M1 occlusion with stable NIHSS, need to do a second image before angiosuite?

3 october 2016 – 13:30

Does time matters? Comprehensive stroke centers, how many are enough ?

Swedish Medical Center, Neuroscience Center
Englewood, CO, United States

Covering a vast multistate area comprising 10 million people, 125 different hospitals and receiving over 738 transferred patients in 2015 alone, how did Colorado’s Swedish Medical Center improve their “door to recanalization time” from over 100 minutes in 2014 to 61 minutes in late 2016? Join J. Wagner, the center’s medical director and stroke neurologist and D. Frei, the lead interventionalist as they present a pre-recorded case of an 86-year-old-woman living about 100km from the center who presents with an early morning stroke – Is she taken to the nearest primary center or directly to the specialized stroke center? How do they decide? What role does telemedicine play in their decision-making process and why do they have more than 60 telemedicine sites in this large geographic area? What is the physical structure of their stroke center, their imaging protocols and timing or their use of anesthesia? Why do they depend on CT imaging and why is this questioned by the audience? These and other questions, including a detailed analysis of the patient treated are presented in this in-depth case presentation. Looking for ways to improve your own timing? Join us here…

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