Hyperacute & Acute Care
Acute care is where the person is stabilized, diagnosis confirmed, plans are implemented to prevent complications, and when initial rehabilitation and recovery begin.
The period of time from when a person calls 911 to arrival to the Stroke Centre Emergency department is often referred to as the Hyperacute period. All patients with suspected acute stroke would receive rapid assessment and undergo brain imaging on arrival to determine eligibility for the intravenous drug tPA (tissue-plasminogen activator) also known as the “clot buster”. Administration of tPA soon after onset of symptoms can limit irreversible ischemic damage.
Patients with an acute stroke or transient ischemic attack would be admitted to a stroke centre and receive care on an inpatient stroke unit. A Stroke Unit is a geographically defined hospital unit dedicated to the management of stroke patients [Evidence Level A]. This unit is staffed by an interdisciplinary health care team who provide coordinated, best practice stroke care. Stroke patients who receive stroke unit care are more likely to survive, return home, and be independent than stroke patients who receive less organized, general ward care (Stroke Unit Trialists’ Collaboration 2009).
- Approximately 80% of strokes are ischemic and 20% are hemorrhagic
- 55% of acute stroke patients have dysphagia in the first few days following a stroke
EMS Newsletters featuring stroke articles:
Regional Stroke Acute Care Coordinator
Southwestern Ontario Stroke Network
University hospital, London, Ontario
519 685-8500 ext. 35268