Extending a warm welcome to you and your colleagues to join us at the Catalysts for Care 2025 Nursing Grand Rounds Speaker Series!
[Date: May 13th, 2025, 12:00 - 1:00 pm, ZOOM presentation. Central Time Zone-DST Presenter: Susan Alcock, RN MN; Research Associate, Department of Radiology, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB. Title: Safety and effectiveness of intravenous thrombolysis for acute stroke patients in the Manitoba TeleStroke Program.] [cid:image002.png@01DBC35B.8C679340]
ZOOM LINK: https://ca01web.zoom.us/j/63817319765?pwd=IQ8YlOE3UseIo1CLn3sser6cJq9e9k.1
Abstract: Background: TeleStroke can improve access to stroke care in rural areas. We aim to evaluate the safety and effectiveness of intravenous thrombolysis in our TeleStroke system. Methods: The Manitoba TeleStroke program was rolled out across 7 sites between November 2014 and January 2019. We retrospectively analyzed prospectively collected consecutive acute stroke patients' data in this duration. The primary outcome was safety and effectiveness measured in terms of 90-day modified Rankin score (mRs). The number of acute ischemic stroke (AIS) patients receiving thrombolysis and endovascular thrombectomy [EVT] and process metrics were also analyzed. R/RStudio version-4.3.2 was used (p<0.05). Results: Of the 1,748 TeleStroke patients (age 71 years [IQR 58-81], female 810[46.3%]), 696 were identified as AIS. Of these, 265(38.1%) received thrombolysis and 48(6.9%) EVT. Ninety-day mortality was 53(20.0%) among those receiving thrombolysis and 117(44.2%) had a favorable outcome (mRs ≤2). Of those who received intravenous thrombolysis, 9 patients (4.2%) were found to have symptomatic intracranial hemorrhage. The median last-seen-normal (LSN)-to-door was121 minutes and the median door-to-needle, 55 minutes. Conclusion: Intravenous thrombolysis was found to be effective with acceptable safety. TeleStroke improved overall access to stroke care and played an important role in identifying AIS patients eligible for thrombolysis and EVT.
Upcoming Presentation Tuesday June 10th, 2025 12:00 - 1:00 pm, Central Time Zone. Andrea Toews, RN, MN, CRE, Respiratory Nursing Clinician, St. Boniface Hospital, Winnipeg, MB. The Arduous Passion of Resuscitation Nursing: When the Adrenaline Wears Off. https://ca01web.zoom.us/j/66417353632?pwd=zgubYW2liwrKdDayhjlFJqWesMUhM3.1
Dr. Diana E. McMillan, RN, PhD Professor, Rady Faculty of Health Sciences, College of Nursing, University of Manitoba; Clinical Chair, Health Sciences Centre, Winnipeg; & Research Affiliate, Manitoba Centre for Nursing and Health Research
** Please email as I am often working remotely or offsite.
Walton, L.L., Duff, E., Arora, R.C., & McMillan, D.E. (2024). The role of the cardiac surgery patient in pain assessment and management: the patient perspective. Clinical Nursing Research, 1-7. https://doi:10.1177/10547738241273232https://doi.org/10.1177/10547738241273232.
McMillan, D.E., Brown, D.B., Rieger, K.L., Duncan, G., Plouffe, J., Amadi, C.C., & Jafri, S. (2023). Patient and family perceptions of a discharge bedside board. Patient Education and Counseling - Innovation, 3, e100214. Elsevier, Online. https://doi.org/10.1016/j.pecinn.2023.100214
