HNTR Newsletter May 2017 Issue No. 6

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This newsletter is brought to you courtesy of the Pacific Disabilities Center, John A. Burns School of Medicine, University of Hawaii, to promote the health, growth, and well-being of persons with disabilities.
Hawaii Neurotrauma Registry Project Update
From Dr. Violet Horvath, Project Director, and Dylan Arrieta, Project Coordinator

Think F.A.S.T. – what are the warning signs and symptoms of a stroke?

If you struggled to answer this question, you are not alone. From Lihue to Laupahoehoe, and everywhere around and in between, Hawaii Neurotrauma Registry Project staff find that people have a hard time naming the common warning signs and symptoms of a stroke. Think of F.A.S.T. to help you remember:

Did you know that there are two major types of stroke? The first is a hemorrhagic stroke. This is where a blood vessel ruptures. It happens in about 13% of strokes. More common is the ischemic stroke, where an artery to the brain becomes blocked and cuts off blood flow. In either case, the loss of blood to the brain can result in permanent damage.

There is also something called a transient ischemic attack, or TIA. In a TIA the blood flow is blocked or reduced, often by a blood clot. After a short time, blood starts to flow again and the symptoms go away. To quote the American Heart and American Stroke Associations, “Some call it a mini-stroke, but it’s really a major warning. Call 9-1-1.” Why? Because about a third of people who have a TIA end up having a severe stroke within one year.

Hawaii Neurotrauma Registry Project staff have come across a common phrase echoed by many Hawaii residents who have had strokes and completed the voluntary Hawaii Neurotrauma Registry survey: “Something just didn’t feel right.” Even though they were not sure what was wrong, they got help.

In the case of stroke, seconds and minutes really are precious. Knowing the warning signs and symptoms of a stroke, and calling 9-1-1 as soon as possible, may not only make a difference in how well you recover – it could mean the difference between life and death.
What is Stroke?
According to the National Stroke Association, a stroke is a “brain attack” and can happen to anyone at any time. A stroke occurs when blood flow to an area of the brain is cut off. When this happens, brain cells are deprived of oxygen and begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost.
How a person is affected by their stroke depends on where the stroke occurs in the brain and how much the brain is damaged. For example, someone who had a small stroke may only have minor problems such as temporary weakness of an arm or leg. People who have larger strokes may be permanently paralyzed on one side of their body or lose their ability to speak. Some people recover completely from strokes, but more than two-thirds of survivors will have some type of disability.

Stroke Statistics
  • Each year nearly 800,000 people experience a new or recurrent stroke. In Hawaii, about 3,000 people have a stroke per year.
  • In the U.S., a stroke happens every 40 seconds, which equates to someone dying from stroke every 4 minutes.
  • Stroke is the second leading cause of death worldwide. In the U.S., it is the fifth leading cause of death. In Hawaii, stroke is the third leading cause of death.
  • Up to 80% of strokes can be prevented.
  • Stroke is the leading cause of adult disability in the U.S.
Telestroke is Saving Lives in Hawaii
The Hawaii Neurotrauma Registry Project wanted to learn more about Hawaii's telestroke project, so they interviewed Dr. Matthew Koenig, MD and Dr. Huidy Shu, MD on their development and advancement with Telestroke in Hawaii. Click here to read more...
The Hub-and Spoke Model of Telemedicine
With the implementation of telestroke programs across the nation, champion physicians are pioneering the way to preventing fewer brain damages or deaths caused by strokes. In Hawaii, the Queen's Medical Center (QMC) has adopted the Hub-and-Spoke Model of Telemedicine in the last few years. With QMC as the "Hub," the "Spokes" are comprised of seven (soon to be eight) hospitals or medical centers that make up QMC's telestroke network.

In 2016, Hawaii Pacific Health (HPH) launched their telestroke program, which encompasses three of their major hospitals and medical center on Oahu and Kauai.
Comprehensive Stroke Center
The Queen's Comprehensive Stroke Center is the first Joint Commission designated comprehensive stroke center in Hawaii. They are also certified as a Primary Stroke Center by the American Heart and American Stroke Associations. The Center offers advanced stroke treatments 24/7 and provides access to the state's only Neuroscience Intensive Care Unit. Stroke patients in Hawaii do not need to travel to the continental U.S. for advanced stroke care.

Click here to learn more about the Comprehensive Stroke Center.
Stroke Support Groups
Hawaii - Hilo Medical Center
Monthly | Second Tuesday at 4 PM
Kauai - Wilcox Medical Center
Monthly | First Monday at 5 PM
Oahu - Kapiolani Medical Center
Monthly | First Monday at 5 PM
Oahu - Rehab Hospital of the Pacific
Monthly | First Tuesday at 10 AM
2017 Hawaii Legislative Update
The 2017 Hawaii Legislative session ended on May 4 amidst a great deal of drama that seemed more high noon than HI. Multiple high-profile, contentious issues and leadership changes dominated the spotlight. Regarding neurotrauma-related bills and resolutions, it was a mixed bag. Here’s how they fared. Click here to read more....
Community Events Calendar
What's Happening?
Honolulu BEAT 2017
Saturday, May 13, 2017, 6:00 PM at SKY Waikiki

Join Honolulu Beat in celebrating healthier lives and freeing people from cardiovascular diseases and stroke.
Participate in the Registry
HNTR Brochure
Brochure for Parents/Guardians
Brochure for Veterans
Tools and Resources
e-Newsletter Writers: K. Dylan Arrieta & Dr. Violet Horvath
e-Newsletter Design Editor: K. Dylan Arrieta

We would appreciate your feedback! Please email or call 808-692-1372. Mahalo!

Dr. Violet E. Horvath, Ph.D
Director, Pacific Disabilities Center

K. Dylan Arrieta
Project Coordinator, Hawaii Neurotrauma Registry
Copyright © 2017 Hawai'i Neurotrauma Registry Project, All rights reserved.
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