Time is Brain. Memorial Satilla Health’s emergency department, EMS partners and area first responders take that motto seriously when it comes to stroke care. Their dedication shined during a recent stroke symptom transport call when they were able to administer life-saving medications within 24 minutes of the patient’s arrival at Memorial Satilla – besting the American Heart Association goal by 36 minutes.
This success story is a testament to the great partnership the hospital’s emergency team and area EMS providers have.
“A stroke is blocking blood flow to the brain. Every second brain tissue is dying,” explains Blake James, Pierce County EMS Director. “This patient did not exhibit the typical warning signs for stroke. Our paramedic practiced really good medicine in identifying this as a stroke event and a thorough job of assessment. A 24-minute door to needle time is incredible!”
“The faster the patient is administered Tenectaplase, the better the outcome. It can reverse deficits that can be life altering to the patient,” explains Ashton Poole, Emergency Department Director. “Teamwork between EMS and the ER is vital. In this case, an excellent report was given prior to the patient’s arrival, allowing our team to be fully prepared.”
The patient’s IV line was established ahead of time by an EMT so hospital staff were able to get the needed medications running immediately. “This success story showcases all of our hard work. We’ve got the right people doing the right job with the right equipment. We’re doing things the right way and we have great providers on call,” James says.
“HCA’s goal for DTN (door to needle) is 45 minutes, the American Heart Association’s goal is 60 mins, but our personal goal is 35 mins or less,” Poole says. “Behind the scenes, a multi-disciplinary team works together to ensure every step of the process is carried out as quickly as possible. Our stroke coordinator, ED leadership team, and staff repeatedly drills to continue to improve and remove any barriers to our process.”
“I’m proud of my team every day, but it’s extra special when you see their hard work pay off, and the excitement they get from knowing they made a difference in someone’s life,” Poole continued.
