Early Transfer of Patients With Stroke to Comprehensive Stroke Centers Is Not Necessary | Zendy

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Early Transfer of Patients With Stroke to Comprehensive Stroke Centers Is Not Necessary

Author(s) -

Peter Langhorne

Publication year - 2014

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/strokeaha.114.005805

Subject(s) - medicine , stroke (engine) , meaning (existential) , medical emergency , psychotherapist , psychology , mechanical engineering , engineering

> Ah, I see you have the machine that goes “ping!”. This is my favorite. > > —The Meaning of Life (1983)When the Monty Python comedy film parodied the use of medical technology they raised an important point; doctors are easily seduced by new technology and need to look critically at what is in the best interests of their patients. Therefore, our key question here, what is the best pathway of care for this man at this time?, should be informed using the best available clinical evidence. There is no evidence that an ambulance journey improves stroke recovery, and there are good grounds to think that it may be harmful, so we should try to meet this man’s immediate care needs in the admitting hospital. However “the devil is in the detail” about exactly what kind of stroke unit care is available in the community hospital. By examining this man’s pathway of care and considering …

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