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A New Record for Stroke Treatment at Mercy

October 26th, 2018

When someone is having a stroke, every second counts. And what you do in those critical moments can potentially help save someone’s life.

Nenad Grlic, DO, director of emergency services at Mercy Medical Center, and his emergency stroke team broke their door-to-treatment-time record for a stroke patient, setting a new record of 20 minutes from arrival to tPA administration. Previous fastest treatment time was recorded at 30 minutes. This accomplishment is impressive and a prime example of how effective teamwork at Mercy (including EMS) yields optimal patient care. 

Tissue plasminogen activator (tPA) is an FDA-approved medication that dissolves blood clots and improves blood flow to the brain of stroke patients. It’s called a thrombolytic agent or more commonly referred to as the “clot buster”—an intravenous or IV medication usually given through a catheter inserted into a vein in the arm. The drug can only be used up to 4 1/2 hours after stroke symptoms first occur; however, the American Heart Association recommends that patients receive tPA within 60 minutes of the onset of stroke symptoms. Studies show that timely administration of tPA is associated with reduced morbidity and mortality. Bottom line—the sooner the patient receives tPA, the better the chance of achieving of independent ambulation at discharge and an increased rate of home discharge. 

Mercy holds the Joint Commission's Advanced Certification for Primary Stroke Center and received Get With The Guidelines® Stroke Gold Plus Achievement/Stroke Honor Roll Awards from the American Heart Association/American Stroke Association. The stroke team is available for evaluation and treatment of stroke patients 24/7 in the Emergency Department. 

For more information call 516-62-MERCY or 516-626-3729.