Erickson Tribune

Seabrook

UPDATED: Thursday, July 19, 2007

The 'golden hour'

Posted on Sunday, July 01, 2007
 

By Julia Boyle
THE ERICKSON TRIBUNE

When you have a medical emergency, seeking treatment within an hour after the injury or onset of symptoms can mean the difference between a health incident and a medical crisis.

The first 60 minutes, called the “golden hour” by emergency room staff, is the window of time in which doctors can typically  administer treatments that can reduce the long-term impact on your health—possibly even save your life.

“The ‘golden hour’ concept comes from the trauma literature,” says emergency room physician Scott Wilber, M.D. “The concept is that when you have someone who is seriously injured, giving them care in the first hour is most likely to result in a good outcome.”

Wilber is a member of the Society for Academic Emergency Medicine’s geriatrics task force. He says the emergency medical treatment is even more critical for older adults because the ramifications of heart attacks, strokes, and fall injuries—like trauma cases—can also be dramatically reduced during the “golden hour.”

More treatment possibilities
Advancements in medical technology give doctors more treatment options and improve patients’ chances of recovery. “Now we have treatments, but they are very time-sensitive,” Wilber says.

If a patient seeks immediate treatment for a stroke within three hours, Wilber says doctors can use an IV treatment to break up the blood clot. Within six hours, doctors can try inserting a catheter to remove the clot.

“To be able to get the three-hour treatment, you really need to go to the emergency room right at the onset of symptoms,” he adds.

Don’t ignore the signs
People often mistake symptoms of a heart attack or stroke as a less serious problem like acid reflux, and try to endure the pain until it passes—missing that  critical period of time when treatments are most likely to work.


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“Unfortunately, there’s a lot of evidence that people wait a couple of hours, or even a couple of days, before coming to the emergency room or calling 911,” says Dr. Rahul Khare, assistant professor of emergency medicine at Northwestern Memorial Hospital in Chicago, Ill.

Even the time spent waiting at the emergency room can cut into the “golden hour” needed to save a patient’s life after a heart attack, stroke, or fall injury. Khare says calling an ambulance could be a better option because trained paramedics can make an initial diagnosis and begin treatment immediately.

Older adults who live alone are particularly vulnerable to delaying emergency medical care because they may not realize or want to admit they’ve sustained a heart attack or a stroke, Wilber says. “So they stay home and stay home, and finally when they can’t get it to go away, they come in.”

Wilber says people who live with a spouse, family, or at a retirement community often seek treatment sooner because someone around them notices they are experiencing unusual symptoms. “They’re going to call an ambulance for you,” Wilber says.

No one wants to think about dealing with a medical emergency, but knowing that people who know you and care about your health are always available can relieve a lot of anxiety.

Medical care on-site
Martha Arendt lives at Seabrook, where an on-site emergency medical team is  always available. “The emergency team responds extremely quickly if you call, so that aspect of Erickson Health® is wonderful. Plus, they have qualified doctors right here on the premises so I don’t have to leave the campus,” she says.

“The people who live here appreciate and admire what we do,” says Eric Stein, Seabrook’s facilities manager of transportation, emergency services, and  security. He oversees a 35-person team that responds to calls within three minutes.

Stein’s staff includes 15 emergency medical technicians and 20 certified first responders. “We pay for all EMT training and urge staff development,” he says. Additionally, Seabrook offers certified first responder training by American Red  Cross-trained security EMT teachers to any interested Seabrook employee.

Medical care doesn’t end with emergency treatment. Seabrook’s on-site  physicians work closely with the emergency team to deliver the highest quality care in every situation. “Our goal is to maintain the highest level of care for everyone at Seabrook with the best trained staff,” Stein says.



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