Mr Lane recently had a stroke at his home and within minutes of the emergency services being called, a Community First Responder arrived at the scene followed a few minutes later by the Paramedics. Mr Lane was taken to St. Mary’s by ambulance where he was assessed by the Critical Care Outreach Service (part of the Stroke team), before being administered with the new Thrombolysis medication by Dr. Hakim, Consultant Physician, Stroke Medicine and Rehab. Specially trained stroke staff then managed Mr Lane’s intensive, high dependency care for 24 hours. Mr Lane was discharged six days later and supported by the community stroke rehabilitation team. He continued to make positive progress and has now been discharged from their care. He will continue to have periodic follow ups by a stroke specialist.
In a letter to the Isle of Wight NHS Trust, Mr Lane’s partner, Myra Bowen, expresses her thanks and appreciation for the excellent care given to her partner when he had a stroke at home. She said, “I can’t find the words to say how truly grateful we both are and to thank these dedicated people enough.”
Jeannine Johnson, Clinical lead for Stroke Services, said, “To have this new Thrombolysis medication now available on the Island is an important development in stroke services and although it is only suitable for about 10% of stroke cases, we are delighted to be able to offer it to Island patients as it has, together with the application of the skills of the whole stroke team, the potential to reduce disability following a stroke. All stroke staff at St. Mary’s have now been trained in the intensive management of patients who have been thrombolysed.”
Dr Hakim, Consultant Physician, Stroke Medicine and Rehab, said,”Thrombolysis is effective in people suffering stroke due to a clot and not haemorrhage or bleeding into the brain. For good results, it must be given within three hours of the first symptoms of the stroke. Mr.Lane benefitted from this treatment because he and his partner sought help from the paramedics as soon as he experienced the symptoms, giving us time to salvage the injured brain. Members of the public must acquaint themselves with the different ways stroke presents so that they may help others reach the Emergency Department within the three hour window for treatment with a thrombolytic agent. The stroke Association distributes leaflets on recognition of stroke which are available at St. Mary’s Hospital and possibly at your local surgery. Please ask for a copy”.
The Community First Responder was Jeff Butt and the Isle of Wight NHS Trust staff included paramedics, Jason Thorpe and Joanne Berry, and Critical Care Outreach Service Lead, Advanced Nurse Practitioner, Shane Moody.
The medication has been used elsewhere in the country for over two years.