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	<title>Symptom Advice .com &#187; strict guidelines</title>
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		<title>Chandler Regional has formal program to treat stroke victims</title>
		<link>http://symptomadvice.com/chandler-regional-has-formal-program-to-treat-stroke-victims/</link>
		<comments>http://symptomadvice.com/chandler-regional-has-formal-program-to-treat-stroke-victims/#comments</comments>
		<pubDate>Sat, 08 Jan 2011 12:34:08 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[medical symptoms]]></category>
		<category><![CDATA[blood vessel]]></category>
		<category><![CDATA[doctors]]></category>
		<category><![CDATA[hemant]]></category>
		<category><![CDATA[strict guidelines]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/chandler-regional-has-formal-program-to-treat-stroke-victims/</guid>
		<description><![CDATA[If &#121;&#111;&#117; &#116;&#104;&#105;&#110;&#107; &#121;&#111;&#117; &#109;&#105;&#103;&#104;&#116; be &#104;&#097;&#118;&#105;&#110;&#103; a stroke, don&#8217;t hesitate. &#103;&#101;&#116; to the hospital. That&#8217;s the message &#102;&#114;&#111;&#109; Dr. Hemant Pandey, director &#111;&#102; the &#110;&#101;&#119; stroke program &#097;&#116; Chandler Regional Medical Center. A patient &#119;&#104;&#111; arrives &#097;&#116; Chandler Regional &#119;&#105;&#116;&#104; stroke symptoms will be seen by &#097;&#110; ER physician within 10 minutes. A CT [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/01/1294490048-45.gif" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>If &#121;&#111;&#117; &#116;&#104;&#105;&#110;&#107; &#121;&#111;&#117; &#109;&#105;&#103;&#104;&#116; be &#104;&#097;&#118;&#105;&#110;&#103; a stroke, don&#8217;t hesitate. &#103;&#101;&#116; to the hospital.</p>
<p>That&#8217;s the message &#102;&#114;&#111;&#109; Dr. Hemant Pandey, director &#111;&#102; the &#110;&#101;&#119; stroke program &#097;&#116; Chandler Regional Medical Center.</p>
<p>A patient &#119;&#104;&#111; arrives &#097;&#116; Chandler Regional &#119;&#105;&#116;&#104; stroke symptoms will be seen by &#097;&#110; ER physician within 10 minutes.</p>
<p>A CT scan will be read within 25 minutes, and, if doctors &#100;&#101;&#099;&#105;&#100;&#101; clot-buster drugs are needed, the patient will &#103;&#101;&#116; them within &#097;&#110; hour.</p>
<p>&#8220;These are strict guidelines,&#8221; Pandey &#115;&#097;&#105;&#100;. &#8220;This changes the outcome significantly in the patient.&#8221;</p>
<p>Stroke symptoms include the abrupt onset &#111;&#102; slurred speech &#111;&#114; other difficulty talking, difficulty &#119;&#105;&#116;&#104; balance, inability to lift &#097;&#110; arm &#111;&#114; a leg &#111;&#114; loss &#111;&#102; sensation in &#097;&#110; arm &#111;&#114; a leg.</p>
<p>In a stroke, a small clot appears in a blood vessel, preventing blood flow to that &#112;&#097;&#114;&#116; &#111;&#102; the brain.</p>
<p>A clot buster, called tPA &#111;&#114; tissue plasminogen activator, &#8220;acts &#108;&#105;&#107;&#101; Drano,&#8221; Pandey &#115;&#097;&#105;&#100;. &#105;&#116; dissolves the clot and opens the blood supply to that &#112;&#097;&#114;&#116; &#111;&#102; the brain.</p>
<p>&#8220;Timing &#105;&#115; so critical because if &#116;&#104;&#101;&#121; wait &#115;&#105;&#120; &#111;&#114; eight hours, &#112;&#097;&#114;&#116; &#111;&#102; the tissue cannot be saved,&#8221; Pandey &#115;&#097;&#105;&#100;.</p>
<p>&#8220;If a patient goes to a hospital that&#8217;s stroke certified, &#116;&#104;&#101;&#121; have a higher chance &#111;&#102; getting clot-buster medication,&#8221; &#104;&#101; &#115;&#097;&#105;&#100;.</p>
<p>The hospital, which adopted the &#110;&#101;&#119; faster-acting stroke-treatment plan in September, &#104;&#097;&#115; a team &#111;&#102; physicians trained and certified in stroke management.</p>
<p>&#8220;The entire care &#098;&#101;&#099;&#111;&#109;&#101;&#115; &#118;&#101;&#114;&#121; aggressive and &#118;&#101;&#114;&#121; urgent,&#8221; &#104;&#101; &#115;&#097;&#105;&#100;. &#8220;We &#119;&#101;&#114;&#101; &#100;&#111;&#105;&#110;&#103; &#105;&#116; &#098;&#101;&#102;&#111;&#114;&#101;, but &#110;&#111;&#116; in a manner &#097;&#115; cohesive and efficient &#097;&#115; &#110;&#111;&#119;.&#8221;</p>
<p>Since Sept. 7 &#119;&#104;&#101;&#110; the formal program &#098;&#101;&#103;&#097;&#110;, the hospital &#104;&#097;&#115; had about 214 patients &#119;&#105;&#116;&#104; acute neurological symptoms, and 25 received clot busters.</p>
<p>Nationally, such patients &#119;&#104;&#111; receive clot busters are 2.5 percent.</p>
<p>Pandey speculates that patients receiving clot busters in Chandler are higher because the hospital sees a population that&#8217;s older, including residents &#111;&#102; Sun Lakes, and that perhaps Chandler&#8217;s patients are &#109;&#111;&#114;&#101; educated and &#107;&#110;&#111;&#119; to arrive quickly after symptoms appear.</p>
<p>Clot busters &#100;&#111; come &#119;&#105;&#116;&#104; a slight risk &#111;&#102; causing bleeding, but if &#116;&#104;&#101;&#121; are given within the &#102;&#105;&#114;&#115;&#116; hour &#111;&#102; symptoms, there&#8217;s less chance &#111;&#102; bleeding than if they&#8217;re administered in the third &#111;&#114; fourth hour, the physician &#115;&#097;&#105;&#100;.</p>
<p>&#8220;We had &#111;&#110;&#108;&#121; one patient bleeding, so &#119;&#101; are &#097;&#116; 0.04percent,&#8221; the doctor &#115;&#097;&#105;&#100;. &#8220;We &#098;&#101;&#108;&#105;&#101;&#118;&#101; it&#8217;s because &#119;&#101; follow the protocols to the &#8216;T&#8217; and &#100;&#111; &#110;&#111;&#116; deviate.&#8221;</p>
<p>He &#115;&#097;&#105;&#100; the hospital &#105;&#115; &#115;&#116;&#105;&#108;&#108; getting a lot &#111;&#102; patients arriving later than 4? hours after symptoms &#098;&#101;&#103;&#105;&#110;.</p>
<p>&#8220;We want them to come earlier so &#116;&#104;&#101;&#121; &#099;&#097;&#110; be a candidate for a clot buster,&#8221; &#104;&#101; &#115;&#097;&#105;&#100;.</p>
<p>&#8220;We would &#108;&#105;&#107;&#101; the community to &#107;&#110;&#111;&#119; if &#121;&#111;&#117; recognize the symptoms, don&#8217;t wait. Come to the hospital.&#8221;</p>
<p>Staff &#102;&#114;&#111;&#109; the Chicago-based Joint Commission, &#097;&#110; accrediting agency, are visiting Chandler Regional this month, and Pandey expects the visit will result in the hospital&#8217;s stroke program being certified by the Joint Commission.</p>
<p>Chandler Regional &#105;&#115; partnered &#119;&#105;&#116;&#104; Barrow Neurological Institute in Phoenix, so if Chandler receives a patient late, such &#097;&#115; &#115;&#105;&#120; &#111;&#114; eight hours after the onset &#111;&#102; symptoms and doctors feel the person &#105;&#115; &#110;&#111;&#116; a candidate for clot busters, the patient &#105;&#115; sent to Barrow, which &#099;&#097;&#110; perform other procedures.</p></p>
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