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Communication! Communication! Communication!

signs of stroke

 

There are many signs of a stroke you can watch out for. When a person is suffering from a stroke, communication with the hospital is essential.  If the EMT’s will warn the hospital that a stroke patient is en route, the hospital can be prepared when they arrive.  This small step can save so much time which can change the outcome of the stroke damage.  Truth is, EMT’s fail to do this simple yet vital step over 1/3 of the time and don’t notify the hospital when they see signs of a stroke.  Simply having the hospital ready for evaluation and treatment can change the outcome.

“Pre-notification was independently associated with better treatment times:

  • arrival-to-imaging times of 25 minutes or less,
  • arrival-to-treatment with the clot-busting drug tPA within 60 minutes,
  • symptom onset-to-tPA treatment times of 120 minutes or less,
  • and more eligible patients treated with tPA.”

This notification is especially critical if the patient is suffering from a stroke called ischemia; when a blood clot cuts off oxygen to the brain.  Clot busting medications can only be given within a 3 to 4.5 hour time frame.

National guidelines do recommend that these steps of communication are followed, but little change has been made.  If word spreads and EMT’s are knowledgeable of this vital communication step, there are significant positive results.  For example:

“Among patients arriving within two hours of symptom onset, patients with EMS pre-notification were more likely to:

  • be treated with tPA within three hours (82.8 percent vs. 79.2 percent);
  • have shorter arrival-to-imaging times (26 minutes vs. 31 minutes);
  • have shorter arrival-to-tPA treatment times (78 minutes vs. 80 minutes); and
  • have shorter symptom onset-to-tPA treatment times (141 minutes vs. 145 minutes).”

To see a map of rates to identify where communication needs to be improved go see the article referring to this problem written by the American Heart Association.
If EMT’s are aware of this problem, I believe that they will do everything possible to help their patients.  They are hero’s after all!
Have a Heart Healthy Day!
Kristi Krouse

Heart Smart CPR and American Heart Association has an announcement to make!

Healthy eating tips

 Great news!  Heart Smart CPR and the American Heart Association have an announcement!  The  AHA has new healthy eating tips to make healthy eating easier for your busy schedule at Subway!  When you see the logo above you know the American Heart Association approves!

I am sure you have seen this logo at the supermarket, now you can count on it when you don’t have nutritional information readily available at Subway.  For me personally, I love the fresh ingredients that Subway uses, but I always wonder about the sauces, now there is no doubt.  Way to go American Heart Association!  Thanks for making my busy life a bit easier.  Below is a list of foods that the AHA have given the stamp of approval at Subway.

  • All SUBWAY FRESH FIT® sandwich meals that include apples slices and water
  • All SUBWAY FRESH FIT FOR KIDS™ meals that include apple slices and low fat milk
  • 9 salads with Sweet Onion Dressing that include apple slices and water

Have a Heart Healthy Day!

Kristi Krouse