Morton Hospital

88 Washington Street, Taunton, MA 02780    508-828-7000

MortonServices and Clinical Centers

Time Matters: What You Need to Know About Stroke

By Sam Shen, MD, chief of Emergency Services

Ever hear the expression “time is of the essence?” This phrase can apply to many situations in life, but in the case of a medical emergency like a stroke, time can make the difference between life and death. 

May is designated as National Stroke Awareness Month.  During this annual observance, health care facilities and professionals aim to spread awareness of stroke and educate people about stroke risks, signs and symptoms of a stroke, and what they should do if they think they or a loved one may be experiencing a stroke.

In order to understand the above, you need to understand the true definition of a stroke.  People sometimes think of a stroke as being associated with the heart – similar to a heart attack; however, a stroke is actually a medical condition where there is a lack of blood supply to specific areas of the brain.  There are two main types of strokes: ischemic and hemorrhagic.  Ischemic strokes are due to a blockage of an artery, either through a blood clot from another part of the body or from deposit buildup within the vessel.  Hemorrhagic strokes are caused by a rupture of a blood vessel resulting in bleeding within the brain itself.

Strokes affect thousands of people every year.  While anyone can have a stroke, some groups are at a higher risk, including:

  •      The elderly
  •      Males
  •         African Americans
  •         People with high blood pressure or high cholesterol
  •         Smokers
  •         People with a high level of alcohol consumption
  •         People who are obese
  •         People who are physically inactive
  •         People with conditions such as atrial fibrillation and atherosclerosis

Some of these are modifiable risk factors.  In addition to quitting smoking, increasing your physical activity, and limiting alcohol consumption, eating healthy (low-fat/low-salt foods, whole grains, fruits, vegetables) can also lower your risk for stroke.

The most common symptoms of a stroke include:

  •         Sudden onset of weakness of the face, arm or leg, especially in one side of the body
  •         Sudden onset of a severe headache
  •         Sudden onset of difficulty seeing in one or both eyes
  •         Sudden onset of dizziness, coordination, or loss of balance
  •         Sudden onset of difficulty speaking or understanding, or confusion

FAST is a great tool used to help detect symptoms of stroke and gauge the responsiveness of stroke victims.

  •      F - Face: Ask the person to smile. Does one side of the face droop?
  •      A – Arms: Ask the person to raise both arms. Does one arm drift downward?
  •      S - Speech: Ask the person to repeat a simple phrase. Is their speech slurred or strange?
  •      T- Time: If you observe any of these signs, call 9-1-1 immediately.

Time is critical to intervene, since a stroke means brain cells are not receiving blood supply (and therefore oxygen).  This means death of brain tissue, which can result in permanent damage.  It is important to learn the multiple warning signs of a stroke - then act FAST and call 911 immediately to get the patient to the nearest emergency department. 

Morton Hospital’s stroke team is trained and skilled in the treatment of stroke, and available to provide stroke care 24 hours a day, seven days a week through our Emergency Department.  We were recently recognized by Stroke Collaborative Reaching for Excellence (SCORE), a stroke registry and quality improvement collaborative that supports Primary Stroke Service designated hospitals in Massachusetts, for our success in providing defect-free care to stroke patients. 

 


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