PERAN PERAWAT GAWAT DARURAT

DALAM OPTIMALISASI GOLDEN

PERIOD PADA PENANGANAN
PREHOSPITAL PASIEN STROKE
Ns. Suryanto, S.Kep., M.Nurs, PhD.
What are going to discuss within these 20
mins?
• Stroke Chain of Survival
• The 8 D’s of Stroke Care
• Critical Time Periods
• Adult Suspected Stroke Algorithm
• What are the rules of nurses in prehospital care?
Stroke Chain of Survival
The 8 D’s of Stroke Care
 Critical Time Periods

Actions Time
Immediate general assessment 10 minutes
Immediate neurological assessment 25 minutes
Acquisition of CT of the head 25 minutes
Interpretation of the CT scan 45 minutes
Administration of fibrinolytic therapy, timed from ED arrival 60 minutes
Administration of fibrinolytic therapy, timed from onset of symptoms 3 hours, or 4.5 hours in selected patients
Administration of endovascular therapy, timed from onset of 6 hours in selected patients
symptoms
Admission to monitored bed 3 hours

(NINDS, the National Institute of Neurological Disorders and Stroke, USA)

Adult Suspected
Stroke Algorithm
Adult Suspected
Stroke Algorithm
Adult Suspected
Stroke Algorithm
What are the rules of nurses in prehospital
care?
Critical EMS
assessment and
• Warning signs and actions
symptoms
• Activate EMS system • Support ABCs
immediately • Perform stroke assessment
• Stroke assessment tools • Establish time
• Triage to stroke center
• Alert hospital
Identification of • Check glucose
signs of possible
stroke
Activate EMS system
immediately

• Educate the community!

Stroke assessment tools
THANK YOU