Emergency Stroke Care in Record Time

August 14, 2012 by Deena
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Written by Scott Tedrick, Advocate Tribune

Dale Stringer lie in his bed next to his wife, Roxie, on the evening
of May 16. It was about 10:30 p.m. and he was amidst his nightly

routine of watching television for a quarter-or-so-hour before falling

off into slumber––only he never got to complete the evening ritual.

As he went to reach for his remote, Stinger’s left arm didn’t respond

to his mind’s directive. He stirred his wife and took to standing.

Roxie turned on the light. His arm hung limp and it was apparent that

his mouth also drooped. There was little question to them as to what

was going on; lying calmly in bed, Dale had just had a stroke.

Today, Roxie and Dale sit leisurely in their backyard, an

aesthetically pleasing sanctuary of sorts that sits on the edge of the

City of Clarkfield adjacent to a sea of corn. Both look at peace,

Dale without any facial droop or speech impediment, and in control of

his body’s full range of motion––a pleasure he chalks up to the quick,

adept action of the Granite Falls and Clarkfield ambulance and Granite

Falls Hospital.

“I have all the confidence in the world in that bunch,” he said.

As with most medical emergencies, battling the potentially

debilitating impacts of a stroke is all about accurate assessment and

timing. When the Stringers realized what was going on, they both

stayed calm. They noted the time and Roxie dialed 911, and the

Clarkfield ambulance arrived in short order.

Racing toward Granite Falls, the Clarkfield ambulance met the

simultaneously dispatched Granite Falls ambulance halfway. A quick

exchange, and the Granite crew began preparatory work, initiating IVs,

an EKG scan and other measures––while at the Granite Falls hospital,

medical staff busy getting ready to play their role.

“After we receive a call, a whole series of events start happening,”

said Granite Falls Ambulance Director Gene Hughes. “Lab, CT, X-Ray

come in and set up the CT machine; the nurses staff has the

neurologist on the end of the line through our IT television and the

whole team is waiting for the patient when they arrive,”

Through Comprehensive Advanced Life Support (CALS) and other training

that focuses on exceptionally efficient, capable teamwork, the

ambulances, hospital and specialist function as a whole––the

proverbial, well-oiled machine.

“We’re very aggressive here in Granite, we really are.” Hughes said.

“I’ve worked in three hospitals in three states and we’re the most

aggressive place I’ve been.”

In seamless function, the team verified that what Dale experienced was

a stroke, and more specifically, a blood clot, not a brain bleed––

which informed the hospital on how to attack the problem.

Eighty-five percent of the time, Hughes says it ends up being a clot,

but one has to be sure as the TPA shot administered to clear the

blockage could kill the patient if there is a brain bleed. The sooner

the shot is employed, the better the chance a patient fully recovers––

it must be injected within six hours.

“The nationwide goal is an hour, but rarely does somebody make it,”

noted Hughes. “The Granite Falls Hospital is working under an hour

almost all of the time, so it’s pretty impressive. In Dale’s case, we

did it in 37 minutes, which is extremely impressive. We’re talking

about somebody who lives in Clarkfield.”

Following the local care, Dale was airlifted to St. Joseph’s Hospital

where he spent a few days at the hands of a specialist. The

neurologist would call back later in the day to commend the ambulance

and hospital teams on their extraordinary work. On his healthy return

home, Dale did the same, in person.

“The hospital is lucky to have Gene Hughes,” he said. “We’re lucky to

have the whole team we have with those ambulances and the Granite

Falls hospital.”

Dale and wife Roxie at their home in Clarkfield

 

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