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Orange Regional Medical Center Introduces Pre Hospital code Neuro Procedure

April 27, 2015

Middletown, NY – The Orange Regional Medical Center stroke care team now calls a Pre Hospital Code Neuro when notified by area Emergency Medical Services (EMS) of a potential stroke patient. A Pre Hospital Code Neuro is a well-established and highly integrated procedure that links the hospital with local first responders for fast, seamless action, diagnosis and treatment of stroke to deliver immediate and ongoing care.

“Our treatment begins before the patient arrives to the hospital via ambulance – as soon as they are identified as a stroke patient–which improves the care you receive across our continuum of services and enhances recovery,” said Medical Director of the Emergency Medicine Anuj Vohra. “Within 30 minutes of receiving a Pre Hospital Code Neuro, our clinical staff, laboratory and CT imaging teams are on site.”

“Calling a Pre Hospital Code Neuro alerts us to the impending arrival of a potential stroke patient via ambulance and gives us time to prepare. A Pre Hospital Code Neuro starts the process of delivering the rapid treatment within the critical first three hours of a stroke that improves chances of a more thorough recovery,” said Medical Director of Orange Regional’s Stroke Center, Olga Fishman.

Additionally, completed CT scans and laboratory information are essential in determining whether to administer drugs that break up the stroke-causing clot in a patient. If drugs are needed, a swift turnaround allows the stroke care team at Orange Regional to meet the 60-minutes-or-less door-to-needle (DTN) times, a recommended guideline of the American Heart/ Stroke Association for administering clot-dissolving drugs to patients experiencing an ischemic stroke (loss of blood to the brain).

As a result of the Pre Hospital Code Neuro procedure, stroke patients receive fast and effective treatment for their particular condition, as the care team follows them all the way through the Emergency Department, surgery or other neurovascular treatments into rehabilitation and the healing process.

As a designated Stroke Center, Orange Regional Medical Center has the multispecialty teams to handle stroke emergencies and the community-connected processes in place to deal with them quickly. From the time a patient contacts local emergency services, is picked up by EMS or comes directly to the hospital, the stroke care team is racing to provide top-quality care, with everyone prepared to focus entirely on the patient.

For more information on Orange Regional’s Stroke Center and stroke services, visit www.ormc.org/services/stroke-center.

Orange Regional Medical Center is a member of the Greater Hudson Valley Health System.

About Orange Regional Medical Center’s Designated Stroke Center

In recognition of its expertise in treating stroke patients, Orange Regional has been named a designated stroke center by the New York State Department of Health. A state protocol dictates emergency responders transport certain stroke patients to designated stroke centers even if other hospitals are closer.

As a designated stroke center led by Dr. Olga Fishman, Orange Regional has an expert stroke team made up of highly trained physicians, nurses and technicians that can treat stroke patients quickly and effectively, using the latest medicines and techniques, to minimize brain damage. Having quick access to these types of services within the first three hours of showing symptoms of a stroke is essential to preventing long-term neurological damage.

A stroke, or brain attack, occurs when a blood clot blocks a blood vessel or artery, or when a blood vessel breaks, interrupting blood flow to an area of the brain. When a brain attack occurs, it kills brain cells in the immediate area. Doctors call this area of dead cells an infarct. These cells usually die within minutes to a few hours after the stroke starts.

Every second counts – know the symptoms & signs of a stroke.

Call 911 immediately if you experience sudden onset of the following:

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

Vohra, Anuj


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