Release date: 2014-08-25
Less than a month after the “Mobile Stroke Ward†was fully rolled out, an ambulance in the Cleveland Clinic equipped with all the necessary elements of a comprehensive treatment for stroke was unveiled. The clinic stated that we met a number of pressing needs and the expected year. The volume of business has now doubled.
Dr. Peter Rasmussen, director of the Cleveland Clinic Cerebrovascular Center, said that in just three weeks, 17 patients with stroke had been diagnosed in the mobile ward and 50 patients with suspected stroke. The Cleveland Clinic estimates that at least 40 stroke patients will be treated in Cuyahoga County this year alone, and that the number will be doubled if the ambulance coverage is close to a million dollars.
Dr. Peter Rasmussen said that the motivation behind the direct treatment of stroke patients on the road is that the key to stroke treatment is the timeliness of rescue, and it is also an exploration of using technology to control medical costs. He pointed out that in Cuyahoga County alone, the annual cost of treatment for stroke is between 60 and 80 million.
He said: "For a long time, we felt that even if we had a very precise plan for stroke treatment, stroke patients could not get the most timely treatment. In the Cleveland Clinic, we feel that the treatment plan needs to be improved."
He added: "All changes in medical services are done under supervision, which is a way we think we can reduce costs." This means new payment models, responsible medical organizations, and the like.
The Cleveland Clinic is expected to save between $2 million and $4 million in the first year, depending on the number of patients treated.
Dr. Peter Rasmussen said that the German deployment of the expert treatment team to treat the victims in the shortest possible time is a reference to the German model. However, advances in technology have helped us to improve this model. In the key area of ​​mobile stroke, the ward is not equipped with a doctor. Instead, it uses a remote consultation, a portable CT scanner, and a 4G video connection to enable patients to Get mobile therapy as closely monitored as in a hospital setting.
A leading study by the Charlotte Medical University in Berlin, Germany, found that the mobile stroke team saved 30 minutes of injections of terephthalic acid in patients with ischemic stroke, which accounted for 87% of all stroke treatments. During the visit to Cleveland Clinic, the Cleveland Clinic staff decided to try the method locally in Cuyahoga County, which has about 5,600 stroke patients each year.
Dr. Peter Rasmussen said that the so-called mobile ward is actually the "emergency room on the wheel", which can perform laboratory tests, brain scans, and thrombolytic drugs on patients. Neurologists can remotely monitor the ward in the hospital, provide diagnostic advice or direct the ward for proper deployment. All of these are typical treatments after the patient arrives in the emergency room, determining the primary time required for first aid, such as what type of stroke occurs, which will seriously affect the patient's treatment outcome.
The mobile ward can quickly diagnose the type of stroke in patients, shorten the time to inject terephthalic acid in patients with ischemic stroke, or determine the appropriate treatment time for other types of stroke patients.
Dr. Peter Rasmussen said: “Every year we only spend a lot of money on stroke patients within the health care system.â€
A mobile stroke ward consisting of a first-aider, a critical medical nurse, a CT technologist, and a driver in the emergency department has a 9-1-1 emergency dispatch system in the city of Cleveland. The Mortens Family Foundation of the Cleveland Jewish Federation has given strong support to fund a $1 million grant for the Cleveland Mobile Stroke Ward and related research on how the ward will affect patient outcomes.
Dr. Peter Rasmussen said that the Cleveland Clinic may consider combining this approach with Florida's satellite positioning system. He also said that ambulance companies and medical systems will also adopt this approach as a way to improve treatment outcomes and control medical costs.
He said: "Remote technology will be more valuable in the emergency process. We hope that this model will be widely used to improve first aid efficiency and reduce first aid costs."
Original title: Cleveland Clinic's "ER on wheels" gets the right care to stroke patients fast
Original author: Dan Verel
Source: China Digital Medical Network
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