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Prähospitalversorgung von Patienten mit Verdacht auf akuten Schlaganfall

Prehospital management of patients with suspected acute stroke

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Zusammenfassung

Bei Patienten mit Verdacht auf einen akuten Schlaganfall sollte unverzüglich eine Einweisung in das nächstgelegene Krankenhaus mit Stroke Unit erfolgen. Je kürzer das Intervall zwischen Symptombeginn und Eintreffen im Krankenhaus ist, desto besser sind die Therapiemöglichkeiten. Die schnellstmögliche Thrombolyse und die frühe Behandlung auf einer Stroke Unit verbessert die Prognose des Patienten. Der folgende Beitrag erläutert die Bedeutung des Zeitfaktors beim Management des akuten Schlaganfalls und zeigt Wege auf, wie Verzögerungen in der Prähospitalphase vermieden werden können. Weiterhin werden die wichtigsten Aspekte der Akutbehandlung bei Erstkontakt und Transport besprochen.

Abstract

In acute stroke, early diagnosis, rapid thrombolysis and stroke unit treatment increase the chance of a favorable outcome. Emergency medical services are the first medical contact for most acute stroke patients, thereby playing a crucial role in the identification and treatment of acute stroke patients. In this article strategies that have been developed to reduce the time delay between stroke symptom onset and treatment in view of the narrow time window are discussed. The most important therapeutic aspects of prehospital treatment in patients with acute stroke are summarized.

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Authors and Affiliations

  1. Neurologische Universitätsklinik, Universitätsklinikum Mannheim, Theodor-Kutzer-Ufer 1–3, 68167, Mannheim, Deutschland

    R. Kern

  2. Klinik für Neurologie, Kreisklinikum Siegen, Siegen, Deutschland

    M. Grond

  3. Klinik für Neurologie, Klinikum Harlaching, Städt. Klinikum München GmbH, München, Deutschland

    R. Haberl

  4. Neurologische Abteilung, Universitätsklinikum Schleswig-Holstein, Kiel, Deutschland

    R. Stingele

  5. Neurologische Klinik, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    R. Veltkamp

Authors
  1. R. Kern
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  2. M. Grond
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  3. R. Haberl
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  4. R. Stingele
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  5. R. Veltkamp
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Correspondence to R. Kern.

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Kern, R., Grond, M., Haberl, R. et al. Prähospitalversorgung von Patienten mit Verdacht auf akuten Schlaganfall. Notfall Rettungsmed 11, 159–165 (2008). https://doi.org/10.1007/s10049-008-1040-x

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  • DOI: https://doi.org/10.1007/s10049-008-1040-x

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