{"id":7515,"date":"2018-05-11T04:43:17","date_gmt":"2018-05-11T02:43:17","guid":{"rendered":"http:\/\/news-papers.eu\/?p=7515"},"modified":"2018-05-10T21:04:59","modified_gmt":"2018-05-10T19:04:59","slug":"los-angeles-motor-scale","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=7515","title":{"rendered":"Los Angeles Motor Scale"},"content":{"rendered":"<p><strong><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"7517\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=7517\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?fit=1920%2C1354&amp;ssl=1\" data-orig-size=\"1920,1354\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Stroke\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?fit=1024%2C722&amp;ssl=1\" class=\"size-medium wp-image-7517 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?resize=300%2C212\" alt=\"\" width=\"300\" height=\"212\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?resize=300%2C212&amp;ssl=1 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?resize=768%2C542&amp;ssl=1 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?resize=1024%2C722&amp;ssl=1 1024w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?resize=750%2C529&amp;ssl=1 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?w=1920&amp;ssl=1 1920w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Bern\/Schweiz:<\/strong><\/p>\n<p style=\"text-align: justify;\">Mit der M\u00f6glichkeit der mechanischen Thrombektomie beim Schlaganfall hat sich in den letzten Jahren eine weitere Therapieoption f\u00fcr Patienten mit schwerem Schlaganfall aufgetan. Bei proximalen Gef\u00e4\u00dfverschl\u00fcssen konnte die \u00dcberlegenheit der Thrombektomie gegen\u00fcber der konventionellen Lyse-Therapie mit einer \u201enumber needed to treat\u201c (NNT) = 8 f\u00fcr ein gutes neurologisches Ergebnis gezeigt werden:<\/p>\n<blockquote>\n<p style=\"text-align: justify;\"><strong>Church EW at al. Number needed to treat for stroke thrombectomy based on a systematic review and metananlysis. Clin Neurology Neurosurg 2017; 156:83-8<\/strong><\/p>\n<\/blockquote>\n<p style=\"text-align: justify;\">Damit ist die mechanische Thrombektomie \u00e4hnlich effektiv in der Vermeidung neurologischen Schadens wie die orale Antikoagulation von Patienten mit Vorhofflimmern.<\/p>\n<hr \/>\n<p style=\"text-align: justify;\">Zwei gro\u00dfe Studien der vergangenen Monate haben das Zeitfenster zur Thrombektomie auf bis zu 24 Stunden nach Symptombeginn ge\u00f6ffnet:<\/p>\n<blockquote><p><strong>Nogueira RG et al. Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. N Engl J Med 2018; 378:11-21<\/strong><\/p><\/blockquote>\n<ul style=\"text-align: justify;\">\n<li><em>\u201e\u2026 the rate of functional independence at 90 days was 49% in the thrombectomy group as compared with 13% in the control group (adjusted difference, 33 percentage points; 95% credible interval, 24 to 44; posterior probability of superiority, &gt;0.999).\u201c<\/em><\/li>\n<\/ul>\n<blockquote><p><strong>Albers GW et al. Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging. N Engl J Med 2018; 378:1-11<\/strong><\/p><\/blockquote>\n<ul style=\"text-align: justify;\">\n<li><em>\u201eEndovascular therapy plus medical therapy, as compared with medical therapy alone, was associated with a favorable shift in the distribution of functional outcomes on the modified Rankin scale at 90 days odds ratio, 2.77; P&lt;0.001) and a higher percentage of patients who were functionally independent, defined as a score on the modified Rankin scale of 0 to 2 (45% vs. 17%, P&lt;0.001). The 90-day mortality rate was 14% in the endovascular-therapy group and 26% in the medical-therapy group (P = 0.05),\u2026\u201c<\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Dieses Verfahren wird aktuell nur in hochspezialisierten Zentren angeboten. Daher ist es von gro\u00dfer Bedeutung, bereits im pr\u00e4hospitalen Bereich, m\u00f6glichst viele Schlaganfall-Patienten zu erkennen, die f\u00fcr eine mechanische Thrombektomie qualifizieren, um sie direkt in ein entsprechendes Zentrum zu transportieren.<\/p>\n<hr \/>\n<p style=\"text-align: justify;\">In einer aktuell ver\u00f6ffentlichten Studie wurde nun die <strong>Los Angeles Motor Scale (LAMS)<\/strong> zum Erkennen von proximalen Gef\u00e4\u00dfverschl\u00fcssen (large vessel occlusion, LVO) erstmalig f\u00fcr die Anwendung im pr\u00e4hospitalen Bereich validiert und hinsichtlich der G\u00fctekriterien f\u00fcr die Vorhersage mit zahlreichen anderen Scores verglichen.<\/p>\n<blockquote>\n<p style=\"text-align: justify;\"><strong>Noorian AR et al. <\/strong><strong>Los Angeles Motor Scale to Identify Large Vessel Occlusion. Prehospital Validation and Comparison With Other Screens. Stroke 2018; 49:565-572<\/strong><\/p>\n<\/blockquote>\n<p style=\"text-align: justify;\">Der LAMS ist auch pr\u00e4hospital leicht zu bestimmen, da nur 3 motorische Qualit\u00e4ten evaluiert werden m\u00fcssen. Im innerklinischen Bereich kann ein LAMS \u22654 eine LVO mit einer Sensitivit\u00e4t von 81% und einer Spezifit\u00e4t von 89% voraussagen.<\/p>\n<table style=\"height: 559px;\" width=\"657\">\n<tbody>\n<tr>\n<td width=\"123\"><strong>\u00a0<\/strong><\/td>\n<td width=\"132\"><strong>\u00a0<\/strong><\/td>\n<td width=\"85\"><strong>Punktzahl<\/strong><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"123\"><strong>Faziale Parese<\/strong><\/td>\n<td width=\"132\">ja<\/td>\n<td width=\"85\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">nein<\/td>\n<td width=\"85\">0<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\" width=\"123\"><strong>Griff-St\u00e4rke<\/strong><\/td>\n<td width=\"132\">kein Zugreifen<\/td>\n<td width=\"85\">2<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">schwacher Griff<\/td>\n<td width=\"85\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">normal<\/td>\n<td width=\"85\">0<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\" width=\"123\"><strong>Armhalteversuch<\/strong><\/td>\n<td width=\"132\">Arm f\u00e4llt schnell<\/td>\n<td width=\"85\">2<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">Arm sinkt langsam<\/td>\n<td width=\"85\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"132\">normal<\/td>\n<td width=\"85\">0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<ul>\n<li style=\"text-align: justify;\">prospektive Beobachtungsstudie<\/li>\n<li style=\"text-align: justify;\">n=94 Patienten<\/li>\n<li style=\"text-align: justify;\">76% zerebrale Isch\u00e4mie (48% aufgrund LVO, 28% non-LVO), 19% intrazerebrale Blutung, 5% \u201eneurovascular mimic\u201c<\/li>\n<li style=\"text-align: justify;\">der LAMS wurde pr\u00e4hospital durch Paramedics erhoben<\/li>\n<li style=\"text-align: justify;\">f\u00fcr LAMS \u22654 gilt: Sensitivit\u00e4t 76%, Spezifit\u00e4t 65%, positiv pr\u00e4diktiver Wert 79%, negativ pr\u00e4diktiver Wert 61%<\/li>\n<li style=\"text-align: justify;\">damit hat dieser Score eine bessere oder zumindest vergleichbare G\u00fcte im Vergleich zu vielen andere, deutlich komplizierter zu erhebende Scores<\/li>\n<li style=\"text-align: justify;\">selbst der weit etablierte und f\u00fcr die Stroke-Versorgung zentrale NIHSS scheint in der Vorhersagequalit\u00e4t hinsichtlich einer LVO nicht \u00fcberlegen<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>Fazit f\u00fcr die Praxis:<\/strong><\/p>\n<ul>\n<li style=\"text-align: justify;\">bei einem LAMS \u22654 kann nach den Ergebnissen dieser Untersuchung mit einer 79%igen Wahrscheinlichkeit von einer LVO ausgegangen werden.<\/li>\n<li style=\"text-align: justify;\">ein direkter Transport in ein Stroke-Zentrum mit endovaskul\u00e4rer Interventionsm\u00f6glichkeit w\u00e4re in diesem Fall anzustreben.<\/li>\n<\/ul>\n<hr \/>\n<p><a href=\"http:\/\/www.ukl.vcongress.de\/lifemed2018\/home\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"7366\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=7366\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?fit=764%2C212&amp;ssl=1\" data-orig-size=\"764,212\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"LIFEMED 2018\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?fit=764%2C212&amp;ssl=1\" class=\"wp-image-7366 aligncenter\" src=\"https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?resize=632%2C175\" sizes=\"auto, (max-width: 632px) 100vw, 632px\" srcset=\"https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?resize=300%2C83 300w, https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?resize=750%2C208 750w, https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?w=764 764w\" alt=\"\" width=\"490\" height=\"136\" data-attachment-id=\"7366\" data-permalink=\"http:\/\/news-papers.eu\/praehospitales-atemwegsmanagement\/bildschirmfoto-2018-04-22-um-11-49-27\" data-orig-file=\"https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?fit=764%2C212\" data-orig-size=\"764,212\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"LIFEMED 2018\" data-image-description=\"\" data-medium-file=\"https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?fit=300%2C83\" data-large-file=\"https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?fit=764%2C212\" \/><\/a><\/p>\n<p><a href=\"http:\/\/www.ukl.vcongress.de\/lifemed2018\/home\" target=\"_blank\" rel=\"noopener\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"7366\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=7366\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?fit=764%2C212&amp;ssl=1\" data-orig-size=\"764,212\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"LIFEMED 2018\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?fit=764%2C212&amp;ssl=1\" class=\"alignnone  wp-image-7366\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?resize=669%2C185\" alt=\"\" width=\"669\" height=\"185\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?resize=300%2C83&amp;ssl=1 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?resize=750%2C208&amp;ssl=1 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?w=764&amp;ssl=1 764w\" sizes=\"auto, (max-width: 669px) 100vw, 669px\" \/><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"7366\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=7366\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?fit=764%2C212&amp;ssl=1\" data-orig-size=\"764,212\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"LIFEMED 2018\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?fit=764%2C212&amp;ssl=1\" class=\"wp-image-7366 aligncenter\" src=\"https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?resize=632%2C175\" sizes=\"auto, (max-width: 632px) 100vw, 632px\" srcset=\"https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?resize=300%2C83 300w, https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?resize=750%2C208 750w, https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?w=764 764w\" alt=\"\" width=\"490\" height=\"136\" data-attachment-id=\"7366\" data-permalink=\"http:\/\/news-papers.eu\/praehospitales-atemwegsmanagement\/bildschirmfoto-2018-04-22-um-11-49-27\" data-orig-file=\"https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?fit=764%2C212\" data-orig-size=\"764,212\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"LIFEMED 2018\" data-image-description=\"\" data-medium-file=\"https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?fit=300%2C83\" data-large-file=\"https:\/\/i2.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/Bildschirmfoto-2018-04-22-um-11.49.27.png?fit=764%2C212\" \/><\/a><\/p>\n<hr \/>\n<p><strong><a href=\"https:\/\/twitter.com\/news_papers_eu?refsrc=email&amp;s=11\" target=\"_blank\" rel=\"noopener\">News-Papers.eu auf TWITTER<\/a>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<a href=\"http:\/\/news-papers.eu\/follow\" target=\"_blank\" rel=\"noopener\">Follow news-papers.eu<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Bern\/Schweiz: Mit der M\u00f6glichkeit der mechanischen Thrombektomie beim Schlaganfall hat sich in den letzten Jahren eine weitere Therapieoption f\u00fcr Patienten mit schwerem Schlaganfall [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":7517,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false},"categories":[7],"tags":[1420,52],"class_list":["post-7515","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologie","tag-los-angeles-motor-scale","tag-schlaganfall"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?fit=1920%2C1354&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-1Xd","jetpack-related-posts":[{"id":8692,"url":"https:\/\/news-papers.eu\/?p=8692","url_meta":{"origin":7515,"position":0},"title":"Die richtige Zielklinik beim Schlaganfall","author":"Michael Bernhard","date":"Dezember 31, 2018","format":false,"excerpt":"Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Schweiz\/Bern: Mit der M\u00f6glichkeit der endovaskul\u00e4ren Thrombektomie beim Schlaganfall steht inzwischen ein modernes Verfahren zur Akuttherapie des Schlaganfalls zur Verf\u00fcgung, von dem im Wesentlichen drei Patientengruppen bis zu 24 h nach Symptombeginn\u00a0profitieren: Schlaganfall-Patienten mit einem proximalen Verschluss im Bereich der A. carotis interna,\u2026","rel":"","context":"In &quot;Neurologischer Notfall&quot;","block_context":{"text":"Neurologischer Notfall","link":"https:\/\/news-papers.eu\/?cat=7"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?fit=1200%2C846&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?fit=1200%2C846&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?fit=1200%2C846&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?fit=1200%2C846&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/07\/Stroke.jpg?fit=1200%2C846&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":3998,"url":"https:\/\/news-papers.eu\/?p=3998","url_meta":{"origin":7515,"position":1},"title":"LIFEMED 2017: 20.-22.10.2017","author":"Michael Bernhard","date":"M\u00e4rz 16, 2017","format":false,"excerpt":"Die Vorbereitungen f\u00fcr das Leipziger Interdisziplin\u00e4re Forum f\u00fcr Notfallaufnahme und Notfallmedizin \u00a0L I F E M E D \u00a0 2017 laufen auf Hochtouren. Ganz aktuell sind die Themen der Veranstaltungen auf der Homepage integriert worden. Schauen Sie doch einmal vorbei und melden Sie sich f\u00fcr das LIFEMED 2017 an! Hier\u2026","rel":"","context":"In &quot;Veranstaltungshinweis&quot;","block_context":{"text":"Veranstaltungshinweis","link":"https:\/\/news-papers.eu\/?cat=30"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-01-um-21.41.06.png?fit=792%2C371&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-01-um-21.41.06.png?fit=792%2C371&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-01-um-21.41.06.png?fit=792%2C371&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-01-um-21.41.06.png?fit=792%2C371&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":440,"url":"https:\/\/news-papers.eu\/?p=440","url_meta":{"origin":7515,"position":2},"title":"HERMES \u2013 Der G\u00f6tterbote verk\u00fcndet&#8230;","author":"Michael Bernhard","date":"Februar 28, 2016","format":false,"excerpt":"HERMES \u2013 Der G\u00f6tterbote verk\u00fcndet in der griechischen Mythologie die Beschl\u00fcsse des Zeus und f\u00fchrt die Seele der Verstorbenen in den Hades. Die Versorgung von Schlaganfallpatienten stellt f\u00fcr alle Notfallmediziner eine ganz besondere zeitkritische Herausforderung dar. Am 18. Februar 2016 pr\u00e4sentierte nun Professor Mayank Goyal et al. die HERMES (Highly\u2026","rel":"","context":"In &quot;Neurologischer Notfall&quot;","block_context":{"text":"Neurologischer Notfall","link":"https:\/\/news-papers.eu\/?cat=7"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Hermes_4.png?fit=404%2C645&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":13912,"url":"https:\/\/news-papers.eu\/?p=13912","url_meta":{"origin":7515,"position":3},"title":"Fokus auf die neurologische Intensivmedizin","author":"Michael Bernhard","date":"Juli 6, 2021","format":false,"excerpt":"Ein Blick \u00fcber den Tellerrand liefern uns Professor Dominik Michalski und Kollegen zum Thema neurologische Intensivmedizin. Michalski D et al. Fokus neurologische Intensivmedizin. Intensive Care Studies from 2020\/2021. Anaesthesist 2021\u00a0(PDF) Open Access Hier die Kurzzusammenfassung: Benvegnu F, et al. Local anesthesia without sedation during thrombectomy for anterior circulation stroke is\u2026","rel":"","context":"In &quot;Neurologischer Notfall&quot;","block_context":{"text":"Neurologischer Notfall","link":"https:\/\/news-papers.eu\/?cat=7"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/07\/Bildschirmfoto-2021-07-03-um-10.07.39.png?fit=1200%2C659&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/07\/Bildschirmfoto-2021-07-03-um-10.07.39.png?fit=1200%2C659&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/07\/Bildschirmfoto-2021-07-03-um-10.07.39.png?fit=1200%2C659&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/07\/Bildschirmfoto-2021-07-03-um-10.07.39.png?fit=1200%2C659&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/07\/Bildschirmfoto-2021-07-03-um-10.07.39.png?fit=1200%2C659&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":13818,"url":"https:\/\/news-papers.eu\/?p=13818","url_meta":{"origin":7515,"position":4},"title":"Akuttherapie des isch\u00e4mischen Schlaganfalls","author":"Michael Bernhard","date":"Juni 17, 2021","format":false,"excerpt":"Der isch\u00e4mische Schlaganfall ist in Notaufnahmen eine h\u00e4ufige Fragestellung. Daher ist die am 24. Mai 2021 erschiene Leitlinie von hoher Relevanz. Link: https:\/\/www.awmf.org\/uploads\/tx_szleitlinien\/030-046k_S2e_Akuttherapie-des-ischaemischen-Schlaganfalls_2021-05.pdf Auszug aus den Kernaussagen: Skala: Bei Patienten mit akut aufgetretenen neurologischen Symptomen sollte eine etablierte Skala, beispielsweise FAST (Face-Arm-Speech-Test) angewendet werden, um pra\u0308hospital nach einem Schlaganfall zu\u2026","rel":"","context":"In &quot;Neurologischer Notfall&quot;","block_context":{"text":"Neurologischer Notfall","link":"https:\/\/news-papers.eu\/?cat=7"},"img":{"alt_text":"Schlaganfall","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/06\/brain-3168269_1920-e1622991841606.png?fit=1000%2C602&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/06\/brain-3168269_1920-e1622991841606.png?fit=1000%2C602&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/06\/brain-3168269_1920-e1622991841606.png?fit=1000%2C602&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/06\/brain-3168269_1920-e1622991841606.png?fit=1000%2C602&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":5418,"url":"https:\/\/news-papers.eu\/?p=5418","url_meta":{"origin":7515,"position":5},"title":"Der juvenile Schlaganfall &#8211; Eine \u00dcbersicht","author":"Michael Bernhard","date":"November 20, 2017","format":false,"excerpt":"Im Deutschen \u00c4rzteblatt ist ein interessanter Artikel zum Thema juveniler Schlaganfall erschienen: Sch\u00f6berl F, et al. Juveniler Schlaganfall -\u00a0Ein praxisorientierter \u00dcberblick.\u00a0Dtsch Arztebl Int 2017; 114(31-32): 527-34; DOI: 10.3238\/arztebl.2017.0527\u00a0(PDF) Im Abstrakt heisst es:\u00a0\"Juvenile Schlaganf\u00e4lle werden insbesondere durch kardiale Embolien (~\u00a025\u00a0%) und Gef\u00e4\u00dfdissektionen (~\u00a020\u00a0%) verursacht. Etwa 10\u00a0% gehen auf seltene Ursachen wie\u2026","rel":"","context":"In &quot;Neurologischer Notfall&quot;","block_context":{"text":"Neurologischer Notfall","link":"https:\/\/news-papers.eu\/?cat=7"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/10\/Bildschirmfoto-2017-08-21-um-11.27.31.png?fit=948%2C914&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/10\/Bildschirmfoto-2017-08-21-um-11.27.31.png?fit=948%2C914&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/10\/Bildschirmfoto-2017-08-21-um-11.27.31.png?fit=948%2C914&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/10\/Bildschirmfoto-2017-08-21-um-11.27.31.png?fit=948%2C914&ssl=1&resize=700%2C400 2x"},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/7515","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7515"}],"version-history":[{"count":5,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/7515\/revisions"}],"predecessor-version":[{"id":7529,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/7515\/revisions\/7529"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/media\/7517"}],"wp:attachment":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7515"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7515"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7515"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}