Category Archives: Emergency Medicine

RightCare Clinic offers patients emergency services at better value – Grand Rapids Business Journal

A physician group that staffs emergency rooms at hospitals including Corewell Health plans to open its own Grand Rapids clinic next month offering a new model for care that it hopes could expand to additional locations.

Emergency Care Specialists P.C.s RightCare Clinic will provide a level of care above whats available at an urgent care center, yet below what hospitals provide in an emergency room for cases such as trauma injuries, strokes and heart attacks.

RightCare Clinic will include services such as medical imaging X-ray, CT, and diagnostic ultrasound diagnostic labs and cardiac monitoring that urgent care centers lack and refer patients to a hospital to access.

We know there are a lot of things in the ED that could be seen elsewhere if there was the right provider mix, the right available tests and treatment, and those sorts of things, John Throop, president of Emergency Care Specialists, told Crains Grand Rapids Business. Wereintermediating ourselves between the urgent care and the ED, providing a higher level of service without having to do the strokes and the traumas and the heart attacks and those things.

Keep up with all things West Michigan business. Sign up for our free newsletters today.

Emergency medicine physicians will staff the new RightCare Clinic when it is scheduled to open on July 8 in a former West Michigan Cardiology P.C. location at East Beltline Avenue and Bradford Street NE, just north of I-96.

Emergency Care Specialists projects serving 3,400 patients in the first six months of operations.

Conditions the clinic will handle range from minor injuries and illnesses to evaluations for patients with chest and abdominal pain, cardiac monitoring, and intravenous infusions and medication administration. The clinic will refer patients who need a higher level of care to a hospital.

Lacking the cost structure of a hospital and the facility fees that typically accompany an emergency room visit, which is on top of the physician fee, the clinic can provide much of what patients would otherwise get at an ER and for a lower cost, exexutives at Emergency Care Specialists said.

Where we came up with this concept is in realizing that the emergency department is an expensive place of care, largely from the hospital charge and were not a big portion of that equation on the physician side of things and looking for alternatives as patients and employers and patients look for better costs for areas of care, Throop said. The difference with this is its going to be near-ED clinical services without that large facility fee associated with it. We think its a better value.

A 2023 report by prescription service provider Universal Drugstore estimated the average cost of a Michigan ER visit at $1,273. Another analysis this year by benefits company Mira Health pegs the cost at $1,393. Other studies show the cost is much higher, sometimes double, for patients who lack health insurance.

This is going to save a lot of people a lot of money, said Dr. Todd Chassee, vice president of clinical services at Emergency Care Specialists and medical director for RightCare Clinic.

The 40-year-old Emergency Care Specialists staffs emergency rooms at 13 hospitals across the state, including Corewell Health and McLaren Health Care. The group employs nearly 200 physicians and 100 advanced practitioners who treat about 500,000 patients annually. The group also contracts with Cherry Health in Grand Rapids.

RightCare will not operate as a walk-in clinic, but rather focus on same- or next-day patient referrals and appointments, although staff will still accept patients who come in without scheduling an appointment or calling ahead of time, Throop said.

He added that Emergency Care Specialists is close to finalizing agreements with Priority Health and Blue Cross Blue Shield of Michigan to reimburse for members care.

Emergency Care Specialists also has been examining direct contracting with employers, particularly with large self-funded employers who operate their own on-site of near-site employee primary care clinics, Throop said.

If the RightCare Clinic model proves successful, Emergency Care Specialists will examine whether to open more locations in the region.

If this goes how we think it is going to go, therell be more RightCares, Throop said. Well need to see that its sustainable financially. It doesnt have to be operating with a huge margin. It needs to be sustainable and needs to be providing a quality service and doing what we envision that it was going to do in terms of access, convenience and cost.

Expanding hours beyond whats presently planned or adding additional locations will hinge on validating the model behind RightCare, Chassee said.

If we can prove the concept, then we can grow, he said.

More from Crains Grand Rapids Business:

Property managers are a dying breed. Anne Ficeli wants to change that.

Office conversions seen as a path to vibrancy in downtown Kalamazoo

Child-friendly play cafe in Eastown offers space for working parents to gather

Read the original:

RightCare Clinic offers patients emergency services at better value - Grand Rapids Business Journal

Using SI and DSI to Predict Septic Shock in Patients with Sepsis at ED Triage – Physician’s Weekly

The following is a summary of Predicting septic shock in patients with sepsis at emergency department triage using systolic and diastolic shock index, published in the April 2024 issue of Emergency Medicine by Jeon, et al.

Identifying patients at high risk of progressing to septic shock is crucial for timely intervention and improved outcomes. In the pathophysiology of septic shock, systemic vasodilation plays a pivotal role, prompting interest in utilizing diastolic blood pressure (DBP) as a potential predictor. For a study, researchers hypothesized that initial shock index (SI) and diastolic SI (DSI) measured at the emergency department (ED) triage could serve as predictive indicators for septic shock.

The observational study utilized data from a prospectively collected sepsis registry. The primary outcome assessed was the progression to septic shock, while secondary outcomes included time to vasopressor requirement, vasopressor dose, and disease severity based on SI and DSI. Patients were categorized into tertiles based on the first principal component of the shock index and diastolic shock index.

A total of 1,267 patients were analyzed. The area under the receiver operating characteristic curve (AUC) for predicting progression to septic shock was 0.717 for DSI and 0.707 for SI. These AUC values were significantly higher than those for conventional early warning scores. The middle tertile exhibited an adjusted odds ratio (aOR) of 1.448 (95% CI 1.0741.953), while the upper tertile showed an aOR of 3.704 (95% CI 2.2994.111) for progression to septic shock.

Both SI and DSI emerged as significant predictors of progression to septic shock, with DSI also showing an association with vasopressor requirement. Stratifying patients into lower, middle, and upper tertiles based on these indices could provide a simple risk assessment tool at the ED triage, facilitating early identification and intervention for patients at high risk of septic shock.

Reference: sciencedirect.com/science/article/abs/pii/S0735675724000287

Read the original here:

Using SI and DSI to Predict Septic Shock in Patients with Sepsis at ED Triage - Physician's Weekly

Phoenix using ice immersion to treat heat stroke victims as Southwest bakes in triple digits – Bay to Bay News

By ANITA SNOW

PHOENIX (AP) The season's first heat wave is already baking the Southwest with triple-digit temperatures as firefighters in Phoenix America's hottest big city employ new tactics in hopes of saving more lives in a county that saw 645 heat-related deaths last year.

Starting this season, the Phoenix Fire Department is immersing heatstroke victims in ice on the way to area hospitals. The medical technique, known as cold water immersion, is familiar to marathon runners and military service members and has also recently been adopted by Phoenix hospitals as a go-to protocol, said Fire Capt. John Prato.

Prato demonstrated the method earlier this week outside the emergency department of Valleywise Health Medical Center in Phoenix, packing ice cubes inside an impermeable blue bag around a medical dummy representing a patient. He said the technique could dramatically lower body temperature in minutes.

Just last week we had a critical patient that we were able to bring back before we walked through the emergency room doors, Prato said. That's our goal to improve patient survivability.

The heatstroke treatment has made ice and human-sized immersion bags standard equipment on all Phoenix fire department emergency vehicles. It is among measures the city adopted this year as temperatures and their human toll soar ever higher. Phoenix for the first time is also keeping two cooling stations open overnight this season.

Emergency responders in much of an area stretching from southeast California to central Arizona are preparing for what the National Weather Service said would be easily their hottest weather since last September.

Excessive heat warnings were issued for Wednesday morning through Friday evening for parts of southern Nevada and Arizona, with highs expected to top 110 degrees Fahrenheit (43.3 Celsius) in Las Vegas and Phoenix. The unseasonably hot weather was expected to spread northward and make its way into parts of the Pacific Northwest by the weekend.

Officials in Maricopa County were stunned earlier this year when final numbers showed 645 heat-related deaths in Arizona's largest county, a majority of them in Phoenix. The most brutal period was a heat wave with 31 subsequent days of temperatures of 110 degrees Fahrenheit (43.4 Celsius) or higher, which claimed more than 400 lives.

Weve been seeing a severe uptick in the past three years in cases of severe heat illness, said Dr. Paul Pugsley, medical director of emergency medicine with Valleywise Health. Of those, about 40% do not survive.

Cooling down patients long before they get to the emergency department could change the equation, he said.

The technique is not very widely spread in non-military hospitals in the U.S., nor in the prehospital setting among fire departments or first responders, Pugsley said. He said part of that may be a longstanding perception that the technique's use for all cases of heatstroke by first responders or even hospitals was impractical or impossible.

Pugsley said he was aware of limited use of the technique in some places in California, including Stanford Medical Center in Palo Alto and Community Regional Medical Center in Fresno, and by the San Antonio Fire Department in Texas.

Banner University Medical Center in Phoenix embraced the protocol last summer, said Dr. Aneesh Narang, assistant medical director of emergency medicine there.

This cold water immersion therapy is really the standard of care to treat heatstroke patients, he said.

See the original post:

Phoenix using ice immersion to treat heat stroke victims as Southwest bakes in triple digits - Bay to Bay News

The First10EM monthly wrap-up for May 2024 – First10EM

The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. Obviously the format means the focus is mostly on content I have found, but I hope the community gets engaged in the comments, sharing books, podcasts, FOAMed, or anything else that you think would benefit or delight the broader emergency medicine community.

I was at the North York General Emergency Medicine Update conference this month, which is always a great time. I recorded versions of my two talks RSI and then they die and a 2024 literature update so you can watch them even if you werent at the conference:

There were a few more videos added to the First10EM YouTube channel, which is really starting to take off, so make sure to subscribe if you havent.

Managing the bleeding tracheostomy

Oral antibiotics are better than IV

You MUST know how to perform Delayed Sequence Intubation

Not exactly high end fiction, but Fourth Wing by Rebecca Yarros has dragons and magic, and feels a little like a melding of Hunger Games and Game of Thrones? The sex scenes might be a little smutty for some peoples taste, and the story lacks the rich politics and deeper themes of truly great fantasy novels, but if you just want a fun page turner about a young woman trying to survive magic dragon school, you will probably enjoy this.

And yes, Fourth Wing was good enough that I did read the sequel, Iron Flame, immediately afterwards. It is a trilogy, and the third book isnt out yet. That has really burned me before (I am still desperately waiting for book 3 of the The Kingkiller Chronicle 13 years after finishing the second book), so maybe be cautious if you dont like picking up unfinished sagas.

The politics of intolerance based around anthropomorphized rabbits? If that sounds like your cup of tea, then The Constant Rabbit by Jasper Fforde was a decent and somewhat humorous novel.

I might have suggested it before, but I was re-reading some chapters of Nasty, Brutish, and Short: Adventures in Philosophy with My Kids, and it is a really enjoyable and approachable book on philosophy.

I was a really busy month, so I spent very little time in the general media and FOAMed realm, but I would like to change that for next month, so if there are great podcasts, YouTube videos, or FOAMed that was recently published, please share it in the comments, so everyone can enjoy.

One of the few posts I did read was by Liz Crowe (so you know it is brilliant) on St Emlyns discussing Choosing with Intention.

I also relearned a lot of little things about physics in this Steve Mould video looking at a flame that is dark or absorbing light.

I would love some peoples thoughts on this: If potential knowledge is unlimited, but human life is distinctly limited, is the pursuit of knowledge pointless or problematic in some way? (Probably very poorly paraphrased from a number of Taoist texts. I believe the most common translation is perilous, but I am not sure what that means for my practical approach to life.)

In many ways, this adage seems antithetical to the way I lead my life. I find it interesting, and as long as one does not over-interpret it to the point of nihilism, it probably contains an important lesson. But I would really love to hear peoples thoughts.

Two men come to visit a Zen teacher to inquire about moving to his village.

The first man enters and says, I am thinking of moving to this village, how is it here? The teacher replies, Well, how is your current village? The man responds, Its terrible, I hate it there. The Zen teacher answers, This village is the same, you wont like it.

The second man enters and says, I am thinking of moving to this village, how is it here? The teacher replies, Well, how is your current village? The man responds, Its wonderful, I love it there. The Zen teacher answers, This village is the same, you will like it.

There is no such thing as philosophy free science, just science that has been conducted without any consideration of its underlying philosophical assumptions. Daniel Dennett

Like Loading...

Go here to read the rest:

The First10EM monthly wrap-up for May 2024 - First10EM

Importance of Knowing How to do CPR – Cleveland Clinic Newsroom

CLICK HERE to download soundbites, b-roll, script and web article.

For download password, contact ccnewsservice@ccf.org.

CLEVELAND - Its National CPR and AED Awareness Week.

If you dont know how to do CPR, now is a good time to learn.

According to the Red Cross, immediate CPR can double or triple chances of survival after a cardiac arrest.

The big thing with having a sudden cardiac arrest is it can come from drowning or just the electrical system of the heart not working, said Steven Brooks, MD, emergency medicine physician for Cleveland Clinic. And the faster you can get the blood flowing in the body to the vital organs, the better outcome youre going to have.

Dr. Books said CPR should be performed in situations where a person isnt breathing or doesnt have a pulse.

Before you get started, make sure to call 9-1-1.

Chest compressions should then be done 100 to 120 times a minute.

Mouth-to-mouth resuscitation is no longer recommended.

Dr. Brooks said AEDs can also be helpful in an emergency.

For those unfamiliar, these devices are often available in public places.

They work by analyzing the persons heart rhythm and, if necessary, deliver an electrical shock.

The instructions are right inside. Once you open up the AED, it shows you exactly where to place the pads and hit the button that says analyze, said Dr. Brooks. It will direct you to do everything. That is one of the best ways to help revive somebody that has suddencardiac arrest outside of doing just your basic CPR.It's the next step in the chain of survival.

Dr. Brooks also recommends learning how to do the Heimlich maneuver in the event someone is choking.

If their airway remains blocked for too long, they could ultimately need CPR.

All of these skills are very important to know.

Link:

Importance of Knowing How to do CPR - Cleveland Clinic Newsroom

Sporting Clays Tournament to Benefit Garnet Health Medical Center Emergency Department – Sullivan County Democrat

MIDDLETOWN Garnet Health Foundation invites all to its highly popular annual Sporting Clays Tournament, benefiting the Every Minute Counts campaign to renovate and expand Garnet Health Medical Centers emergency department.

Everyone from beginner to advanced is welcome to join in the excitement and fun taking place Friday, June 28, at Mid-Hudson Sporting Clays, 411 North Ohioville Road, New Paltz. Registration opens at 9:00 a.m., and the tournament begins at 10:00 a.m. The cost is $250 per shooter and includes 100 clays, a golf cart, shells, safety training and lunch. Gun rentals and sponsorship opportunities are also available.

Garnet Health Medical Center leads the region in access to state-of-the-art emergency care. The planned renovation will more than double the size of the emergency departmentfrom 45 treatment spaces to 100. It will also improve efficiencies while enhancing the patient experience. The expansion will increase capacity to 85,000 patient visits annually.

This fundraiser is fast becoming one of our most anticipated events of the year, and we once again thank Mid-Hudson Sporting Clays for hosting the tournament at their beautiful Hudson Valley location, said William Dauster, CFRE, Garnet Health Foundations president and chief philanthropy officer. Every 20 minutes, someone needs care in the emergency department. With our Every Minute Counts campaign, we will expand and enhance Garnet Health Medical Centers emergency department, all while confirming our promise to bring the very best in emergency medicine to the Hudson Valley region.

Those interested in participating in or sponsoring the Sporting Clays Tournament should reserve their space as soon as possible. For more information, visit garnethealth.org/sportingclays or call the foundation office at (845) 333-2333. Learn more about the foundation at garnethealth.org/foundation.

Read the rest here:

Sporting Clays Tournament to Benefit Garnet Health Medical Center Emergency Department - Sullivan County Democrat

Expanded emergency department set to open at Peconic Bay Medical Center – The Suffolk Times – Suffolk Times

Peconic Bay Medical Center held a ribbon-cutting ceremony last Thursday to celebrate its newly expanded emergency department the Poole Family Trauma and Emergency Center which is expected to be up and running next month.

This expansion transcends infrastructure and ceremonial ribbons,PBMCexecutive director Amy Loeb said in a speech at the event. It symbolizes our steadfast dedication to extending a lifeline to those in distress, ensuring that our community has access to timely and compassionate care during critical moments Our facilities must evolve in tandem with our clinical capabilities.

The emergency department which is expanding by 75% will add patient beds, increase space for specialized care and introduce new technology, including a dual-bay trauma unit, comprehensive radiology capabilities and connectivity to Northwell Healths e-ICU system and telemedicine, according to hospital officials.

PBMC chair of emergency medicine Dr. Ninfa Mehta said in an interview that the new emergency department can now provide improved stroke care, improved cardiac care for heart attacks and improved trauma care.

She said patient volume at PBMC has grown significantly in recent years.

Its one of the fastest-growing Northwell [Health] sites and definitively the fastest growing hospital on the East End, she said. So we really need the space at this point.

The center is named for Tom and Mary Jane Poole of Westhampton Beach and Garden City, who made a $5 million cornerstone donation to the $15 million medical center expansion two years ago. Also on hand for the ceremony were two of the couples adult children, Shepard Poole and Stacey Poole Lahey, and their spouses.

Long-standing benefactors of PBMC and members of this beautiful community, Tom and Mary Jane embraced the idea of expanding the emergency department with unwavering enthusiasm and then they made it happen which is what they do, Ms. Loeb said. Whether its for health care or for education, they make things happen. They go all in. They are beautiful people and amazing.

In a short speech capped by a standing ovation, Mr. Poole championed the concept of taking big swings with community philanthropy.

Gesturing to John Kanas, whose donations funded theEast End Hospice Kanas Centerin Quiogue, and more recently, astate-of-the-art simulation labat PBMC, Mr. Poole said that I think my friend John Kanas knows when you make a gift, you do it after much consultation with your family and each other Its not an easy thing when you think that youre making a sizable gift that takes away wealth from your family. And it does. You only know what giving is when it affect[s] your net worth. Everything else is penny candy in relation to that.

In a tent filled with donors, doctors, nurses and EMT crews many of them uniformed firefighters Mr. Poole applauded the local medical community.

I would like all the physicians, nurses and staff members involved with that new trauma and emergency staff to stand up and receive our applause.

He also saluted Dr. Mehta, who will oversee the expanded emergency department, and PBMCs chair of cardiology, Dr. Stanley Katz.

Then Mr. Poole turned to the dozens of emergency medical technicians on hand.

I want each EMT unit in each ambulance to stand up and take our applause.

He praised his PBMC fundraising team.

I have the good fortune to be their leader in raising money and establishing parties like these where I can congratulate myself on the nice things I do, he said with a broad grin.

Then Mr. Poole, who with his wife will celebrate their 62nd wedding anniversary this weekend, shared some personal news.

Last summer, he said, I stood before most of you in perfect health, asking you to join me in raising a lot of money to bring the vision of Peconic Bay to reality.

But five weeks ago, I had my reality test, and guess who saved my life? You got it. Peconic Bay Medical Center, Stanley Katz and so many people that work here five weeks ago today I had a triple bypass and a valve replacement. And I stand before you as a living example that the sun does shine the next morning.

Pausing while the audience absorbed the news, Mr. Poole, 83, said that the life-saving surgery changed him.

If you ever hear me complaining about one thing? Kick me in my ass.

Mr. Pooles eyes were rimmed with tears as he concluded his speech, saying that he and his family are so happy to cut the ribbon.

They know we all know if you walk in [to PBMC], you will walk out. And the sun will shine.

See original here:

Expanded emergency department set to open at Peconic Bay Medical Center - The Suffolk Times - Suffolk Times

Bringing Accessible Emergency Care To The Community – Osprey Observer

Manatee Memorial Hospitals Emergency Care Center (ECC) treats more than 80,000 children and adult patients each year. The expanded center is just under 33,000 square feet, making it the largest ECC in the county.

Freestanding Emergency Departments

Manatee Memorial Hospitals freestanding emergency departments (FED) handle emergencies and are each fully staffed with a doctor on-site 24/7. They can perform CT scans as well as full X-rays, and they all have a comprehensive lab*. With the full services offered, the FEDs are not urgent care centers but are a part of Manatee Memorial Hospital.

Manatee County has grown exponentially in recent years, and yet the hospitals are stationary, said Teresa Rawe, D.O., medical director for emergency medicine at Manatee Memorial. We make it easier for patients to access emergency care.

Typically, our FEDs have a shorter waiting time to be seen, explained Tammy Sloas, nursing director at Manatee FEDs. If an admission is necessary, we will transport a patient to the hospital.

FEDs vs. Urgent Care Centers

Urgent care centers have set hours and treat nonemergency issues. However, most centers dont have comprehensive labs that can provide answers on-site and are limited in radiology services.

Educating the Community

The American College of Surgeons STOP THE BLEED program has prepared over 3 million people worldwide on how to stop bleeding in a severely injured person. Manatee Memorial brings this program to the community.

We are preparing the public to save lives by teaching actions to stop life-threatening bleeding following emergencies and man-made and natural disasters, said Jill Ruff, who oversees the program with emergency department paramedic Ed Wheat.

Shelly Lucchesi, employee health manager, added, Being able to tend to a bleeding wound while waiting for EMS to arrive may be the difference between life and death.

If youre having a medical emergency, call 911 or go to the nearest emergency room.

For information about locations, visit the hospitals website at http://www.manateememorial.com/emergency.

*These emergency departments are part of Manatee Memorial Hospital. They are not urgent care centers. Their services and care are billed at hospital emergency department rates. Wait times may vary.

Physicians are on the medical staff of Manatee Memorial Hospital, but, with limited exceptions, are independent practitioners who are not employees or agents of Manatee Memorial Hospital. The hospital shall not be liable for actions or treatments provided by physicians. For language assistance, disability accommodations and the nondiscrimination notice, visit the hospitals website.

Continued here:

Bringing Accessible Emergency Care To The Community - Osprey Observer

Quick thinking leads to miraculous recovery of a stroke patient at VCU Health – VCU Health

By Leigh Farmer

Imagine watching your close friend and EMS surround you. Your eyes and ears take it all in, but you cannot move or speak.

This type of paralysis is called locked-in syndrome. It can happen when someone experiences a stroke.

I will never forget the paramedic. I kept going out and I remember he kept saying Chwanda look at me!, Chwanda Johnson recalled. She remembers everything from start to finish.

Sitting down with Chwanda, youll notice how she always has a smile on her face. It takes mere moments from the start of a conversation to see why she calls herself a jokester, others just start laughing right along with her. She even smiles when telling you about the scariest day of her life. November 7, 2023.

It was just like any other normal morning. I didnt feel anything different, the 49-year-old said, describing her early morning routine.

Chwanda usually hits the road at 6:30 a.m. to head to her job as a medical technician at a local senior living facility, where she has worked for more than 22 years. Usually, shes enthusiastic about getting a jump start on her day. But on that November morning, Chwanda stumbled to the car.

I got closer to the car, and it got worse. And I was like oh my God what is going on? she recalled.

When she got to the car, Chwanda called her friend Calvin on the phone who was still inside the house. As soon as she pressed send, her body gave out. She couldnt talk and her hands curled up into fists.

I wasnt able to say 9-1-1. I just said ugh, ugh, ugh.

Calvin ran out of the house and immediately knew Chwanda was having a stroke, so he dialed 911.

According to doctors, Calvins quick thinking saved his friends life. EMS was there in minutes and knew exactly where to take Chwanda.

Once I saw the VCU sign I was at ease because I knew I was in the right place. I didnt want to go anywhere else, Chwanda said.

About two million brain cells could be lost every minute a stroke goes untreated, according to VCU Health stroke specialists. A stroke happens when something blocks the blood supply to part of the brain or when a blood vessel in the brain bursts, rapidly decreasing the flow of oxygen to the brain. The more time that elapses, the worse the brain damage. After experiencing a stroke, an individual can have lasting brain damage, long-term disability or die.

Being prepared to react swiftly and appropriately, as Calvin did, can save a life. That is why it is important to recognize the symptoms.

I think if he hadnt called 911 when he did, I wouldnt be here, Chwanda recalled, her face changing quickly from a smile to a somber gaze.

Because Chwanda Johnsons close friend Calvin knew the signs of stroke, he immediately called 911. (Contributed photo)

When Henrico Division of Fire answered the call, medical personnel knew exactly what to do get Chwanda to the most equipped stroke care team in the area. They alerted VCU Medical Center. Thanks to this communication, emergency medicine physicians, nurses and a vascular neurologist were waiting at the door for Chwanda to arrive.

Our personnel are accustomed to the immediate availability of a multi-disciplinary team of specialists in emergency medicine, radiology, and neurology to care for these patients as well as the Direct to CT pathway that minimizes patient time to diagnosis and treatment, said Jeff Ferguson, M.D., medical director of Henrico Fire. Ferguson is also an emergency medicine physician at VCU Medical Center and associate professor in VCU School of Medicines Department of Emergency Medicine.

VCU Healths Comprehensive Stroke Center is one of only three centers of its kind in the region. Upon arrival, a patient suspected of having a stroke receives CT scans, labs, neurology assessments in one place. If surgery is needed, no time is wasted. They are waiting in a dedicated operating room that allows for the complete care of a stroke patient.

A quick CT scan at the hospital revealed a blood clot at the base of Chwandas brain. John Reavy-Cantwell, M.D., Chwandas neurosurgeon, removed that clot through a procedure called a mechanical thrombectomy less than an hour after Chwanda tripped in her driveway. The minimally invasive procedure is one of a few highly effective treatment options available when a patient is brought to the hospital soon after suffering from a stroke. If it takes longer for them to been seen by a medical team, the patient may be ineligible for the surgery.

Thats why its so critical for stroke patients to get medical treatment as soon as possible more options are available to prevent long-term health problems.

Recovery from a stroke is different for every person. Sometimes recovery can take weeks, months or even years. While some people fully recover, others live with lifelong disabilities such as problems with memory, speech or mobility. Rehabilitation can involve a variety of different therapists and support groups that help stroke survivors live with their new normal.

For Chwanda, it was a matter of hours before she was sitting up and laughing, back to her old self.

I could hear voices saying, move your feet, lift your leg. And anything they told me to do I did. And I heard them say Oh, call the doctor! Call the doctor! They were so surprised, said Chwanda. She describes it like she was performing a magic trick.

Reavey-Cantwell couldnt believe his own eyes when he went to check up on Chwanda several hours after removing the blood clot from her brain.

I thought that I had walked into the wrong patient's room because she was awake and talking and moving everything, he said. I was turning around to leave and then said, oh, no, this is her. Oh my gosh!

Her daughter and two granddaughters were by her side. Reavey-Cantwell believes Chwandas remarkable recovery is part miracle and part perfect execution of emergency stroke protocol.

She was probably as close to death as one can really come and then came back and made an incredible recovery, in my opinion, Reavey-Cantwell said.

Since Chwanda Johnson had a stroke, her 9-year-old granddaughter keeps stroke educational information with her so she can help if theres an emergency. (Contributed photo)

While the month of May is Stroke Awareness Month, VCU Healths Comprehensive Stroke Center is dedicated to raising awareness all year long.

The center works with the academic health system, VCU, and the Richmond community to educate residents, students, faculty, and medical professionals alike on the signs, symptoms, and latest methods for treating stroke patients. This outreach includes an annual conference as well as the city-wide initiative Stroke Smart Richmond, which educates people on stroke symptoms to reduce treatment delays.

The co-leaders of the project, VCU Health stroke program manager Stacie Stevens, Ph.D., D.N.P., R.N., and emergency room physician Ramana Feeser, M.D., are driving home one important message: When you spot a stroke, call 911.

The majority of patients with a confirmed diagnosis of stroke do not arrive by EMS, Feeser said. On top of this, most stroke patients arrive too late to be eligible for effective medication for a stroke. There is hope, if you come to us fast. We need everyone possible to spot a stroke and stop a stroke by calling 911.

You never know who will take it to heart.

Chwandas littlest advocate, her 9-year-old granddaughter, carries stroke information everywhere she goes.

She keeps it in her purse just in case she is here with me and needs to know what to do, said Chwanda with tears running down her face and a heart bursting with gratitude.

Visit link:

Quick thinking leads to miraculous recovery of a stroke patient at VCU Health - VCU Health

CPR and AED save life of man at the gym with help from UAB physician – University of Alabama at Birmingham

Knowing the basics of CPR, even low-quality CPR from a bystander, can be a lifesaving action for a person in need.

Photography: Jennifer Alsabrook-TurnerFor Floyd Lawson, it started off as a normal weekend workout at his local YMCA branch. A veteran, husband, grandfather and gym regular, Lawson usually spends two hours or so at the gym doing cardio, stretching, lifting weights and then a visit to the steam room. To say he is active and in good health is an understatement.

However, on that Saturday in the spring of 2024, Lawson sat up after doing a round of crunches and felt the blood drain from his body.

I thought wow, let me compose myself, Lawson recalled. And that is the last thing I remember. That is until I saw my guardian angel, Dr. Andy.

On that same Saturday at the same YMCA by pure chance, Andrew Edwards, M.D., emergency medicine physician at the University of Alabama at Birmingham, was working out with his son. He saw a group of people gathered around a man on the floor and immediately ran over to help.

I realized what was happening a man had collapsed and was suffering from what appeared to be cardiac arrest so I jumped in to help a medical student and nurse who were already performing CPR on the man, Edwards said. We realized how dire the mans situation was and that it was imperative that early onset and effective CPR and defibrillation were needed.

After CPR was performed for nearly two minutes followed by advised shock via an AED, Lawsons pulse went out again and Edwards did another round of CPR and defibrillation. Once Lawson woke up after nearly 10 minutes, Edwards was immediately able to route EMS to UAB Hospital and give a heads up to the attending in UABs University Emergency Department that Lawson was on the way.

It felt like I was really put in the right place at the right time, Edwards said. Ive been doing this long enough that I went into automation mode; I can help restart someones heart this is my fastball. But outcomes can be variable if bystander CPR isnt administered quickly and effectively. Im really glad we were able to get him to UAB fast, too.

Edwards stresses that every person should know the basics of CPR, as even low-quality CPR from a bystander can be a lifesaving action for a person in need.

Cardiac arrest occurs when the heart stops beating unexpectedly and results in no blood flow to the entire body. Like Lawson, theindividualwill beunresponsive, witheither no signsof breathingor very abnormalbreathing, and no detectable pulse.

Ryan Coute, D.O., assistant professor in the UAB Department of Emergency Medicine, outlines what a person should do if they find themselves in a position to administer CPR to a person in need:

Photography: Jennifer Alsabrook-TurnerIt is OK to not provide rescue breaths if you are uncomfortable doing so. Instead, focus on providing chestcompressions until 9-1-1personnel arrive. If providingrescue breaths, givetwo breaths after every 30 chest compressions and repeat until 9-1-1personnel arrive.

If available, use an automated external defibrillator, or AED, and follow its instructions as soon as possible.

CPR is highly effective and can double thelikelihoodof survival for those in cardiac arrest, Coute said. It is very important to begin CPR as soon as possible because survival will decrease byaround10 percent for every minute without CPR.If in the moment you are uncertain of what to do, call 9-1-1 and the medical dispatcher can provide youinstructions over the telephone to helpidentifycardiac arrest and begin the steps for CPR.

At the YMCA that day, Edwards and others performed hundreds of chest compressions. Their quick action undoubtedly saved Lawsons life, and bystanders watching and seeing how quick and simple CPR can be undoubtedly will save others, Lawson thinks.

When I got to UAB, it was clear that I had had a heart attack, Lawson said. I was perfectly healthy, and for this to happen at the gym of all places I was just in the right place at the right time. I truly feel like Dr. Andy is my guardian angel and that God put him there to save my life that day. If I had collapsed anywhere else, I may not be here today.

Since Lawsons heart attack at the YMCA that day, he and Edwards have struck up a friendship. They have much in common, including their faith, and even plan to meet up at the YMCA one day soon for a joint workout when Lawson is back to full health.

I never thought in my life that I would be saved by a complete stranger performing CPR, which is why its so important that everyone knows the basics of CPR I cannot stress that enough, Lawson said. I dont know what I can ever say to Dr. Andy for saving me. Thank you for not giving up on me.

Originally posted here:

CPR and AED save life of man at the gym with help from UAB physician - University of Alabama at Birmingham