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EMERGENCY

+91-8826000033

Neurosciences / Neurology

Emergency Stroke Management and Care

Fast scans and treatment for stroke, round the clock, followed by rehabilitation. If you see a drooping face, a weak arm or slurred speech, call for help now.

Emergency Stroke Management and Care at Prakash Hospital, Neurosciences / Neurology
Anaesthesia
None for clot-busting treatment
Hospital stay
Usually 3 to 10 days
Recovery
Most gains in the first 3 to 6 months
Results
Better the sooner treatment starts

Overview

One side of the face drops. An arm goes weak, or speech comes out slurred. A stroke usually strikes without warning, and the person may not realise anything is wrong. If you see these signs, call an ambulance or get to the nearest emergency department at once. Don't wait to see if it passes.

A stroke happens when the blood supply to part of the brain is cut off, most often by a clot (ischaemic stroke) and less often by an artery bursting and bleeding into the brain (haemorrhagic stroke). Brain cells start dying within minutes. The two types need opposite treatment, so a brain scan comes first. A clot can be dissolved with medicine through a drip (thrombolysis), but only within about 4.5 hours of the first symptom.

Many people regain a lot of what they lost, mostly in the first 3 to 6 months. Some are left with lasting weakness or speech problems, and preventing a second stroke becomes part of daily life.

At Prakash Hospital, suspected strokes go straight to the resuscitation bay of our 24/7 emergency department. Our neurology team follows a dedicated stroke protocol with the emergency, radiology and critical care teams to cut the time to treatment, and rehabilitation starts early.

Signs of a stroke

Remember FAST. Any one of these signs, even briefly, is an emergency.

  • Face: one side droops. Ask the person to smile and see if it's uneven
  • Arms: one arm or leg is weak or numb. Ask them to raise both arms and watch for one drifting down
  • Speech: slurred or muddled words, or trouble understanding you
  • Time: call an ambulance at once and note when the symptoms started
  • Sudden loss of vision in one eye, or double vision
  • Sudden loss of balance or trouble walking
  • A sudden, severe headache unlike any before

Treatment options

Clot-busting medicine (thrombolysis)

A medicine such as alteplase or tenecteplase, given into a vein, can dissolve the clot if it's started within about 4.5 hours, and the earlier the better. The scan must show no bleeding, and the team checks for reasons it would be unsafe, such as recent surgery or blood thinners.

Clot removal (thrombectomy)

When a large brain artery is blocked, a specialist neuro-interventional team can pull the clot out through a catheter, in selected people up to 24 hours after onset. The first scans show whether you might benefit, and your neurologist will explain the options straight away.

Care for a bleeding stroke

Blood pressure is lowered carefully and blood thinners are reversed. Some bleeds, and some large strokes with dangerous swelling, need surgery by the neurosurgery team.

If you think someone is having a stroke

  • Call an ambulance or go to the nearest emergency department straight away. Our ambulance service runs round the clock
  • Note the time the symptoms began, or when the person was last seen normal
  • Don't give food, water or tablets, including aspirin. Swallowing may be affected, and if the stroke is a bleed, aspirin can make it worse
  • If the person is drowsy or vomiting, lay them on their side
  • Skip home remedies such as pricking the fingertips. They don't help and they waste time
  • Bring their medicine list, especially blood thinners, and a relative who knows their history

What happens in the emergency department

  1. 01

    Straight to the resuscitation bay

    Suspected strokes skip the queue. Breathing, pulse, blood pressure and blood sugar are checked at once, since low sugar can mimic a stroke.

  2. 02

    Rapid assessment and scan

    A doctor checks speech, vision and strength and confirms when the symptoms began, and a CT scan shows whether there's bleeding.

  3. 03

    Treatment decision

    If there's no bleed, you're within the time window and it's safe, clot-busting medicine starts. For a bleed, blood pressure is lowered and the neurosurgery team reviews you.

  4. 04

    Close monitoring

    You're admitted to intensive care, where blood pressure, heartbeat, sugar and brain function are watched closely. A swallow check comes before any food or drink.

  5. 05

    Finding the cause

    Over the next few days, an MRI, blood tests, an echocardiogram and heart rhythm monitoring look for why the stroke happened.

Benefits and risks

Benefits

  • Early clot-busting treatment raises the chance of recovering with little or no disability
  • Quick scanning separates clot from bleed, so the right treatment starts without delay
  • Close monitoring catches swelling or a second stroke early
  • Finding the cause, such as atrial fibrillation, helps prevent another stroke

Possible risks

  • Bleeding into the brain after clot-busting treatment, in roughly 2 to 6 in 100 people treated, which can be serious
  • A chest infection if food or drink goes into the lungs
  • Blood clots in the legs from lying still
  • A second stroke, most likely in the first days and weeks
  • Depression, which affects around 1 in 3 people after a stroke and can be treated

Recovery and rehabilitation

The brain can rewire itself to a surprising degree, especially in the first few months. Progress is often slower than families hope, but regular therapy makes a real difference.

  1. 01

    First days in hospital

    Once you're stable, physiotherapists help you sit and move, and speech therapists check swallowing and speech. Family members start learning how to help.

  2. 02

    Weeks 1 to 4

    Most people go home within 1 to 2 weeks. A commode chair or raised seat is safer than squatting on an Indian toilet while balance is poor. Ask about our home care plan for nursing or physiotherapy at home.

  3. 03

    Months 1 to 6

    Most recovery happens now, so keep up physiotherapy every day. Don't drive or ride a two-wheeler until your neurologist says it's safe, usually at least a month.

  4. 04

    Long term

    Take your prevention medicines daily, usually a blood thinner, a statin and blood pressure tablets. Cut down on salt, pickles and papad, keep diabetes on target and stop smoking.

When to call your doctor

  • Any new or worsening weakness, numbness, speech or vision problem. Call an ambulance, even if it passes
  • A sudden severe headache, repeated vomiting or increasing drowsiness
  • Coughing or choking at meals, fever or breathlessness
  • Pain or swelling in one calf
  • A seizure (fit)
  • Low mood lasting more than two weeks

Call us on +91-8826000033 or come straight to our 24/7 emergency department.

Talk to our Neurosciences / Neurology team

Ask about your options, the cost and your insurance before you decide. See the insurance and TPA panels we work with.

This page explains Emergency Stroke Management and Care in general terms. Your own plan depends on your health, your test results and your doctor's advice. Please read our medical disclaimer.

Your care team

Emergency Stroke Management and Care is led by our Neurosciences / Neurology team, with other departments stepping in at each stage of your care.

Neurology Department
Leads your treatment

Neurology Department

At Prakash Hospital, our Neurology Department provides expert care for brain and nervous system disorders, offering accurate diagnoses and effective treatments to improve your neurological health.

What the department treats

Stroke Management

Epilepsy Care

Movement Disorder Treatment

Headache and Migraine Clinic

Nerve Conduction Studies

Dementia Care

Visit the Neurosciences / Neurology department

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Frequently Asked Questions

Answers to common questions about Emergency Stroke Management and Care at Prakash Hospital, Noida.

How much time do we have to get treatment?

Clot-busting medicine must start within about 4.5 hours of the first symptom, and clot removal can help some people up to 24 hours later. Don't count on those limits, though. Every minute of delay costs brain cells, so go the moment you notice the signs.

The symptoms went away in 10 minutes. Do we still need to go?

Yes, the same day. Symptoms that pass completely may be a mini-stroke (TIA), which can be followed by a full stroke within days. Prompt tests and medicines can prevent it.

Can paralysis after a stroke be cured?

Many people recover much of their strength with early, regular physiotherapy, most of it in the first 3 to 6 months. How much comes back depends on the size and site of the stroke, and therapy also helps you adapt to any weakness that remains.

Can young people have a stroke?

Yes. Strokes are more common after 55, but younger adults and even children have them, often linked to high blood pressure, diabetes, smoking or heart problems. The FAST signs apply at any age.

Will it happen again?

The risk is highest in the first year, but much of it can be prevented with daily medicines, control of blood pressure, sugar and cholesterol, and not smoking.

Is stroke treatment covered by insurance?

Most policies cover emergency stroke treatment and the hospital stay, subject to their terms. In emergencies our billing team starts insurance processing early. See our insurance and TPA panels.

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