“Golden Time” for Patientsstroke or Stroke It is important to getthrombolytic drugsWithin 4 and a half hours, but the city condition with traffic jams Until the patient goes through traffic to the hospital, it may be too late. neuroscience institute The Department of Medical Services brought out mobile cars to serve patients. In order to have access to early diagnosis and treatment as soon as possible.
stroke incidence
information fromNeuroscience Society of Thailand Specify the incidence of stroke in 2017-2020
- In 2017, the amount was 278.49 per 100,000 population.
- Year 2018, number 303.20 per hundred thousand population
- Year 2019, number 318.89 per hundred thousand population
- Year 2020, amount 328.00 per hundred thousand population
It is the second most common cause of death in Thailand.
On November 28, 2022, Prasat Neurological Institute organized activities NIT OPEN HOUSE Visit the service 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 is accepted nationally and internationally The event was launched. “Mobile Stroke Unit”
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Stroke must be administered within 4.5 hours.
Dr. Krittima Asavaveeradej, a neurological and neurological specialist The Institute of Neurology said that the mobile cerebrovascular diagnosis vehicle (Mobile Stroke Unit) Useful in terms of saving patient time. to access the hospital Because the treatment of ischemic stroke must be administered within 4.5 hours after the onset of symptoms.
But there are limitations in some areas where patients cannot access the hospital in time. Which having this car is therefore a time saver. by car to meet withEmergency ambulance 1669 Half way to get a computerized tomography of the brain. Give blood clot-dissolving drugs in the car.
“The longer it is left for patients with cerebral ischemia, The result is cerebral necrosis. will not be able to come back to recover Patients may be disabled for the rest of their lives. or become weak at all But if the patient can quickly dissolve the blood clot. will treat the dead brain tissue better Some patients from weak If you can’t walk, you can come back and walk,” said Dr. Krittima.
Stroke mobile car
service of this vehicle due toneuroscience institute The service covers the northern Bangkok area adjacent to the west coast, which is Nonthaburi Province. The car will coordinate withEmergency Medical Service Unit 1669 When there is a case of a patient calling the emergency hotline 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 half way at the meeting point
The inside of the car was able to computed tomography of the brain. Which the scan will make preliminary information that the cerebral arteries are constricted or ruptured If there is no bleeding in the brain equal to ischemic stroke, it can be given.thrombolytic drugson a mobile car with the patient
In addition, in case of doubtPatients with coronary artery stenosis Able to scan the large arteries if there is stenosis Will coordinate with the hospital to prepare for inserting 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. of the institution at any time
“It can be said that it can save half of the time of patients visiting the hospital. or help patients access services faster because instead of waiting to come to the hospital But this car will go out for service to meet halfway with the emergency ambulance that picks up the patient, ”said Dr. Krittima.
signs of cerebrovascular disease
incidence ofstrokeIs the disease that is the second leading cause of death in Thailand, Dr. Krittima said that the more ischemic stroke, the higher the rate is about 70-80%, with the symptoms of this disease occurring 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 stagger.
- or seeing the sight disappear
- or suddenly dizzy
- It’s easy to remember that it’s difficult to speak, your mouth droops, you can’t lift it up.
If any of these symptoms suspect a stroke, go to the hospital immediately or call the 1669 emergency medical hotline.
for the service ofneuroscience institute There are also other neurological and brain centers of excellence, including the Stroke Center of Excellence. Neurological Tumor Center of Excellence Spinal Cord Center of Excellence Center of Excellence for Neuroimmune Diseases and the Epilepsy Center of Excellence.
Incidentally, donations can be made to contribute to the development and support of the Prasat Neurological Institute at Krungthai Bank, account name, Prasat Neurological Institute Foundation, account number 020-1-33312-0.