May is National Stroke Awareness Month. Knowing the symptoms of stroke and activating emergency services can speed up
life-saving and brain-saving care.
Every 40 seconds someone in the United States suffers a stroke, and every four minutes someone dies of stroke. Stroke is the
fifth leading cause of death in the U.S., according to the American Stroke Association. Stroke is the leading cause of adult
disability in the U.S.
Know the symptoms of stroke and get treatment right away.
According to the American Stroke Association, stroke is a "brain attack" that can happen to anyone at any time.
Stroke occurs when blood flow to an area of the brain is cut off and brain cells begin to die.
Outcome for stroke depends on which part of the brain is affected and how much of the brain is damaged. Stroke is an
emergency and responding quickly and getting treatment fast are crucial factors.
Symptoms of Stroke
To recognize the symptoms, the American Stroke Association uses the acronym
ace: Uneven smile, facial drooping.
Arms: One arm is weaker than the other.
Speech: Slurred or nonsensical speech. Ask the person to say their name or a simple sentence.
Time: “Time is brain.” Call 9-1-1 immediately.
Getting Faster Treatment
There are several reasons why calling 9-1-1 is the best thing to do in a stroke emergency. Most EMS (Emergency Medical
Services) providers are assessing patients for stroke before arrival at the hospital using the Cincinnati Pre-Hospital Stroke
Scale or the RACE scale to evaluate stroke severity.
"EMS providers are trained to recognize stroke based on clinical judgment and use of the scale," says Scott
Henley, deputy chief of operations for Central Bucks EMS.
The ambulance squad works closely with Doylestown Health on getting patients faster treatment for time-critical emergencies
like heart attack and stroke. Central Bucks and about 75 percent of local ambulance squads can transmit EKG's to the
Emergency Department, confirming a heart attack and alerting providers to prepare for the patient's arrival.
When emergency medical personnel suspect a stroke, they notify Doylestown Health's Emergency Department with a
"pre-hospital stroke alert." The alert makes available the CT scan in the Emergency Department and notifies stroke
experts (neurologist, radiologist, laboratory and pharmacy) to be ready for the patient's arrival.
Stroke Alerts Save Time
With an alert from the ambulance, patients get faster care at the hospital. In one case, the physician was at the
patient's bedside when the patient arrived. The patient had a CT scan 10 minutes after arrival. The patient received the
clot-busting drug Alteplase IV r-tPA 28 minutes after arriving at the hospital. The goal is 45 minutes or less.
Scott says that since CB EMS started doing pre-hospital stroke alerts, the door-to-tPA times have dropped. "We work
really closely with Doylestown Hospital's Stroke Task Force. I have a great relationship with them. It is so important to
have a good relationship with the local hospital."
Bottom line: Know the symptoms of stroke and call 9-1-1 right away if you suspect someone is having a stroke. Faster
treatment can mean better outcomes and a better quality of life.
Education and Support
Doylestown Health Stroke Services offers educational classes, screening events and support group meetings for stroke
survivors and their families.
About Stroke Care at Doylestown Health
Doylestown Hospital follows national guidelines that can greatly improve long-term outcomes for stroke patients. The Joint Commission awarded Doylestown Hospital with the Advanced Certification for Primary Stroke Centers in recognition of our commitment to excellence in stroke care. As part of this multidisciplinary program, Doylestown Health interventional cardiologists perform an innovative non-surgical stroke treatment for large vessel blockages through Intra-Arterial Thrombectomy (IAT) to remove a stroke-causing clot thus resolving stroke symptoms immediately.
About Doylestown Health's Heart & Vascular Services
Expert cardiologists and cardiac surgeons assist patients and physicians with managing risk factors for heart disease, offer advanced treatment options and provide outstanding emergency cardiac care. Doylestown Hospital’s accredited Chest Pain Center is fully prepared to treat cardiac emergencies around the clock, focusing on rapid diagnosis and effective treatment. The multidisciplinary team at the Woodall Center for Heart and Vascular Care is dedicated to providing the highest level of quality care and patient safety.