Fua muaʻi falemaʻi ma lo latou aoga i falemaʻi, o se suʻesuʻega na lolomiina i Jama e amata i le fesili lenei: o le a le faʻatinoga ma fua faatatau o fua faʻatatau o fua faʻatatau mo vaʻa tele i luma occlusion pe a faʻamaonia fafo ma faʻatusatusa le ulu i le ulu i le faʻatulagaina o auaunaga faafomaʻi faʻafuaseʻi?

I lenei suʻesuʻega o tagata mamaʻi na maua faʻamaʻi taʻavale, 7 prehospital fua faʻatatau e suʻesuʻeina

I lenei suʻesuʻega a le 2007 maʻi na maua faʻailoga faʻamaʻi, 7 fua faʻatatau na faʻaalia ai le saʻo lelei, maualuga maualuga, ma le maualalo o le lagona, faʻafuainumera e fiafia i le Los Angeles Motor Scale ma le Rapid Arterial Occlusion Evaluation scale.

O fua faatatau e mafai ona fa'amalieina le fua o le Fa'ama'i Fa'ama'i Fa'ama'i o le Prehospital Acute Stroke Severity.

O faʻaiʻuga o loʻo i ai nei o loʻo fautua mai ai o eseesega laiti ae faʻatatau i fuainumera i le saʻo e foliga mai e taua tele i le tele o tagata mo le faʻaitiitia o le tolopoina o togafitiga, faʻatasi ai ma le faʻaleleia atili o taunuʻuga falemaʻi, ma e tatau ona mafaufauina le mafai aʻo leʻi faʻatinoina se fua.

DEFIBRILLATORS, ASIASI I LOTU PAIA ILE EMERGENCY EXPO

Le taua o fua muamua ile falemaʻi ile falemaʻi

O le aoga o le thrombectomy endovascular (EVT) mo fa'ailoga tele va'a pito i luma (sLAVO) e matua fa'aitiitia i le taimi.

Ona o le EVT e faʻatapulaʻaina i nofoaga faʻamaʻi faʻamaʻi, prehospital talo o tagata mama'i e iai fa'ailoga mata'utia mo le sLAVO e taua tele, ma e ui lava o le tele o fua fa'atatau o lo'o fa'aaogaina, fa'amaoniga mai fafo, fa'atusatusaga o le ulu-i-ulu, ma fa'amatalaga fa'atatau e le o iai.

Manulauti: Faʻatautaia le faʻamaoniga i fafo ma faʻatusatusaga ulu o 7 sLAVO fua faʻatatau i le falemaʻi faʻafuaseʻi (EMS) faʻatulagaina ma iloilo fua faʻatatau e le EMS paramedics.

O lenei suʻesuʻega faʻamoemoe na faia i le va o Iulai 2018 ma Oketopa 2019 i se taulaga tele i Netherlands ma le faitau aofaʻi o tagata e tusa ma le 2 miliona tagata ma aofia ai le 2 EMSs, 3 nofoaga autu o taʻavale, ma 4 nofoaga autu o taʻavale.

O tagata na auai o ni gasegase sosoo o 18 tausaga pe sili atu mo i latou na faʻaaogaina ai le EMS-initiated acute stroke code.

Mai le 2812 acute stroke codes, 805 (28.6%) na le aofia ai, ona e leai se faʻaoga na faʻaaogaina pe leai foi ni faʻamatalaga falemaʻi na maua, ma tuʻu ai 2007 maʻi na aofia i suʻesuʻega.

FUAFUAGA FAʻATINO MO mea tutupu ma toleniga muamua fesoasoani: DMC DINAS FUA FUA FAʻATALANI I EMERGENCY EXPO

Na su'esu'eina fua fa'atatau o le va'aiga a le falema'i

Talosaga faʻatasi ai ma faʻamatalaga faʻapitoa na faʻatumuina e le EMS paramedics mo taʻaloga taʻitasi taʻitasi e mafai ai ona toe faʻaleleia fua faʻatatau 7 nei: Los Angeles Motor Scale (LAMS); Su'esu'ega Fa'alavelave Fa'atosina (RACE); Cincinnati Stroke Triage Su'esu'ega Meafaigaluega; Fa'ata'ita'i Fa'afoma'i Acute Stroke Severity (PASS); sioa-foliga-lima-tautala-taimi; Su'esu'ega Fa'ava'a Su'ega Ta'amiloga mo Fa'alavelave Fa'afuase'i; ma le va'ava'ai, fa'ailoga foliga, tulaga o le malamalama, fa'aumatia/le fa'alogo.

O taunu'uga muamua ma tulaga lua na fuafuaina o le sLAVO ma fua fa'atatau (fa'atatau, o le fa'avasegaina o fa'asologa o ta'aloga e mafai ona toe fa'aleleia ai le fua muamua o le falema'i).

Fuafuaga fa'atino fa'atatau e aofia ai le sa'o, ma'ale'ale, fa'apitoa, le Youden index, ma tau fa'atatau.

O 2007 maʻi na maua faʻamaʻi faʻamaʻi taʻavale (o lona uiga [SD] tausaga, 71.1 [14.9] tausaga; 1021 [50.9%] tane), 158 (7.9%) na maua le sLAVO.

O le sa'o o fua na amata mai i le 0.79 i le 0.89, fa'atasi ai ma fua LAMS ma RACE e maua ai togi sili ona maualuga.

O le maaleale o fua na amata mai i le 38% i le 62%, ma le fa'apitoa mai le 80% i le 93%.

Ole fua ole fua ole fua ole fua ole fua ole fua ole fua ole fua ole fua ole fua faatatau ole fua faatatau ole PASS.

O lenei suʻesuʻega na maua ai o fua faʻatatau uma e 7 e iai le saʻo lelei, maualuga faʻapitoa, ma le maualalo o le lagona, ma LAMS ma RACE o le fua sili ona maualuga.

Ole fua fa'atatau ile va ole 78% ma le 88% ma e tatau ona silasila toto'a a'o le'i fa'atinoina se fua.

jamaneurology_nguyen_2020_oi_200086_1612851442.47901

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puna:

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