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    Home > Active Ingredient News > Study of Nervous System > How to communicate effectively in the rescue of acute cerebral infarction?

    How to communicate effectively in the rescue of acute cerebral infarction?

    • Last Update: 2021-11-14
    • Source: Internet
    • Author: User
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    *Only for medical professionals to read for reference.
    Effective communication means saving lives! The greatest achievement of mankind comes from communication! The biggest failure comes from unwillingness to communicate! A good doctor must be good at communicating with people! In the rescue process of "acute cerebral infarction" in our country, the biggest time delay lies in the patients' family members
    .

    Since I have never received this kind of popular science information in normal times, it is really not easy to temporarily inform, passively inform, and be urged to sign by the doctor
    .

    On the other hand, some of our clinicians usually "focus on scientific research, treatment, prevention, and popular science", which brings inefficient communication to the originally standardized treatment of acute cerebral infarction, and delays the rescue time to a certain extent.

    .

    Here, we once again quote and push the article of Professor Du Wanliang, an intravenous thrombolysis expert from Beijing Tiantan Hospital affiliated to Capital Medical University, to make our doctors better at communication and make it easier for the general public to understand the emergency treatment of cerebral infarction, and ultimately benefit patients
    .

    Professor Du Wanliang said: “Where there are beds, no matter what position you are in, it takes a lot of time to communicate
    .

    First-line doctors communicate with computers, second-line doctors communicate with family members, and third-line doctors communicate with leaders
    .

    ” 95% of the clinical treatment process The above dissatisfaction is due to poor communication, and more than 95% of dissatisfaction can be resolved through further communication
    .

    It can be seen that communication is not a subsidiary of medical care, but a key point
    .

    Effective communication has the following characteristics: accurate, comprehensive, objective, and respectful
    .

    Thrombolytic therapy for acute ischemic stroke (cerebral infarction) started in the United States and is one of the most effective treatments in the acute phase.
    However, often due to poor communication between the hospital and the patient, the precious treatment time is delayed
    .

    At present, the time window of the US Food and Drug Administration (FDA) instructions is 3 hours, and the time window of the American Heart Association (AHA) guidelines is 4.
    5 hours.
    The two are inconsistent
    .

    The key lies in how the neurologist chooses to communicate effectively with the patient and how to simplify the complex
    .

    One of the communication points "There is a drug for the treatment of acute cerebral infarction called alteplase, which can dissolve thrombus and must be given within 4.
    5 hours after the onset of onset
    .

    Generally speaking, if the drug is given to eligible patients within 3 hours of onset, Ah The benefits of teplase treatment are more than 10 times the disadvantages
    .
    The
    benefits decrease with time, but within 4.
    5 hours of onset, the benefits outweigh the disadvantages
    .

    "Communication point 2" The main risk of this treatment is that it is possible Causes severe cerebral hemorrhage, the incidence is 1/15, and sometimes hemorrhage can lead to death
    .

    "Communication point three" For the patient group, the potential benefits of this treatment far outweigh the risks; for individual patients, whether Accepting this kind of treatment requires a decision by the individual or family member
    .

    "If the family member really doesn’t understand, just make a picture to help explain it, and it’s self-explanatory
    .

    Bottom line: In acute ischemic stroke, thrombolysis has more advantages than disadvantages! Source of this article: Zhu Xinpu Stroke Prevention Clinic Author of this article: Du Wanliang Responsible Editor of Beijing Tiantan Hospital Affiliated to Capital Medical University: Mr.
    Lu Li Copyright Statement Do not make any promises or guarantees on the timeliness of the published content, as well as the accuracy and completeness of the quoted materials (if any), and assume no responsibility for the outdated contents or the inaccuracy or incompleteness of the quoted materials, etc.
    Any liability arising from the situation
    .

    Relevant parties are requested to check separately when adopting or using this as a basis for decision-making
    .

    Contribution/Reprint/Business Cooperation: yxjsjbx@yxj.
    org.
    cn
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