winky0107
Registered: 11/06/07
Posts: 8
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Reply with quote | #1 |
Was wondering if any other cath labs are bringing in acute stroke patients? A group of our cardiologists (and one neurosurgeon) is putting together a "Code Stroke" protocol to bring in these patients. I know of angio departments in radiology doing this, but the argument here is that the staff in radiology cannot handle the acuity of these patients (!).
I unfortunately don't have many details yet, but am concerned about training all the on-call staff to perform competently in these procedures. As it stands now, we have a core group of only 12-15 people who assist with the carotid stenting.
Any advice/suggestions/comments would be greatly appreciated.
Livin' in Cleveland Clinic South,
JML
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gorskik
Registered: 05/06/07
Posts: 11
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Reply with quote | #2 |
Yep! We do Acute Stroke as well (however it is a bit political, and most
patients go to neuroradiology). I do have to say, these cases are the most
"fun" and you feel like you have a sense of accomplishment when they are successful.
Acute strokes remind me of the "old days" of AMI management, before stents, IIb/IIIa inhibitors, IV Lopressor, etc. Nearly every AMI patient came into the lab in excruciating chestpain, most had received lysis, and you chased labile BPs, managed rhythms, and nausea/vomitting. With "modern" pharmaceutical regimens, It is rare to see a STEMI in that condition these days.
Cleveland Clinic south? Last I heard, we only had medical centers in Ohio, Florida, Toronto, and Abu Dhabi (capital city of the United Arab Emirates). 
- Ken
__________________
Kenneth A. Gorski, RN, RCIS, FSICP
Cleveland Clinic Heart and Vascular Institute
9500 Euclid Ave
Cardiovascular Medicine Desk J2-1
Cleveland, OH 44195-5245
(216) 444-4241 / gorskik@.ccf.org
There is but one worthy ambition for us all.Do better whatever we do. No matter how capable, we must work, think, study,and do better.
This alone leads to Mastery, Leadership, and Independence.
-Gutzon Borglum (Sculptor, Artist, Engineer Mount Rushmore)
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winky0107
Registered: 11/06/07
Posts: 8
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Reply with quote | #3 |
Thanks for the post, Ken. We're all very nervous about bringing in acute stroke patients. How did you train all the staff?
JML
P.S. When you've got 4 docs who trained at Cleveland Clinic, it starts to feel like a satellite campus around here sometimes!
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