65%, bite to needle time
is the interval between time of bite and administration of ASV, 42% cases were given ASV within 2-4 hrs.
7%) patients with mean door to needle time
20 +- 2.
The sum of the above time intervals constitutes the total door-to needle time
under the skin (as an indirect measure of the number of needle manipulations) was recorded.
FILLING OUT I've got form; NEEDLE TIME
I grin and bear it; PRESSURE Giving the blood; HE'S GOT BOTTLE Our man Damien with blood in his hands Pictures: JOHN FERGUSON; THERE IT GOES Bagging up; SO GRATEFUL Patient Terry; IN A SPIN Packs in centrifuge; IT'S ALL OVER Time to leave
We also noted that the requirement of ASV was independent of the bite to needle time
as opposed to the severity of envenomation even patients presenting after 6 hours of the bite could be managed with 7.
When we looked at the patients whose call to needle time
was too long we discovered frequently this was because patients call their own doctor rather than dial 999.
Consistency in achieving the 60 minute call to needle time
needs to be approved.
In 2014, we began an integrated programme to improve the door to needle times
for acute stroke patients.
The Mena Stroke initiative 'Making every second count', a subdivision of the global Angels programme dedicated for the Mena region and managed by a group of renewed neurologists in the region, has three major objectives - focusing on accelerating the decreasing door to needle times
- which is the interval between patient's arrival to the hospital and starting the treatment; support in establishing a dedicated stroke unit in hospitals which will directly lead to faster and better patient outcomes and raising as well as increasing the awareness of proper stroke management amongst the public and healthcare professionals.
Results: Improvements were seen in door-to- needle times
in the study group regardless of time of presentation (reduced from 59 minutes to 29 minutes during off hours) (reduced from 35 minutes to 18 minutes during regular hours) (p<0.
At the moment our door to needle times
(the time it takes patients to receive anti-clotting drugs) are below the national average.