Abstract
A major impetus of the "brain attack" campaign is the early recognition and treatment of acute stroke. Critical to this goal is the education of physicians during their residency training. Resident physicians in Los Angeles who were in family practice (18%), internal medicine (51%), emergency medicine (20%), and neurology (11%) and had already completed their first year of training responded to a questionnaire on stroke and the treatment of carotid stenosis. Of the 266 respondents, 76% had heard of the "brain attack" campaign, 22% did not identify dysarthria as a symptom of stroke, and 21% did not identify obtundation as a presentation of stroke. Twenty-eight percent chose not to use tissue plasminogen activator for acute ischemic stroke, and 60% recognized the need to begin treatment within 3 hours. More than 90% of respondents were able to identify correct screening tests for patients with suspected carotid stenosis. However, 56% responded that they would not advocate operating on patients with asymptomatic severe stenosis (>70%) until stenosis reached a critical value (85%). Conversely, 45% would recommend operative treatment for symptomatic patients who had less than 60% stenosis. Sixty-eight percent would refer patients to...Continue Reading
References
Jul 1, 1992·Preventive Medicine·S S AllenW J Miller
Mar 1, 1992·Stroke; a Journal of Cerebral Circulation·M J AlbertsC Bertels
Apr 1, 1992·Stroke; a Journal of Cerebral Circulation·V J HowardJ F Toole
Dec 1, 1995·Stroke; a Journal of Cerebral Circulation·R U KothariC A Hamilton
Oct 1, 1995·Stroke; a Journal of Cerebral Circulation·M J Alberts
Apr 1, 1995·Neurosurgery·J SrinivasanJ Eskridge
Jan 15, 1995·Circulation·W S MooreR W Hobson
Feb 1, 1994·Clinical Neurology and Neurosurgery·L HantsonJ De Keyser
Dec 1, 1993·Stroke; a Journal of Cerebral Circulation·M J AlbertsD V Dawson
Feb 8, 1996·The New England Journal of Medicine·M R ChassinB A DeBuono
Mar 1, 1996·Stroke; a Journal of Cerebral Circulation·R FogelholmM Ilmavirta
Sep 1, 1996·Stroke; a Journal of Cerebral Circulation·L B GoldsteinG P Samsa
Dec 1, 1996·Surgical Neurology·R E Harbaugh
Dec 1, 1996·Archives of Neurology·J E Riggs
May 1, 1997·Stroke; a Journal of Cerebral Circulation·L B GoldsteinS Chaturvedi
May 1, 1997·Stroke; a Journal of Cerebral Circulation·J H WongM E Suarez-Almazor
Jun 3, 2000·Stroke; a Journal of Cerebral Circulation·J GolledgeA H Davies