Beyond the Golden Hour: Treating Acute Stroke in the Platinum 30 Minutes.

ABSTRACT:

Background

To emphasize treatment speed for time-sensitive conditions, emergency medicine has developed not only the concept of the golden hour, but also the platinum half-hour. Patients with acute stroke treated within the first half-hour of onset have not been previously characterized.

Methods

In this cohort study, we analyzed patients enrolled in the FAST-MAG (Field Administration of Stroke Therapy-Magnesium) trial, testing paramedic prehospital start of neuroprotective agent ≤2 hours of onset. The features of all acute cerebral ischemia, and intracranial hemorrhage patients with treatment starting at ≤30 m of last known well were compared with later-treated patients.

Results

Among 1680 patients, 203 (12.1%) received study agents within 30 minutes of last known wel

SUBMITTER: Randhawa AS 

PROVIDER: S-EPMC9329219 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature