Journal of Education, Health and Sport (Jul 2017)

Cerebral stroke - preclinical diagnosis and in conditions of the hospital accident ward

  • Łukasz Maciejewski,
  • Joanna Michalik,
  • Paweł Węgorowski,
  • Andrzej Stanisławek,
  • Ilona Rozalska

DOI
https://doi.org/10.5281/zenodo.884415
Journal volume & issue
Vol. 7, no. 7
pp. 831 – 845

Abstract

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Admission The cerebral stroke is a direct distress of the health and the life. The patient with the suspicion of stroke requires urgent intervention irrespective of the course of manifestations and their degree of the intensity. During the help at the preclinical stage an evaluation of practical parameters and registering direction and dynamics of changes are most important in this respect. As part of dealing on the Hospital accident ward with the sick person with the stated cerebral stroke one should verify and implement changes in applied curing by team members medical lifeguards. Purpose of research Analysis of diagnostic and therapeutic standards is a purpose of the work applied with patients with the cerebral stroke at the preclinical stage and as part of the care on the Hospital accident ward. Materials and methods Information taken from medical documentation of course of the process of diagnostics and curing 130 patients with the diagnosed cerebral stroke at medical institutions in the province constitutes research material Lublin. Analysis of medical documentation covered years 2013 up to 2016. Discussion The most frequent object manifestations stated at patients from the examined group: giddiness, headache, disequilibrium, nausea and/or the vomiting, the dysphagia, visual disturbances, pareses and hypoesthesias. According to analysis results and with literature at sick persons with the cerebral stroke a computed axial tomography and a magnetic resonance, as well as additional examinations are made examinations leading the way. Conclusions According to the analysis of the results amongst early complications they observed: cerebral oedema, widen/ing moving the arrangement of the cellular brain, the secondary ischaemia of the haemorrhagic stroke. All described disorders of the awareness were diagnosed in the early phase of the cerebral stroke i.e. 4-5 hours from the beginning of the riot of any neurological warning signals.

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