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Stroke Management At The Queen Elizabeth Hospital
Thursday, 23 November 2017 15:55

seminar flyer


The Barbados National Registry for Chronic Non-Communicable Disease (BNR), in collaboration with the Ministry of Health would like to express sincere gratitude to the doctors, nurses, allied health professionals as well as medical students who participated in our continuing education seminar series entitled “Stroke Management at the Queen Elizabeth Hospital”. It was held on October 20th, 2017 at the Savannah Beach Hotel and officially opened by Dr Dexter James, CEO of the Queen Elizabeth Hospital (QEH). There were nine (9) presentations which comprised of question and answer sessions. The seminar was attended by a total of 83 persons.

This seminar focused on the management of stroke patients as they were treated or interacted throughout the various stages of the public health system. The care of the stroke patient was examined from the point at which the ambulance service was dispatched, their admission into the Accident & Emergency department, their stay on the Stroke Rehab Unit (SRU), ward C10, at the QEH as well as their stroke rehabilitation.  The various types of strokes, conditions which mimic strokes as well as the prevalence of strokes in young adults were also explored. Lastly, the stroke data collected by the BNR from 2010 to 2015 was examined and discussed.

Dr David Byer initiated the discussion with the D’s of stroke care which are separated into two (2) categories: prehospital and hospital.  Under prehospital, there is detection, dispatch, delivery and door; whereas the hospital elements consist of data, decision, drug and disposition. Dr Byer’s focus concentrated mainly on the prehospital components. He also examined the targets for improvement in stroke care. Dr Chaynie Williams examined five (5) mainstays of acute stroke management, for instance the specific therapies directed against particular aspects of stroke pathogenesis. Dr John Gill followed with an in-depth presentation on brain haemorrhages and their management, while Prof David Corbin presented on ischaemic stroke subtypes and gave an update on the SRU.

 Ms Christine King gave a detailed account on how patients are managed in the SRU from the perspective of a stroke nurse with a particular focus on dealing with stroke complications.  Dr Kim Quimby examined stroke mimics from a researcher’s point of view by presenting data compiled locally by the Barbados Register of Strokes. The implications of stroke intervention as it relates to stroke mimics were also discussed. 

Additionally, Ms Melanie Büge spoke on the importance of the Multidisciplinary team approach to stroke rehabilitation, the role of the occupational therapist in stroke rehab as well as identifying when occupational therapy is required by stroke patients. The seminar was concluded by Ms Angela Rose who presented findings on stroke in Barbados from 2010 to 2015 with particular interest paid to incidence, mortality and case fatality rates. She also outlined the importance of proper documentation in the notes of stroke patients.

The BNR would like to thank the presenters for their informative and creative presentations in order to make this seminar a success. Lastly, thanks again to our participants as well for your continued support and we look forward to working with you in the future.

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