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View Diary: What really saved my life last month (130 comments)

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  •  Stents (4+ / 0-)
    Recommended by:
    KenBee, ivorybill, Ginny in CO, mikidee

    These are the little wire scaffolding structures that are placed in the blood vessel to keep it open - they are directed to the blockage through the femoral artery and the balloon inflates to expand them them to stay in place (the procedure is called angioplasty).

    After successful trials in one part of London, a new procedure is being rolled out throughout England. Diagnostic 12 wire ECGs are done by the ambulance paramedics and transmitted to the nearest regional center (not the nearest hospital). The patient is taken to the center with the idea that a stent will, if the procedure is needed, be in place within 90 minutes of arrival at the hospital. See http://www.londonambulance.nhs.uk/...

    Fast angioplasty is effective in 95% of cases whereas the older use of "clot busting" drugs is only effective in 65% - with many requiring a later angioplasty anyway. Hospital stays are reduced to an average of under 3 days compared with a week.

    "Who stood against President Obama in 2012?" - The trivia question nobody can answer.

    by Lib Dem FoP on Sat Feb 02, 2013 at 07:35:47 PM PST

    •  had a stent in december in descending aorta (3+ / 0-)
      Recommended by:
      Ginny in CO, mikidee, Bridge Master

      for aneurysm(s).

          I hope any further hospital visits I get the same wonderful bright caring people who worked on me.

          I had student nurses fighting to take care of me...a very odd thing but I was an interesting case and versed in all my past history.

      They were looking up stuff after hours about stuff I had told them and their teacher brought some trainees in for my review.

          Of course I knew what my doctors had told me from the previous surgeries I have had, not a doctor.

      Good diary DS, excellent and glad you are doing well, as am I. I think :>

      This machine kills Fascists.

      by KenBee on Sat Feb 02, 2013 at 10:45:41 PM PST

      [ Parent ]

    •  The 90 minutes from ED door to open artery (2+ / 0-)
      Recommended by:
      mikidee, 4Freedom

      had been cut here in Denver to 60 minutes ~ 2 years ago. The key here is to CALL 911. The paramedics can get the EKG, transmit it to the nearest hospital that has a cath lab, and start things like IV access, blood draws, etc.

      The ED receiving the EKG goes into high gear getting ready to admit the patient, first by notifying the cath lab. These facilities have 24/7 crews but may need to delay the patient who was scheduled next in order to get the one with MI in progress to the fastest treatment.  

      While the cath lab is getting ready, the ED MI team runs the blood tests, gets full history, physical, meds, etc.

      There are also Stroke teams that essentially operate the same way. Difference is they have to get the patient into a brain scan to verify it is a clot rather than a bleed. The latter are far less common but the clot dissolving drugs are the last thing you want to give them. For those with a clot, the busters save brain tissue, big time.

       Again, the best access is 911. The paramedics know what facilities have the right team and just as important, find out if they are too swamped to take a critical case, have tech problems or another reason for the ambulance to go to another hospital.

      "People, even more than things, have to be restored, renewed, revived, reclaimed and redeemed; never throw out anyone. " Audrey Hepburn "A Beautiful Woman"

      by Ginny in CO on Sun Feb 03, 2013 at 02:31:54 AM PST

      [ Parent ]

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