“Golden Time” for Patientsa stroke or A stroke important Anticoagulation must be received within 4 and a half hours, but the traffic jam in the city Until the patient goes through traffic to the hospital, it may be too late. So the Institute of Neurology, the Department of Medical Services, brought out mobile cars to serve patients. To access early diagnosis and treatment as soon as possible.
cases of stroke
Information from the Neurological Society of Thailand State the number of stroke cases in 2017-2020
- In 2017, the amount was 278.49 per 100,000 of the population.
- Year 2018, number 303.20 per hundred thousand of the population
- Year 2019, number 318.89 per hundred thousand of the population
- Year 2020, amount 328.00 per hundred thousand of the population
It is the second most common cause of death in Thailand.
On November 28, 2022, the Institute of Neurology organized an OPEN HOUSE NIT activity to visit the services of the Institute of Neurology. Which has a vision to be a national medical institution of international quality, modern, advanced expertise in diseases of the brain, spinal cord and nervous system accepted nationally and internationally The event was launched.“Mobile Stroke Unit”
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A stroke must be administered within 4.5 hours.
Dr. Krittima Asavaveeradej, neurologist and neurological specialist of the neuroscience institute Said the diagnostic vehiclecerebrovascular diseaseMobile A stroke The unit is useful as it saves time for patients. to be admitted to hospital Because ischemic stroke treatment must be given within 4.5 hours of the onset of symptoms.
But there are restrictions in some areas where patients cannot access the hospital in time. Having this car therefore saves time. The car will meet Ambulance 1669 halfway in order to obtain a computed tomography of the brain. Put blood thinners in the car.
“The longer it is left for patients with cerebral ischemia, The result is cerebral necrosis. he will not be able to come back and recover Patients can be disabled for the rest of their lives. or become weak at all But if the patient can dissolve the blood clot quickly. treats dead brain tissue better Some patients from weak If you can’t walk, you can come back and walk.”Dr. Krittima said
service of this vehicle becauseneuroscience institute The service covers the northern area of Bangkok near the west coast, which is Nonthaburi Province, where the car will coordinate with the emergency medical service unit 1669. When a patient case calls the emergency helpline 1669, an emergency ambulance will pick up’ the patient. In the meantime, the patient’s condition will be assessed. and contacted this car to come to the neurological institute as well The car will leave within 10 minutes after being synchronized. will meet halfway at the meeting point
Inside the car he was able to calculate brain tomography. The scan will provide preliminary information that the cerebral arteries are restricted or ruptured If there is no bleeding in the brain equal to an ischemic stroke the patient can be given anticoagulants on a mobile car immediately
In addition, in case of doubtPatients with coronary artery stenosis Can scan the large arteries if there is stenosis He will coordinate with the hospital to prepare for the insertion of a root catheter to remove blood clots and, if necessary, tracheal intubation can be performed. In addition, within the security guard, there are circuit cameras and radio communications that can coordinate with the emergency department. the organization at any time
“It can be said that it can save half the time for patients to visit the hospital. or help patients access services more quickly because instead of waiting to come to the hospital But this car will go out for a service to meet halfway with the emergency ambulance that picks up the patient,” said Dr . Krittima.
signs of cerebrovascular disease
cases ofa strokeIt is the second leading cause of death in Thailand. Krittima Dr He said the largest is ischemic stroke group, the highest is about 70-80%, the symptoms of this disease will occur immediately.
- There will be weakness in half of the limbs, unable to lift.
- or have a crooked mouth, can’t speak clearly or some people can’t speak
- Or there may be a sudden transgression.
- or seeing the sight disappear
- or suddenly dizzy
- It’s easy to remember that it’s hard to speak, your mouth is dripping, you can’t lift it.
If any of these symptoms suspect a stroke, go to the hospital immediately or call the emergency medical helpline 1669.
for serviceneuroscience institute There are also other neurological and brain centers of excellence, including the Center of Excellence for Stroke. Neurological Tumor Center of Excellence Spinal Cord Center of Excellence Center of Excellence for Neuro-immune Diseases and Center of Excellence for Epilepsy.
By the way, donations can be made to contribute to the development and support of Prasat Neurological Institute at Krungthai Bank, account name, Prasat Neurological Institute Foundation, account number 020-1-33312-0.
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