Getting them there!
It has become increasingly clear that in order to effectively re-organize the initial stages of stroke management, even before the patient reaches the hospital, that we need to forget all our preconceived notions, habits and ingrained ways of working.
- How do we take best advantage of our clinical experience?
- How do we integrate ourselves along with other specialists, regional hospitals and paramedical teams to provide the most efficacious use of our talents and ensure that all our patients receive the care they need in a timely fashion?
The debate is open, and SLICE is dedicated to exploring the different pathways to better stroke management and care.
During the first day of the meeting, sessions will focus on key issues concerning this pre-hospital period. Experts will openly discuss controversial questions such as whether advanced imaging is needed before MT or an unnecessary waste of time. Audience participation will, of course, be encouraged throughout the day.
New tools will be demonstrated throughout SLICE; for instance, an innovative compressed emergency mattress which, when expanded, mirrors the patient’s body thus allowing them to be immobilized, facilitating initial care such as anesthesia.
The first day will conclude with a dedicated session focusing on the organization of care itself. This critical discussion will look at the experience and ideas of individual centers throughout the world as well as examining the role of the radiologist and their interaction with other specialties to better understand how to improve initial patient management.
We look at an American experience which brings the specialist by helicopter directly to the patient’s center of care – posing the question of whether the neurointerventionist should go to the patient, rather than the patient to him or her?
- How do we improve regional coverage to ensure better local response?
- Should we bypass regional medical centers, sending our patients directly to comprehensive stroke centers?
- How do we train the local radiologists? To what level should they be trained?
- Do we need to establish regional thrombectomy centers?
- How should we organize local transportation? Car or helicopter?
- How well are we integrated with established emergency services?
- What additional training is needed for para-medical teams?
- And….should the public be better informed so that they recognize the signs of stroke?
At SLICE we believe that these questions need more than an academic response. To find effective answers we need to share our experience, compare the different methods we each use and discover what we have learned – and what we still need to learn – about the initial management of the patient. Together, we can bring clearer insights to our practice and, when we return home, create stronger foundations for stroke management.
To learn more about this subject, see day 1 :
Monday, October 1, 2018 – 08:10 – 18:10