapter 5 – Intravenous Thrombolysis
Abstract The only treatment that has been proven to improve outcome after ischemic stroke is to reperfuse the brain by removing the arterial obstruction. All animal and clinical studies show…
Chapter 6 – Endovascular Therapy
Abstract When used alone, intravenous and intra-arterial thrombolysis have yielded low recanalization rates of proximal large-vessel occlusions (LVO). The endovascular trials utilizing first-generation devices such as the Merci retriever and…
Chapter 33 – Legal Issues in Field Hospital Deployments
Abstract The deployment of field hospitals to meet the medical needs of the affected population is a common occurrence in the aftermath of many emergencies. Their use may give rise…
Chapter 32 – Ethical Dilemmas in Field Hospital Deployments
Abstract Disasters are inevitable. Health-care providers operating in disaster zones must make decisions that are unique and different from those encountered in their routine health-care work environment. Treatment decisions made…
Chapter 31 – Long-term Deployment and Continuity of Care
Abstract The world’s most fragile states contain 38% of the world’s population and are among the world’s poorest. In these states up to 10% of all deaths and 20% of…
