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'Time is brain': New program streamlines stroke care in South Dakota

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(Greater Dakota News Service) When it comes to stroke care, experts say, "time is brain." Now, a program launching in South Dakota will coordinate and strengthen stroke care across the state.

Nearly 400 South Dakotans died due to stroke in 2022. A new program from the American Heart Association of South Dakota, "Mission: Lifeline Stroke Initiative," aims to integrate all components of stroke care into a smooth system serving all patients quickly and effectively, whether they live in a city or a rural area.

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Michele Bolles, national executive vice president of quality outcomes research and analytics for the American Heart Association, said it starts with early stroke identification.

"Generally, it's an acronym, FAST," Bolles outlined. "You look at someone's face, their arms may droop, their speech may be slurred, and ultimately the T stands for time. So, time is of the essence."

The initiative will also refresh emergency medical service providers on signs of stroke to kick-start the correct chain reaction for care, including assembling a hospital's stroke team and connecting patients with high-quality post-acute care. The Lifeline Stroke program has already rolled out in neighboring states including North Dakota, Montana, Nebraska and Iowa.

More than 90 percent of stroke patients live with a form of disability following their initial stroke, according to the American Heart Association.

Walter Panzirer, trustee of the Helmsley Charitable Trust, which provided a grant for the initiative, said patients will need different types of post-acute care, like physical therapy or speech pathology. The new program will provide certification for certain facilities.

"It's basically a gold seal of approval," Panzirer noted. "They can guarantee that every facility that meets it has the same standards."

Panzirer added while some people may have high-quality care nearby, others may need to travel.