The Precarious Seconds of a Stroke Attack (Stroke Code Hermina Bogor)

Friends of Hermina Bogor, the crucial seconds when someone experiences a stroke can determine their fate. In a crisis situation like this, every step taken by the medical team decides between recovery or permanent disability. This is where the "stroke code" becomes vital.

 

Stroke is a common and concerning medical problem worldwide as it can cause disability and even death. Stroke is a disease or acute focal or global brain functional disorder due to obstruction of blood circulation to the brain. Disruption of brain circulation is in the form of blockage of the brain's blood vessels or rupture of blood vessels in the brain. Where the brain should get a supply of oxygen and food substances becomes obstructed or disrupted, as a result the supply of oxygen is disrupted to the brain, causing the appearance of nerve cell death (neurons). This disorder can lead to stroke symptoms.

 

Based on its pathology, stroke is divided into 2 types of stroke, namely:

• Ischemic Stroke (Infarction / blockage), this type of stroke can occur when the blood supply to the brain stops or is disrupted due to a blockage of the artery that inhibits blood flow to the brain. The symptoms of this stroke are the same as those of other strokes. The only difference is that TIA (Transient Ischemic Attack) can recover immediately. TIA is often a warning of a more severe stroke.
• Hemorrhagic Stroke (Hemorrhage), this stroke is caused by bleeding in the brain or around the brain due to rupture of blood vessels.

 

Recognize the symptoms of stroke with the acronym "SeGeRa Ke RS"

• Smile is not symmetrical, it is difficult to swallow drinking water suddenly
• Movement of limbs is weakened by half
• Slurred speech or not understanding what is being said
• Weakness or numbness in half of the body
• Blindness or blurred vision suddenly
• Severe headaches that appear suddenly and have never been felt before.

 

The "stroke code" is a set of protocols and actions that are activated when a patient is suspected of having a stroke. The purpose of the stroke code is to ensure a rapid and coordinated response from the medical team, so as to minimize damage to the brain and increase the chances of recovery for patients with stroke symptoms and signs that occur in less than 4.5 hours by administering thrombolytic drugs. Thrombolytic drugs function to destroy blockages in the blood vessels of the brain in patients with ischemic stroke or blockage stroke. this treatment can only be done at the beginning of stroke symptoms less than 4.5 hours, Friends of Hermina.

 

Reference:

Kemenkes(2021). Stroke. Accessed from p2ptm.kemkes.go.id

Pubmed Central (2018). Respon Cepat “Kode Stroke”. Accessed from ncbi.nlm.nih.gov

Amrullah. 2023. Mengenal stroke dan layanan code stroke. Accessed from rsud.mataramkota.go.id