A Team Approach to Stroke

Stroke

​A Team Approach to Stroke

If you or someone close to you experiences a stroke, it is critical to call 911 to in order for medical care to begin as quickly as possible. Parkview’s continuum of stroke services begins when a patient arrives at one of our emergency departments for initial diagnosis and treatment. The clot-busting medication tPA may be administered by the stroke team, or a neurointerventional procedure may be performed. Depending on the severity of a stroke, a patient will then receive care in an intensive care unit or inpatient medical unit. The nationally recognized stroke team at the Parkview Stanley Wissman Stroke Center draws from these aspects of care to provide the best stroke care for each patient.

Patients at the Parkview Stanley Wissman Stroke Center receive care from a comprehensive stroke team, including:

  • Neurologists

  • Neurointerventionalists

  • Neurosurgeons

  • Emergency care physicians

  • Intensivists

  • Hospitalists

  • Primary care physicians

  • Physicians specializing in cardiology, neuroradiology  and other related fields

  • Emergency medicine staff

  • Interventional radiology staff

  • Critical care nurses specifically trained in neurology and stroke

  • Stroke certified registered nurses

  • Certified rehabilitation registered nurses

  • Laboratory staff

  • Radiology staff

  • Pharmacists

  • Physical and occupational therapists

  • Speech pathologists

  • Case managers and social workers

  • Chaplains

Neurointerventional stroke treatment

In 2007 the Parkview Stanley Wissman Stroke Center recruited the region’s first neurologist specializing in neurointerventional procedures.  Neurointerventional stroke treatment is accomplished with the use of a tube called a catheter that is inserted into an artery in the leg and then guided into the brain.  Through this catheter, the clot-busting medication tPA can be delivered directly at the site of the clot or retrieval devices can be used to remove the clot.  With both types of treatment, the goal is to restore blood flow to oxygen-starved parts of the brain in order to prevent or limit any long-term effects of a stroke. 

Access to this level of expertise and cutting-edge technology at Parkview, delivered by highly skilled neurointerventionalist Rakesh Khatri, MD, medical director of the StrokeCareNow Network, and neuroradiologist  Amit Sanghvi, MD, allows patients with complex conditions to be treated locally, rather than being referred to a university hospital many miles from their families and homes. 

Telemedicine and the StrokeCareNow Network

From the time stroke symptoms begin, patients have a window of just a few hours in which they can receive the clot busting medication tPA to prevent devastating neurological impairments.  As a regional medical center serving northeast Indiana, southern Michigan and northwest Ohio, Parkview treats a large number of stroke patients who have been transported from other communities.  To shorten the time between a patient’s arrival at a hospital and the start of measures to treat a stroke, Parkview and Fort Wayne Neurological Center spearheaded the creation of the StrokeCareNow Network in partnership with Lutheran Health Network early in 2008.

The StrokeCareNow Network is an alliance of 25 hospitals which uses telemedicine to deliver faster diagnosis and treatment for patients with stroke or vascular diseases of the brain. Each hospital in the network uses iPad® technology with high-quality two-way video and audio capability. The neurologist in Fort Wayne examines the patient at the outlying hospital with iPad telemedicine technology and consults instantaneously with the local emergency physician to determine the best treatment course for each patient.

Because telemedicine allows physicians in both locations to view and assess the patient and talk in real-time, they can make lifesaving treatment decisions together in minutes. If the patient needs to be transferred to the Parkview Stanley Wissman Stroke Center or another facility, the transfer is set in motion immediately. The StrokeCareNow Network helps speed diagnosis and treats strokes quickly so patients have a better chance for recovery.

 
 

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