Emergency stroke care in west Miami-Dade County
Accredited Stroke Program
A stroke is a very serious medical condition that requires emergency treatment as soon as possible. At Kendall Regional Medical Center, our physicians are readily prepared to provide life-saving treatment around the clock for people in the west Miami-Dade County area who are experiencing a stroke. Our stroke program is dedicated to providing the highest quality care, significantly improving the outcomes for stroke patients in our community. Representing as such, our hospital takes great pride in being an accredited facility by:
- The Joint Commission as a Primary Stroke Center
- The American Stroke Association as both a Getting With The Guidelines®—Stroke Silver Plus and a Target: Stroke Honor Roll—Elite Plus recipient
- The Florida State Agency for Health Care Administration (AHCA) as a Comprehensive Stroke Center
As a Target: Stoke Honor Roll—Elite Plus facility, Kendall Regional has been recognized for treating ischemic stroke and achieving 75 percent or higher door-to-needle tissue plasminogen activator (tPA) administration within 60 minutes as well as 50 percent or higher door-to-needle tPA administration within 45 minutes. The tPA is used as a blood thinner to break apart blood clots.
If you believe that you or a loved one is experiencing a stroke, call 911 immediately for emergency medical care.
Three stroke treatment facilities in west Miami
In addition to Kendall's main emergency care facility on our hospital's campus, both of our freestanding emergency care facilities, Doral Emergency Room and Town & Country Emergency Room, administer tPA to break down blood clots in the brain. After tPA is given and the patient is in stable condition, we will transport them to our main emergency care facility for further follow-up care.
Types of stroke
There are two types of strokes, ischemic strokes and hemorrhagic strokes, and both are treatable if medical attention is given as soon as possible.
An ischemic stroke, the more common of the two, occurs when there is a blood clot in a blood vessel in the brain and is treated by giving the patient a blood thinner, tPA, to resume blood flow. A hemorrhagic stroke, however, occurs when there is a tear in a blood vessel in the brain and is treated by reducing the blood pressure in your brain, potentially with surgery should the patient's condition worsen.
Recognizing the signs of a stroke
Stroke is the leading cause of serious, long-term physical and mental disability in the U.S. For that reason, it is vitally important that people be able to identify the symptoms of a stroke, as the likelihood of not making a full recovery or death increases with each passing minute without medical attention.
If you are unsure whether or not you or a loved one is experiencing the onset of a stroke, remember the "B.E. F.A.S.T." acronym to help you identify stroke symptoms:
Balance—Watch for sudden dizziness or loss of balance
Eyes—Check for vision loss or double vision
Face—Look at their facial features. Does one side of their face droop?
Arms—Ask them raise both arms parallel to the ground. Does one arm hang down?
Speech—Ask them to repeat a simple sentence. Do they slur their words or have any difficulty repeating the sentence back to you?
Time—If you notice that any of the above are present and suspect a stroke is occurring, call 911 immediately for emergency medical attention.
In addition to the "B.E. F.A.S.T." acronym, other stroke symptoms to recognize include:
- Difficulty walking
- Lack of coordination
- Loss of balance
- Trouble seeing in one or both eyes
- Sudden severe headache
- Difficulty swallowing
- Syncope (fainting)
Factors that increase your risk of stroke include:
- Poor eating habits—a diet that is high in trans-fat, saturated fats and low in fruits, vegetables, whole grains and fiber
- Smoking—one of the greatest modifiable risk factors for stroke
- Lack of physical activity or not getting moderate exercise on a regular basis
- Drug use, particularly cocaine and amphetamines
- Certain medical conditions, such as:
- Atrial fibrillation (AFib)
- Previous occurrence of stroke
- Abnormalities of the blood clotting system
- Inflammation of the blood vessels
- Recent heart attack
- Heart valve disease
- Vascular disease
- Diabetes (Type 1, Type 2 or prediabetes)
- High blood pressure
- Blood fat disorders (such as high LDL cholesterol)
- Long-term use of hormone replacement therapy
- Age—your risk increases as you get older
- Genetic factors
- Ethnicity—African Americans are more likely to have hemorrhagic strokes
Stroke treatment with endovascular thrombectomy
Kendall Regional offers revolutionary endovascular thrombectomy for the treatment of stroke. Thrombectomy is a minimally invasive procedure to remove the clot that is preventing blood flow to the brain. During this procedure, a small incision is made to access the artery so physician can effectively remove the obstruction that is blocking blood flow, dramatically reducing the damage certain types of stroke can cause.
Patients who undergo the endovascular thrombectomy early enough often recover with little to no long-term damage. That is why choosing a hospital that offers advanced stroke care—like Kendall Regional does—is so important.
Our stroke treatment program is made up of advanced medical personnel specialized in emergency care, neurological care, physical and occupational rehabilitation, clinical nursing and care quality managing. Kendall Regional Medical Center’s multidisciplinary stroke team is available on-site at our hospital 24 hours every day.
Stroke data report
Kendall Regional Medical Center stroke program data: January 1, 2019 to September 30, 2019
In stroke, time is brain and our team works diligently to ensure the highest quality, fastest treatment for our patients. Here are the stats from our program.
Median door to treatment with IV Alteplase (tPA) for stroke or suspected stroke patients
43 minutes (86% of cases less than 60 minutes)
Percentage of stroke patients treated with IV Alteplase (tPA)
18.2% (national treatment rate between 3 and 5%)
Fastest door to treatment time with IV Alteplase in 2019
13 minutes (fastest time at Kendall Regional is 8 minutes in 2018)
Mean door to start of thrombectomy procedure for patients with sudden onset large artery blockage
107 minutes (national standard: less than 90 minutes)
Mean door to successful large artery open in thrombectomy procedure
Percentage of patients with large vessel occlusion stroke and thrombectomy procedure who had a good outcome. This is defined by a modified Rankin score of 0-2. Patients who were having a serious stroke improved to a level of functional independence at 90 days post discharge.
67% (All LVO thrombectomy cases at Kendall Regional from 2018 to 2019 who were eligible for a 90-day call)