E.02 Streamlining hyperacute stroke management at Royal University Hospital

Streamlining of prehospital stroke management: the golden hour.

Thrombolysis with alteplase administered within a narrow therapeutic window provides an effective therapy for acute ischaemic stroke. However, mainly because of prehospital delay, patients often arrive too late for treatment, and no more than 1-8% of patients with stroke obtain this treatment. We recommend that all links in the prehospital stroke rescue chain must be optimised so that in the fu...

Neurology elective at the Royal London Hospital.

Cognitive deficits in hyperacute stroke.

Cognitive Deficits in Hyperacute Stroke To the Editor: We read with great interest in the September issue of Stroke the article by Hillis and co-workers and the editorial comment by Merino and Heilman.1,2 In this very well-conducted study, Hillis et al showed that the National Institute of Health Stroke Scale (NIHSS) is not a reliable scale for assessing stroke severity and outcome because of t...

Audit of Cord Prolapse Management at King Abdulaziz University Hospital

To assess the incidence of risk factors, management and outcome of umbilical cord prolapsed in a university hospital setting. A retrospective chart review of women who had cord prolapsed at King Abdulaziz University Hospital over a period of eight years. During the study period there were 49 cases of cord prolapsed (0.15% incidence), which includes seven cases of cord presentation. The mean mat...

Pain management at inpatient wards of a university hospital.

BACKGROUND AND OBJECTIVES This is an exploratory, descriptive and transversal study aiming to determine the prevalence, characterization, location, and measurement and discuss pharmacological analgesic measures for acute pain management in five inpatient wards of a university hospital. METHOD We enrolled 856 subjects in the study, of whom 272 were in pain at the time. Information related to p...