Emergency Stroke Treatment

Since it is generally not known whether stroke can be treated, it is very late to get patients to the hospital. There are some things that are not known about the treatment of this disease. Unfortunately, there is a prejudice in society that ‘stroke cannot be treated’. However, today, if a patient who has a stroke is brought to the hospital in the first hours and the sooner that patient is treated, the higher the chance of treatment. It seems much easier for patients to return to their social life even if they have a stroke. Our society is not yet aware of this treatment, we need to increase awareness of this treatment.

Stroke treatment is a new approach in terms of intervention, it is necessary to save the brain tissue that is sensitive to lack of oxygen after the formation of the clot and to prevent the damage that will occur. Every minute that passes after a stroke means millions of cell deaths. Clot-dissolving treatments via veins must be applied to the patient within the first 4.5 hours of the stroke, and the method of removing the clot in the vein by performing cerebral angiography, that is, the mechanical clot removal method, must be applied to the patient within the first 8 hours. When the treatment is applied within the first 3 hours, 1 in 7 patients recover completely, and when it is applied within the first 4.5 hours, 1 in 11 patients recover completely.

CAN ASPIRIN BE USED IN CASE OF SUDDEN STROKE?

The cause of a stroke could be a brain hemorrhage or a vascular occlusion. When we give a blood thinner, we can increase bleeding. Therefore, we should not take a blood thinner on our own.

CAN BLOOD PRESSURE BE MEASURED AND BLOOD PRESSURE MEDICATION BE GIVEN IN STROKE?

There is absolutely no need to give a drug to lower the blood pressure of such a patient if it is high. The main problem here is that strokes mostly develop in those with high blood pressure, but if the blood pressure is high when we have a stroke, it should not be lowered because a vein is blocked and the vein carries blood to the brain. If we give medication for blood pressure, the blood pressure drops and the blood flowing to the brain decreases. In the case of sudden stroke, blood pressure medication should not be given.

SHOULD WE POUR COLOGNE ON THE PATIENT?

Giving the patient water, pouring cologne on them seem like things done to bring the patient back to his senses, but in fact, these waste doctors’ time. They steal time, but we need to act quickly, and time is limited for what we can do in the emergency room. We need to get the patient to the emergency room as soon as possible. When the patient has a stroke, their swallowing function may have been impaired. Therefore, we should not feed them or give them water to drink, otherwise it can get into the lungs and cause pneumonia, causing the disease to worsen rapidly.