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1. The simplest way to treat ischemic stroke would be to remove the blockage in brain vessels and now the drugs are available which can dissolve the clot blocking blood vessels.
2. They were taught reading plain CT-scan head to rule out hemorrhage even without the help of radiologist and written protocols for thrombolysis in ischemic stroke with explicit inclusion and exclusion criteria were provided.
3. Stroke is of two kinds: one due to rupture of brain blood vessels called hemorrhagic stroke and other is caused by blockage in brain vessels called ischemic stroke.
4. All the four neurologists were made available on phone 24x7 and whenever any ischemic stroke came in window period they were to be contacted.
5. Therefore it is most important that people recognize stroke symptoms at the earliest and rush to hospital with CT-Scan facility and availability of this drug.
6. However this drug which is an injection called recombinant tissue plasminogen activator(tPA) can be given within 4.5hrs of onset of stroke symptoms.
7. Medical officers in these hospitals (M.B.B.S. graduates and internal Medicine postgraduates) were trained in recognizing stroke through these workshops.
8. The common symptoms of stroke are sudden appearance of: deviation of face, weakness or numbness of limbs, difficulty in speaking, unsteadiness, giddiness and headache.
9. Stroke has emerged as a second biggest killer of mankind world over and even in India more people die of stroke than infectious diseases like tuberculosis.
10. So given the difficult terrain and just four neurologists, delivering stroke treatment seemed like a distant dream.
11. Age adjusted stroke prevalence in India ranges from 84 to 424 per 100,000 according to various studies and annual incidence ranges from 105–262/100,000.
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