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Emergency Health Systems
     Stroke-STEMI
 
According to the CDCP, every 43 seconds someone in the United States has a heart attack.
 
Every year, about 735,000 Americans have a heart attack. Of these cases 525,000 are a first time heart attack, and 210,000 happen to people who have already had one.
One in five heart attacks is silent—the damage is done, but the person is not aware of it. Coronary Artery Disease (CAD) is the main cause of heart attack. A heart attack occurs when a part of the heart muscle is damaged or dies because blood flow is reduced or completely blocked. A less common cause is a severe spasm, or sudden contraction of a coronary artery that can stop blood flow to the heart muscle.
If you know the signs and symptoms of a heart attack and recognize that you or someone near you is having a heart attack, seek immediate help by calling 911. The longer you wait, the more damage to the heart muscle can occur.
In 2006 there was only one hospital in Nebraska certified by the Joint Commission as a Primary Stroke Center, as of 2017 there are now 13.
  • Faith regional Health Services, Norfolk
  • CHI Health Creighton University Medical Center, Omaha
  • Bryan East, Lincoln
  • CHI Health Good Samaritan, Kearney
  • CHI Health – Lakeside, Omaha
  • CHI St. Elizabeth, Lincoln
  • CHI Saint Francis Medical Center, Grand Island
  • Great Plains Health, North Platte
  • Mary Lanning Healthcare, Hastings
  • Methodist Hospital, Omaha
  • Nebraska Medicine, Bellevue
  • Nebraska Medicine, Omaha
  • CHI Immanuel, Omaha
 
The EMS/Stroke Train the Trainer class produced 11 Stroke Certified Regional EMS Instructors, resulting in 119 trainings across the state throughout 2009-2011. This training reached 59.7% of EMS services statewide. With the advent of Legislative Bill 722 efforts are currently underway to reach 100% of EMS services statewide as well as dispatch centers and hospitals.
 
The American Heart Association predicts the prevalence of stroke victims will go up 25% between 2010 and 2030.  Stroke is the fourth leading cause of death in Nebraska and is the leading cause of disability in the US (CDC).  Hospital charges continue to increase for stroke care from 54 million dollars to 108 million dollars (2001-2010) and all predictions state this cost will continue to rise.
 
Legislative Bill 722 was conceived in an effort to improve patient outcomes throughout the entire scope of the Stroke emergency, from early recognition and appropriate transfer, up to comprehensive rehabilitation of stoke victims.  By identifying hospitals as either a Comprehensive stoke center, Primary Stroke Center or an Acute Stroke-ready hospital (based on certification from a nationally recognized accreditation organization), it will help identify the best path of treatment for patients and reduce potential delays in care. 
 
Heart Disease and Stroke Risk factors in Nebraska (Based on 2013 AHA and Heart Disease and Stroke Statistics)

Group Percent in Nebraska ​Percent in US
Adults who are current smokers ​20 ​21.1
Adults who participate in 150+ min of aerobic Activity per week ​49 ​51.6
Adults who are overweight or obese ​64.9 ​63.5
Adults who have been told that they have had a heart attack ​4.3 ​4.4
Adults who have been told that they have had a stroke ​2.6 ​2.9
Adults who have been told they have angina or coronary heart disease ​3.9 ​4.1
Adults (18-64) who have some kind of health care coverage ​80.9 ​78.9
High School Students who are obese ​11.6 ​13
 
For more information, contact:
Becka Neumiller, Stroke Program Manager
2475 South E St
Broken Bow, NE 68822
402-560-4949
 
 
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