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UNIVERSITY AND DEARBORN COUNTY HOSPITALS TEAM-UP FOR ACUTE STROKE TECHNOLOGY

Dearborn County Hospital is the first facility to be part of a new initiative established by University Hospital’s Stroke Team.  Through this joint effort with University Hospital, suspected stroke patients brought to the Dearborn County Hospital Emergency Department will be evaluated by both the emergency department physician on site and a member of University’s Stroke Team using a new telemedicine system.

Patients arriving at DCH will continue to be cared for expeditiously, using established best practices for stroke diagnosis and treatment.  The new protocol will now allow for the patient to also be evaluated by a University Hospital Stroke Team physician through the use of a high-definition video camera, monitor and specialized software mounted on a robot.

Once the initial CT scan is completed, the new telemedicine system will be utilized, allowing for real-time, two-way audio/visual communication between the stroke specialist and the patient.

By utilizing the telemedicine robot, the stroke team physician is able to view and communicate with the patient much like they were in the same room.  The physician can see the patient’s physical features, hear their speech and monitor their response to various commands, as well as speak firsthand with family members or caregivers.   In addition, the stroke specialist is able to receive up to the minute data on lab results, vital signs and CT or other images.

“Time is critical when dealing with a suspected stroke patient,” explained DCH Emergency Department Physician Dr. Richard Cardosi.  “The sooner the patient can be evaluated, diagnosed and treatment initiated, the greater the potential for a more positive outcome.”

“The stroke team physicians are experts in their field.  By using this telemedicine system, the specialist is brought to the patient in a matter of minutes,” noted Roger Howard, DCH Director of Clinical Services and Facilities.  “Working collaboratively, the DCH Emergency Department physician and the University Hospital Stroke Team physician can then determine whether it is in the best interest of the patient to be transferred or to receive care at DCH.”

“The main thing to remember is that stroke patients need to be seen quickly,” emphasized Dr. Cardosi.  “If you or a loved one exhibit any of the warning signs of a stroke, please do not delay.  Call 911 immediately.”

In the future, University Hospital’s Stroke Team plans to implement the system at additional hospitals located outside of the I-275 loop.

 

 


DCH Emergency Department Physician Dr. Richard Cardosi and a University Hospital Stroke Team physician work collaboratively via the hospital’s new telemedicine robot (far left) to perform a mock evaluation on an emergency department staff member during an educational demonstration. Through this joint effort with University Hospital, suspected stroke patients brought to the Dearborn County Hospital Emergency Department will now be evaluated by both the emergency department physician on site and a member of University’s Stroke Team using the new telemedicine system.

The following information is from the National Stroke Association website at www.stroke.org.

Common stroke symptoms seen in both men and women:

  • sudden numbness or weakness of face, arm or leg -- especially on one side of the body
  • sudden confusion, trouble speaking or understanding
  • sudden trouble seeing in one or both eyes
  • sudden trouble walking, dizziness, loss of balance or coordination
  • sudden severe headache with no known cause
     

Women may report unique stroke symptoms:

  • sudden face and limb pain
  • sudden hiccups
  • sudden nausea
  • sudden general weakness
  • sudden chest pain
  • sudden shortness of breath
  • sudden palpitations


If you think someone may be having a stroke, act F.A.S.T. and do this simple test:
 

F—FACE: Ask the person to smile. Does one side of the face droop?

A—ARMS: Ask the person to raise both arms. Does one arm drift downward?

S—SPEECH: Ask the person to repeat a simple phrase. Is their speech slurred or strange?

T—TIME: If you observe any of these signs, call 911 immediately.

 
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