Alert Details
- We ask that EMS notify the ER of a stroke alert as soon as possible to start the alert process.
- When EMS calls a stroke alert, the Mount Carmel stroke team is activated immediately.
- We ask that all EMS:
- Use a standardized stroke tool to identify neuro deficits (MEND, FAST, RACE, LAMS, etc.)
- Identify AND document EXACT last known normal (LKN) time AND symptom discovery time
- Obtain fingerstick glucose
- Obtain 12 lead EKG, but do not delay transport to obtain
- Not administer O2 unless RA sat < 94%. If needed maintain O2 sat 94-99%.
- Not delay transport unless life-saving intervention is needed
- Insert two large-bore IVs in antecube area preferably an 18G or 20G
- Complete pre-arrival lab draws
- Obtain as much patient history as possible focusing on:
- Use of anticoagulation AND time last dose
- History of recent surgery, hemorrhage, stroke, AMI, systemic bleeding, head trauma, seizure, diabetes, hypertension or kidney disease
- History of IV contrast allergy
- List of current medications
- Record witness name and contact info if they are unable to come in with patient
- The Mount Carmel ER staff, including a physician, meets EMS at the door to expedite a rapid assessment while escorting EMS and the patient to CT
Neuroscience Program Highlights
- From detection and diagnosis, to treatment, research and recovery, Mount Carmel’s neuroscience program is a local, regional and national leader in neurological care.
- Our experienced, specialty-trained neuroscience team is led by 13 neurologists and 8 neurosurgeons, as well as expert neuroradiologists, neuropsychologists, advanced practice nurses and therapists.
- We provide specialized care in epilepsy, MS, neurophysiology, movement disorders, stroke interventions, aneurysm repair by both endovascular coiling and surgical clipping, long-term epilepsy monitoring, EEG/EMG testing, spinal fusions, artificial disc replacements and more.
- We achieve faster-than-standard times for door-to-CT and door-to-TPA thanks to the collaborative efforts of our stroke team and EMS partners.
- We offer teleneurology services in our Emergency Departments at Mount Carmel St. Ann's and Mount Carmel Lewis Center.
- Our experienced staff of neuroradiologists provides diagnostic imaging services utilizing the latest technologies, including 320-slice CT scanners, 3T magnetic resonance imaging, ultrasound, x-ray, angiography, fluoroscopy, nuclear medicine and PET scanning.
- Mount Carmel is the first and only hospital in Ohio to offer BodyTom® — the world’s first intra-operative, fullbody, 32-slice CT scanner.
- Mount Carmel's Stroke Program educates and continuously updates a select network of skilled nursing and rehabilitation facilities with the goal of giving our stroke patients immediate access to better post-acute care.
Neuroscience Program Certifications
- Mount Carmel East: Comprehensive Stroke Center Certification from The Joint Commission and American Heart Association/American Stroke Association
- Mount Carmel Grove City: Advanced Certification for Primary Stroke Centers from The Joint Commission and American Heart Association/American Stroke Association
- Mount Carmel St. Ann's: Advanced Certification for Primary Stroke Centers from The Joint Commission and American Heart Association/American Stroke Association
- Diley Ridge Medical Center: Advanced Disease-Specific Care Certification for Acute Stroke Ready Hospital from The Joint Commission and American Heart Association/American Stroke Association
Learn More about Mount Carmel's Neuroscience Program
