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The Need for Speed: Two New Studies on Stroke
Date:11/2/2007

chemic attacks, also referred to as "mini strokes." Nor did it include patients with "bleeding strokes" such as intracranial hemorrhages.

No matter what kind of stroke or mini-strokes patients have, the best course of action in all cases is to call 911, so that an ambulance or other emergency medical team can arrive and transport the patient to the hospital. Driving to the hospital oneself, or being driven by a friend or loved one, is less ideal because of delays that can occur en route or upon arrival at the hospital.

Even at major hospitals with dedicated 24-hour stroke teams, such as U-M, it can take an hour or more to use diagnostic tests to assess what type of stroke a patient is having and to start tPA treatment. At smaller hospitals, it can be more than an hour -- and intra-arterial tPA, which can be given up to six hours after the start of a stroke, may not be available.

So, a person experiencing a stroke really needs to get to a hospital within two hours of the start of a stroke to have the best chance of receiving tPA, says Morgenstern, who is a professor of neurology, emergency medicine and neurosurgery at the U-M Medical School and a member of the U-M Cardiovascular Center.

This kind of information, and the scientific reasons behind it, is what the public needs to hear from childhood on. That's why Morgenstern and his colleagues, including Kathleen Conley, Ph.D., of the School of Health Promotion and Human Performance at EMU, developed the "Kids Identifying and Defeating Stroke" program, called KIDS for short.

The KIDS project involved middle schoolers in the Corpus Christi district, who were tested on three things: their knowledge of what a stroke is, their ability to identify stroke symptoms and their knowledge of what to do if someone around them appeared to be having a stroke.

One group was tested in both sixth and eighth grades but did not receive any specific in-school training about stroke. The other group
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SOURCE University of Michigan Health System
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