Deans' stroke musings: Time: It’s part of what makes KHSC’s acute stroke team tick

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, June 30, 2024

Time: It’s part of what makes KHSC’s acute stroke team tick

So what? You don't measure time to delivery, you measure results! How many got 100% recovered? I'd have you all fired for not knowing what the objective is in stroke. 100% RECOVERY! NOT time!

Time: It’s part of what makes KHSC’s acute stroke team tick

Kingston Health Science Centre (KHSC) continues to provide the fastest access to Endovascular Treatment for patients with a stroke

June 27, 2024

Credit

Matthew Manor

We’re kind of a big deal.

The last time we checked, Kingston Health Sciences Centre’s Regional Stroke Centre of Southeastern Ontario was still the fastest centre - of the 11 in Ontario - to remove clots and restore blood flow to the brain with Endovascular Treatment (EVT). And we’ve been the fastest for seven straight years.

Fast, world-class treatment can result in longer lives for Kingston-area residents and the 60 per cent of patients who live elsewhere (Belleville, Bancroft, Brockville, Gananoque, Napanee, Perth, Picton, SmithsFalls, Trenton and surrounding areas) and are transported by Paramedic Services to KHSC to receive EVT.

During EVT, a small catheter is inserted into the patient’s leg and is then navigated, using special imaging equipment, into the brain to remove the clot causing the stroke. This happens in one of KHSC’s Interventional Radiology angiography suites.

Take a look at these impressive KHSC times to get from the Emergency Department door to:

The CT scan suite: 9 minutes (provincial target is 15 mins.)
Start of EVT: 39 minutes (provincial target is 60 mins.)
Remove clot and restore blood flow: 57 minutes (provincial target is 90 mins.)

Every minute saved means fewer brain cells die from lack of oxygen.

“We’re the fastest treating regional stroke centre in Ontario because we rely on and trust everyone to take charge on their turf without hesitation,” says stroke neurologist Dr. Al Jin.

Last year, KHSC completed 100 EVT cases, that’s up 11 per cent from the previous year. It’s also a huge jump from the 10 cases completed in 2016 when KHSC first began providing the treatment.