International Journal of Research Foundation of Hospital and Healthcare Administration

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VOLUME 7 , ISSUE 1 ( January-June, 2019 ) > List of Articles

CASE REPORT

Effectiveness of “Code White”: Joint Association of Administrator and Clinicians for Delivering Effective Treatment in Stroke Patients

Ashwini Jogade, Pradyummna Oak, Rajendra Patankar, Deepak Patkar

Keywords : Stroke, Thrombolysis,Mechanical thrombectomy

Citation Information : Jogade A, Oak P, Patankar R, Patkar D. Effectiveness of “Code White”: Joint Association of Administrator and Clinicians for Delivering Effective Treatment in Stroke Patients. Int J Res Foundation Hosp Healthc Adm 2019; 7 (1):49-52.

DOI: 10.5005/jp-journals-10035-1107

License: CC BY-NC 4.0

Published Online: 00-06-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Stroke is the sudden death of brain cells due to lack of oxygen caused by blockage of blood flow or rupture of an artery to the brain. The common symptoms include sudden loss of speech, weakness, or paralysis of one side of the body. Other symptoms could include black-out, sudden loss of vision, problems with balance and coordination, and difficulty in swallowing. It could be a cause of mortality and morbidity, if not treated in time. The field of stroke medicine has changed considerably in recent years with the development of hyperacute treatments such as thrombolysis, mechanical thrombectomy, and measures of secondary prevention. There are challenges in the diagnosis and management process due to the complex need and urgency of the patient treatment. The management of Nanavati Super Speciality Hospital using the assembly line technique proactively took a project of prompt and comprehensive management of stroke patients; in fact, a special emergency response code—“Code White”—was created to handle patients with stroke during emergency. The doctors, staff and administrative staff were sensitized and trained, and simulation exercises done for quick diagnosis, effective delivery of treatment, and to expedite the procedure. The doctors also prepared skits to train the resident doctors and the nursing staff. This article will review the measures taken, effectiveness of multidisciplinary approach of Code White in the treatment of patients with stroke.


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  1. Saver J, Smith E, Fonarow G, et al. The “Golden Hour” and acute brain ischemia. Stroke 2010;41(7):1431–1439. DOI: 10.1161/STROKEAHA.110.583815.
  2. Powers WJ, Rabinstein AA, Ackerson T, et al. 2018 guidelines for the early nanagement of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2018;49(3):e46–e110. DOI: 10.1161/STR.0000000000000158.
  3. Cheng NT, Kim AS. Intravenous thrombolysis for acute ischemic stroke within 3 hours vs between 3 and 4.5 hours of symptom onset. Neurohospitalist 2015;5(3):101–109. DOI: 10.1177/1941874415583116.
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