Door: The fourth step in the chain of survival is ‘door’, which refers to the arrival of the patient at the emergency room (ED). Ideally, the stroke team should be in place at the receiving facility prior to the patient’s arrival to ensure prompt assessment and diagnosis. According to recommendations from the National Institute of Neurological Disorders and Stroke, an assessment should be completed by an ER physician within ten minutes of arriving in the ED.
We believe that continuous improvement from onset through to post-treatment care is critically important to ensure stroke patients have access to the right therapy at the right time.1 Working together – through our Stroke Care Solution – we can improve patients’ access to advanced stroke therapy by addressing systemic issues. We’re partnering with healthcare professionals to pinpoint gaps in processes, establish root causes, and implement changes to create efficiencies and optimize coordinated care. Let’s collaborate to develop a tailored solution to help you achieve enhanced clinical and financial outcomes.

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After adjusting for patient and hospital characteristics, PAA+/PSC+, PAA+/PSC-, and PAA-/PSC+ hospitals had 3.15 (95% confidence intervals 2.86-3.47); 3.23 (2.93-3.56), and 1.72 (1.47-2.00) higher odds of adhering to stroke care guidelines, respectively, than hospitals that had neither recognition, wrote Gregg C. Fonarow, MD, of the University of California Los Angeles, and his co-authors in the Oct. 15 issue of the Journal of the American Heart Association.
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A stroke, also called a brain attack, occurs when blood flow to the brain is disrupted. This disruption is caused when either a blood clot block one of the vital blood vessels in the brain (ischemic stroke), or when a blood vessel in the brain bursts, spilling blood into surrounding tissues (hemorrhagic stroke). The brain needs a constant supply of oxygen and nutrients in order to function and its cells begin to die after just a few minutes without either.
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If your stroke affected the right side of your brain, your movement and sensation on the left side of your body may be affected. If your stroke damaged the brain tissue on the left side of your brain, your movement and sensation on the right side of your body may be affected. Brain damage to the left side of your brain may cause speech and language disorders.
When someone is having symptoms of a stroke – slurred speech, sudden leg or arm weakness, facial drooping, loss of balance or visual changes – getting them to the hospital quickly can mean the difference between recovery and permanent disability. One of the best treatments for ischemic stroke is treatment with the clot-busting drug, intravenous tissue plasminogen activator, or IV tPA. If given in the first three hours after the start of stroke symptoms, IV tPA has been shown to significantly reduce the effects of stroke and lessen the chance of permanent disability. UofL Hospital Stroke Center staff strive to deliver IV tPA to appropriate patients within 45 minutes to one hour from the time they arrive at the hospital.
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