Workflow optimization pre and in hospital by Dr. Marc RIBO - SLICE LIBRARY

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5 / 27 episodes

01
5
Cyril Dargazanli

Clinical angiography and correlations by Dr. Cyril DARGAZANLI - SLICE LIBRARY

02
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Tommy Andersson

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4.3
Marc Ribo

Workflow optimization pre and in hospital by Dr. Marc RIBO - SLICE LIBRARY

06
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Why perfusion is adding value for stroke management in 2021 by Dr.Christophe COGNARD - SLICE LIBRARY

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10
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SLICE LIBRARY : Importance of first pass success and how to achieve it

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5

SLICE LIBRARY - Indications of mechanical thrombectomy beyond guidelines in 2020

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Federico Cagnazzo

SLICE LIBRARY - European Multicenter study of endovascular thrombectomy in COVID-19 patients

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5

SLICE LIBRARY - Chronic sub-dural hematoma embolization : an emerging indication

14
5

SLICE LIBRARY - Thrombectomies : Complications and difficult cases

15
5
Vincent COSTALAT

SLICE LIBRARY - Chronic ischemia

16
5

SLICE LIBRARY - Complication management of MT in 2020

17
5

SLICE LIBRARY - Combining reperfusion with neuroprotection, the next frontier in large vessel occlusion stroke treatment

18
5

SLICE LIBRARY - Mechanical thrombectomy and intracranial atherosclerosis related occlusion

19
5
Wim van Zwam

SLICE LIBRARY - IV treatment

20
5
Wim van Zwam

SLICE LIBRARY - Anesthetic management

21
Tudor Jovin

What to do for LVO and large core in 2021 by Prof. Tudor JOVIN - SLICE LIBRARY

22
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ICAD management in 2021 by Prof. Ameer HASSAN - SLICE LIBRARY

23
4.5
Wim van Zwam

LVO in posterior circulation in 2021 by Prof. Wim VAN ZWAM - SLICE LIBRARY

24
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Tudor Jovin

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25
5
Demetrius Lopes

What to do for distal vessel occlusion at initial presentation in 2021 by Dr. Demetrius LOPES - SLICE LIBRARY

26
4.8
Tommy Andersson

LVO in posterior circulation in 2021 by Prof. Tommy ANDERSSON - SLICE LIBRARY

27
4.8
Eitan Abergel

What to do for LVO and minor presentation in 2021 by Dr. Eitan ABERGEL - SLICE LIBRARY

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The doctor Marc Ribo’s talking about the organization networks for Stroke Management in the Vall d'Hebron University Hospital in Barcelona. So this hospital, it’s a priority to send people where they belong. 

Pre Hospital:

The paramedic’s job is to know what is going on with the patient, they should be able to know a maximum of information according to the situation. But they are seeing a lot of patients every day, they can’t be Stroke Expert, so the doctor created a road map, a simplified version of the NIHSS that can be performed by professional with just a little training. It helps to measure a problem so they can send the information and help the doctor to prepare himself for the intervention.

Doctor Marc Ribo's quotation: "Predominant adoption of a Mothership model might lead to loose expertise and motivation at local-SC with no overallproven clinical benefit"

Where should we send the patient?

When you’re a paramedic with a patient with a suspected stroke, you need to know where to send him. The closest Stroke Center or the further comprehensive stroke center or to any hospital? Not all hospital are certified stroke centers, they are not prepared for that. But you need to drive somewhere. You need to make the better choice so the patient can have better chance of survival. 

Mobile Stroke Units

Sometimes the hospital sent Mobile Stroke Units because it will be better to save time. But there are advantages and inconvenient. Maybe if that could help a lot of people. This setup is highly expensive (1 million dollars for 1 setup). Also, you need to know where to place it to be the most efficient. So, it’s a tricky situation. But the studies show that the earlier the patient receive the Iv-TPA, the better are his chance to survive.

Pre-Admission

Doctor Marc Ribo's quotation: "Get prepared, so when the patient comes in (the hospital), you'll don't have to type anything in the computer"

Ideally, you bring the patient to the local stroke center, so they can perform the images. You start the IV TPA and you ask the ambulance to stay in case you need to move the patient to another hospital (by doing that you can save 30 minutes). The ideal is to join the next hospital in 45 minutes. But most of the time it will take something like 90 or more.

This study shows that there is too much time in the pre-hospital part around 60% and only 40% in the hospital. Because of the travel who’s taking almost 1 hour per patient. The goal is to spend 30 minutes maximum outside the hospital.

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LIBRARY

5 / 27 episodes

01
5
Cyril Dargazanli

Clinical angiography and correlations by Dr. Cyril DARGAZANLI - SLICE LIBRARY

02
5
Tommy Andersson

SLICE LIBRARY - Different approaches of different tandem occlusions

03
4.8
Raul Nogueira

Brain vascular anatomy & brain cortical function understanding mismatch by Dr. Raul NOGUEIRA - SLICE LIBRARY

04
4.8
Pasquale Mordasini

What to do for LVO and minor presentation in 2021 by Dr. Pasquale MORDASINI - SLICE LIBRARY

4.3
Marc Ribo

Workflow optimization pre and in hospital by Dr. Marc RIBO - SLICE LIBRARY

06
5
CHRISTOPHE COGNARD

Why perfusion is adding value for stroke management in 2021 by Dr.Christophe COGNARD - SLICE LIBRARY

07
5
CHRISTOPHE COGNARD

Eco responsability by Dr. Christophe Cognard - SLICE LIBRARY

08
4.3

Technological advances in stroke care by Dr Marc RIBO - SLICE LIBRARY

09
5
Paolo Machi

Artificial intelligence in ischemic stroke and neurointervention perspective by Dr Paolo MACHI - SLICE LIBRARY

10
5

SLICE LIBRARY : Importance of first pass success and how to achieve it

11
5

SLICE LIBRARY - Indications of mechanical thrombectomy beyond guidelines in 2020

12
5
Federico Cagnazzo

SLICE LIBRARY - European Multicenter study of endovascular thrombectomy in COVID-19 patients

13
5

SLICE LIBRARY - Chronic sub-dural hematoma embolization : an emerging indication

14
5

SLICE LIBRARY - Thrombectomies : Complications and difficult cases

15
5
Vincent COSTALAT

SLICE LIBRARY - Chronic ischemia

16
5

SLICE LIBRARY - Complication management of MT in 2020

17
5

SLICE LIBRARY - Combining reperfusion with neuroprotection, the next frontier in large vessel occlusion stroke treatment

18
5

SLICE LIBRARY - Mechanical thrombectomy and intracranial atherosclerosis related occlusion

19
5
Wim van Zwam

SLICE LIBRARY - IV treatment

20
5
Wim van Zwam

SLICE LIBRARY - Anesthetic management

21
Tudor Jovin

What to do for LVO and large core in 2021 by Prof. Tudor JOVIN - SLICE LIBRARY

22
4.8

ICAD management in 2021 by Prof. Ameer HASSAN - SLICE LIBRARY

23
4.5
Wim van Zwam

LVO in posterior circulation in 2021 by Prof. Wim VAN ZWAM - SLICE LIBRARY

24
5
Tudor Jovin

What to do for late stroke and LVO in 2021 by Prof. Tudor JOVIN - SLICE LIBRARY

25
5
Demetrius Lopes

What to do for distal vessel occlusion at initial presentation in 2021 by Dr. Demetrius LOPES - SLICE LIBRARY

26
4.8
Tommy Andersson

LVO in posterior circulation in 2021 by Prof. Tommy ANDERSSON - SLICE LIBRARY

27
4.8
Eitan Abergel

What to do for LVO and minor presentation in 2021 by Dr. Eitan ABERGEL - SLICE LIBRARY

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