[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-370083-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-370083-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","guidelines-for-management-of-stroke","Guidelines for Management of Stroke","","Clinical guidelines for the management of acute stroke, issued in Ulaanbaatar in 2012, provide a structured approach to detection, emergency response, diagnosis, and treatment across ischemic stroke, transient ischemic attack, intracerebral hemorrhage, and aneurysmal subarachnoid hemorrhage. The document outlines roles of stroke teams and healthcare systems, emphasizes time-critical interventions such as thrombolytic therapy, details blood pressure and antithrombotic management, and covers complication management and rehabilitation. It also addresses primary and secondary prevention and the application of guidance at different levels of medical organizations.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/guidelines-for-management-of-stroke/370083/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/guidelines-for-management-of-stroke/370083.png","ImageObject",300,407,{"name":42,"@type":43},"Quinn Holloway","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-02","2026-09-23",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",18,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Which types of acute stroke does the guideline cover?","Question",{"text":63,"@type":64},"The guideline summarizes management for three adult acute stroke types: ischemic stroke and transient ischemic attack, intracerebral hemorrhages, and aneurysmal subarachnoid hemorrhage.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What is the main goal of stroke care described in the document?",{"text":68,"@type":64},"Stroke care aims to minimize brain injury and maximize patient recovery, supported by rapid recognition and time-critical diagnosis and treatment.",{"name":70,"@type":61,"acceptedAnswer":71},"What key steps are emphasized to reduce delays in stroke diagnosis and treatment?",{"text":72,"@type":64},"The document highlights the “7 D’s of Stroke Care”—detection, dispatch, delivery, door (arrival and urgent triage in the emergency department), data, decision, and drug administration—indicating key points where delays can occur.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},370083,1790218068,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":140,"language":141,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":12,"update_tm":145,"read_time":146},2336474466712,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Guidelines for Management of  \nStroke  \nUlaanbaatar 2012  \nContents  \nAbbreviations 4  \nIntroduction 5  \nА. General Part 6-8  \nА .1. Definition of Stroke  \nА .2. International Classification Disease Codes А .3. Users of this Guideline  \nА .4. Objective А .5. Processed Data А .6. Update Data  \nА .7. Participants in preparing this guideline А .8. Used terminology  \nA.9. Epidemiology  \nB. Management of Ischemic Stroke 8-20  \nB.1. Evaluation and management of acute stroke  \nB.1.1 . Orders and steps of emergency medical services B.1.2 . Referral and patient transfer  \nB.1.3. Emergency room management of Acute Stroke B.1.4 . Diagnosis of Stroke  \nB.1.5. Treatment decisions by stroke team B.1 .6. Treatment for Ischemic Stroke B.1.6.1. General stroke treatment  \nB.1.6.2. Specific treatment  \nB.1.6.3. Thrombolytic therapy  \nB.1.6.4. Management for Hypertension  \nB.1 .6.4.1. Management of hypertension in patients eligible or not eligible forthrombolytic therapy  \nB.1.6.5. Antiplatelet and anticoagulant therapy  \nD. Management of Spontaneous Intracerebral Hemorrhage  \nC.1. Diagnosis of Intracerebral hemorrhage C.2. Treatment of acute Intracerebral hemorrhage C.2.1. Air way and oxygenation  \nC.2.2. Medical treatment  \nC.2.3. Blood pressure management  \nC.2.4. Surgical removal of Intracerebral hemorrhage  \nD. Management of Aneurysmal Subarachnoid Hemorrhage  \nD.1. Manifestations and diagnosis of aneurysmal SAH  \nD.2. Medical management of SAH  \nD.3. Surgical and endovascular treatment of ruptured cerebral aneurysms D.4. Medical measures to prevent re-bleeding after SAH  \nD.5. Management of cerebral vasospasm  \nE. Management of complications in Strokes  \nE.1. Therapy of elevated Intracranial pressure and Hydrocephalus E.1.1. Management of intracranial pressure  \nE.2 . Prevention and management of other complications in Strokes  \nF. Rehabilitation  \nH. Prevention of Stroke  \nH.1. Primary prevention  \nH.2. Secondary prevention  \nI. Application of the guidelines for management of stroke in each level of medical organizations  \nReferences  \n20-26  \n26-30  \n31-34  \n34-35  \n35-39  \n40  \n41  \nAbbreviations  \nAF  \nBP  \nCAS  \nCEACE-MRACSF  \nCT  \nCTA  \nCV  \nDSA  \nDWI  \nECG  \nED  \nEEG  \nEMS FLAIR ICA  \nICP  \nINR  \nICH  \niv  \nIS  \nLDL  \nMCA  \nMI  \nMRA  \nMRI  \nmRS NASCET NIHSS  \nNINDSOSA  \nPE  \nPFO  \npUK  \nQTc  \nRCT  \nrtPA  \nSAH  \nTCD  \nTOE  \nTIA  \nTTE  \nUFH  \natrial fibrillation blood pressure carotid artery stenting carotid endarterectomy  \ncontrast-enhanced MR angiography cerebral spinal fluid  \ncomputed tomography  \ncomputed tomography angiography cardiovascular  \ndigital subtraction angiography diffusion-weighted imaging electrocardiography  \nemergency department electroencephalography emergency medical service fluid attenuated inversion recovery internal carotid artery intracranial pressure international normalized ratio Intracerebral hemorrhage intravenous  \nIschemic stroke  \nlow density lipoprotein middle cerebral artery myocardial infarction magnetic resonance angiography  \nmagnetic resonance imaging modified Rankin score  \nNorth American Symptomatic Carotid Endarterectomy Trial National Institutes of Health Stroke Scale  \nNational Institute of Neurological Disorders and Stroke obstructive sleep apnoea  \npulmonary embolism patent foramen ovale pro-urokinase  \nheart rate corrected QT interval randomized clinical trial  \nrecombinant tissue plasminogen activator Subarachnoid hemorrhage  \ntranscranial Doppler transoesophageal echocardiography transient ischemic attack transthoracic echocardiographyunfractionated heparin  \nIntroduction  \nStroke is one of the leading causes of morbidity and mortality worldwide. WHO statistics indicate that all types of stroke ranked cause of death (13-15%) as the third and surpassed only by heart disease and cancer. Each year 15.000.000 persons suffer from stroke worldwide out of which 5.000.000 and up with mortality and the remaining 10.000.000 have been deeply disabled. Each year, Mongolia registered 270-290 cases ","cbCaijvSUnXDjC4P","https://ap.wps.com/l/cbCaijvSUnXDjC4P","pdf",670713,42,"English","# Contents\n## Abbreviations\n## Introduction\n## A. General Part\n### A.1. Definition of Stroke\n### A.2. International Classification Disease Codes\n### A.3. Users of this Guideline\n### A.4. Objective\n### A.5. Processed Data\n### A.6. Update Data\n### A.7. Participants in preparing this guideline\n### A.8. Used terminology\n## A.9. Epidemiology\n## B. Management of Ischemic Stroke\n## C. Management of Spontaneous Intracerebral Hemorrhage\n## D. Management of Aneurysmal Subarachnoid Hemorrhage\n## E. Management of complications in Strokes\n## F. Rehabilitation\n## H. Prevention of Stroke\n## I. Application of the guidelines for management of stroke","[{\"question\":\"Which types of acute stroke does the guideline cover?\",\"answer\":\"The guideline summarizes management for three adult acute stroke types: ischemic stroke and transient ischemic attack, intracerebral hemorrhages, and aneurysmal subarachnoid hemorrhage.\"},{\"question\":\"What is the main goal of stroke care described in the document?\",\"answer\":\"Stroke care aims to minimize brain injury and maximize patient recovery, supported by rapid recognition and time-critical diagnosis and treatment.\"},{\"question\":\"What key steps are emphasized to reduce delays in stroke diagnosis and treatment?\",\"answer\":\"The document highlights the “7 D’s of Stroke Care”—detection, dispatch, delivery, door (arrival and urgent triage in the emergency department), data, decision, and drug administration—indicating key points where delays can occur.\"}]","Guidelines for Management of Stroke | PDF",1790186620,106]