Emergency Care For Stroke
Loma Linda University Medical Center uses more modern approaches for the emergency care of stroke, which requires the intense training and teamwork of staff to achieve this capability and level of expertise. Therapies such as tissue plasminogen activator (tPA), have the potential to reduce permanent disability from stroke, but they must be administered within the first couple of hours after the appearance of the onset of a stroke. Loma Linda University Medical Center is one of the few facilities in the four county region that has the ability to safely administer this treatment.
LLUMC initiated an Hyperacute stroke team to help provide patients with immediate care to patients who may be suffering a stroke. The Hyperacute Stroke Team carefully follows structured protocols in the immediate evaluation of patients after a stroke. The team includes physicians, nurses, technicians and laboratory staff. Rapidly working together, they are able to assess the most appropriate treatment in acute stroke patients to include the clot busting medication, tPA.
Local paramedics now alert Loma Linda University Medical Center Emergency Department physicians that a potential stroke patient is en route to hospital. This enables the Emergency Department physician to provide immediate evaluation upon arrival. If it is determined the patient is experiencing a stroke, the Hyperacute Team is activated immediately to provide expert care.
Our interventional stroke team also rapidly assesses patients for endovascular procedures to remove blood clots through sophisticated methods and trained specialists. This approach uses information from vascular imaging (24/7 CT angiography and MRI that includes perfusion and diffusion sequences), the clinical assessment, and conventional angiography to treat even the most severe and life-threatening strokes. This level of care requires coordination between our neurologist, neuro-radiologists, neurosurgeons, and a host of support services.
We also offer treatment of acute intracranial hemorrhages and subarachnoid hemorrages. Our services include endovascular coiling and clipping of intracranial aneurysms.
Neurocritical Care Unit
Since 2013 we have a fully operational neurocritical care service called the Neuromedicine Critical Care Service (NMCCS). A dedicated neurocritical care unit with 6 beds for patient with severe neurological disorders and a 6 bed unit for patients with severe neurosurgical disorders is staffed by board-certified specialists trained in anesthesiology and neurology critical care medicine. The NMCCS works closely with our stroke team to handle all of our critically-ill patients to ensure optimal treatment and outcome.