FOR MEDIC AL PROFESSIONAL S
Advanced Primary
Stroke Center
Time Lost Is Brain Lost
The Advanced Primary Stroke Center at PeaceHealth Sacred
Heart Medical Center offers the full spectrum of treatment for
stroke patients, right here in our region. There is no stroke
treatment service available in Portland that we don’t offer
here. Sacred Heart treated 630 stroke cases in Fiscal Year
2011, more than any other hospital in the state, including
Oregon Health & Science University (612) and the two largest
Legacy hospitals in Portland: Legacy Meridian (243) and
Legacy Emanuel (244). Our annual stroke patient volumes
are higher than Providence Portland and Kaiser Sunnyside.
And our stroke team has the training, expertise and technology to handle the highest-acuity cases, close to home.
Advanced Primary
Stroke Center
The Joint Commission has designated
PeaceHealth Sacred Heart Medical
Center at RiverBend an Advanced
Primary Stroke Center. This designation was earned by meeting rigorous
quality standards and passing
comprehensive evaluations of numerous stroke treatment performance
measures.
SELECT STROKE PROGR AM FEATURES
Twenty-four hour local neurology coverage
Emergency team evaluation with an emergency medicine physician
within 15 minutes of any patient exhibiting stroke symptoms within
the appropriate tPA window
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Neuro intensivist/hospitalist facilitates acute care management
of high-risk neurology patients, including stroke patients
Endovascular neurosurgeon performs catheter-based clot retrieval,
aneurysm coiling and gluing, stenting and angioplasty of intracranial
blood vessels to treat stroke and other cerebrovascular disorders
A telestroke program linking the emergency department at Peace
Harbor Hospital in Florence with our Advanced Primary Stroke
Center expertise, 24 hours a day, seven days a week
An 18-bed, CARF-accredited inpatient neuro rehabilitation unit,
the only one in Oregon outside of Portland
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(PA 598 • 050613)
Get With The Guidelines
Gold-Plus Rating for 2012
PeaceHealth Sacred Heart at
RiverBend has received a 2012
“Get With The Guidelines” Gold
Plus Performance Achievement
Award for Stroke from the American
Heart Association/American Stroke
Association. Hospitals that receive
this award have reached an aggressive goal of treating stroke patients
with 85 percent or higher compliance
to core standard levels of care as
outlined by the AHA/ASA for
24 consecutive months.
Stroke Program Features
Written care pathways and order
sets to streamline and accelerate
stroke diagnosis and treatment
Strong communication with EMS
to ensure that medical personnel are informed when a stroke
patient is en route to Sacred
Heart
Highly trained emergency
department staff experienced in
diagnosing and treating stroke
Neuro imaging services such as
CT angiography and CT perfusion
Advanced imaging studies performed onsite with radiology staff
present 24 hours a day
Specially trained nursing and
therapy staff; ICU nurses with
national certification for care of
stroke patients
Laboratory services available
24 hours a day
Quality improvement activities
including a registry for tracking
patient treatment, timelines and
outcomes
Retrospective and “real-time”
review of stroke patient care
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STROKE CASE STUDY
Treatment of Occluded Cerebral Artery
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Subject: A 71-year-old man with stroke symptoms arrived at Peace
Harbor Hospital in Florence by ambulance.
Diagnosis: CT performed within five minutes of arrival revealed
occluded left middle cerebral artery (Image A). Neuro intensivistneurohospitalist Elaine Skalabrin, MD, consulted via telemedicine
from PeaceHealth Sacred Heart Medical Center at RiverBend. The
team decided to administer tissue plasminogen activator (tPA) to
dissolve the clot. Patient was transported to PeaceHealth Sacred Heart
at RiverBend.
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Treatment: A perfusion CT scan was performed upon arrival. The
green area in Image B shows the ischemic penumbra; the red area
is infarct core. The PeaceHealth Sacred Heart team successfully
removed the clot and restored blood flow using the Penumbra System.
A post-procedure CT scan (Image C) shows a much smaller final area
of stroke.
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Outcome: After transfer to the CARF-accredited Oregon
Rehabilitation Center, the patient was walking independently,
speaking normally and had only minimal fine coordination problems.
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Image A
Image B
Image C
REFERRING A PATIENT
To refer a patient or arrange a consult, contact the Patient Placement
Center at 541-222-3000 or toll-free 866-267-9680.
FOR MEDICAL PROFESSIONALS
Learn more about our referral services, important contact information
and CME offerings at www.peacehealth.org/medpro.
Advanced Primary Stroke Center
PeaceHealth Sacred Heart
Medical Center at RiverBend
3333 RiverBend Drive
Springfield, OR 97477
541-222-3000