Drs. Mike and Mike join Ed to discuss updates in prehospital stroke care. Are we using the right stroke scale for our patients? Are we taking them to suitable hospitals? The gang discusses stroke care in 2023 and where we can go from here.
Treatment of LVO patients
Thrombolytics (tPA, tenecteplase)Mechanical thrombectomy discussiona) NNT 2.5b) NNT= # needed to treat (how many people receive medicine before there is a benefit)Aspirin NNT is 64Benefits of mechanical thrombectomya) Significantly reduced mRSb) Longer treatment window (up to 24 hours)c) Net monetary benefit $95-175 million USD(1) Discuss net monetary benefit(2) tPA alone $72-135 million USDd) Gained quality of life years 2Potential Harmsa) New intracranial hemorrhageb) Access site problemsc) New embolizationMechanical Thrombectomy for Acute Ischemic Stroke Paper