Looking for Statistic on Aneurysm Rupture Survival Rates

Xavier Prida dr.xavier.prida at GMAIL.COM
Fri Mar 31 22:48:02 UTC 2017


This science of linkage of EMS personnel assessment and triage to proper
resourced facilities began with trauma care and was the model leveraged the
to care of patients with acute ST segment myocardial infarction(STEMI)- see
AHA Mission/LifelineSTEMI Systems of Care. Time dependent treament outcomes
were demonstrated to be enhanced by "bypass" of hospitals without cardiac
cath labs that would provide 24/7 angioplasty/stents to those who could,
the latter supported by clinical studies as associated with higest survival
rates in the management of patients with STEMI.

This has now been extended in a Danish national registry analysis over a 12
year period in those patients with out of hospital cardiac arrest:

https://doi.org/10.1093/eurheartj/ehx104



On Fri, Mar 31, 2017 at 5:28 PM, Peggy Zuckerman <peggyzuckerman at gmail.com>
wrote:

> I am interested to know how the EMS crew recognized the severity of the
> situation.  Also pleased to know that they had the support to shift to the
> better treatment center without any delay.
>
> If this had been in a system which wanted standardized response for every
> patient seemingly the same...
>
> PEggy
>
> Peggy Zuckerman
> www.peggyRCC.com
>
> On Fri, Mar 31, 2017 at 8:36 AM, Tom Benzoni <benzonit at gmail.com> wrote:
>
>> Mr. Latino:
>> She is indeed the recipient of a fortuitous alignment of
>> planetary bodies, the Swiss Cheese effect we all like.
>> http://www.bafound.org/about-brain-aneurysms/brain-aneurysm-
>> basics/brain-aneurysm-statistics-and-facts/
>> You will note that a very large part of this is due to good leadership:
>> *The EMS crew (likely attribution bias on my part) felt their Medical
>> Director would, by protocol or personality, back up the by-pass decision.
>> This concept was pushed by Demming many years ago.
>>
>> tom
>>
>> On Fri, Mar 31, 2017 at 6:39 AM, Bob Latino <blatino at reliability.com>
>> wrote:
>>
>>> Two weeks ago, a good friend of mine's daughter suffered the rupture of
>>> an aneurysm at 35 y/o.  She was nonresponsive for 12 minutes and
>>> transported to our local Trauma 1 hospital which was about 40 minutes.
>>> Brain surgery was performed within 8 hours of arrival at the hospital to
>>> put a stent in place.
>>>
>>>
>>>
>>> Amazingly she 1) survived, 2) will be released from the hospital
>>> tomorrow and 3) has no apparent deficits at this time.  She still has to
>>> take it very slow (she is very fit Physical Therapist) for about 4 months
>>> and has residual headaches which will reportedly fade in due time.
>>>
>>>
>>>
>>> Does anyone have any stats of the survival rates of such a traumatic
>>> event and to survive with no apparent deficits?
>>>
>>>
>>>
>>> The family is obviously overwhelmingly grateful to God and the hospital
>>> staff, but I was curious as to how uncommon it is to survive an aneurysm?
>>>
>>>
>>>
>>> This is related to SIDM in a sense because the initial belief was that
>>> she was having a seizure (epilepsy ran in the family).  They were going to
>>> transport her to the local hospital which would not have been able to
>>> properly treat a ruptured aneurysm (and the time delay likely would have
>>> killed her) in a timely manner.
>>>
>>>
>>>
>>> The Emergency Crew staff recognized the acuity of her case and decided
>>> to transport her to the Trauma 1 center a farther distance away.  Luckily
>>> it was the right decision.
>>>
>>>
>>>
>>> Thanks for any feedback on this question.
>>>
>>>
>>>
>>> Bob Latino
>>>
>>>
>>>
>>> *Robert J. Latino, CEO*
>>>
>>> Reliability Center, Inc.
>>>
>>> 1.800.457.0645 <(800)%20457-0645>
>>>
>>> blatino at reliability.com
>>>
>>> www.reliability.com
>>>
>>> [image: linkedin logo signature file]
>>> <https://www.linkedin.com/company/958495?trk=tyah&trkInfo=clickedVertical%3Acompany%2CclickedEntityId%3A958495%2Cidx%3A1-1-1%2CtarId%3A1464096807851%2Ctas%3Areliability%20center%2C%20inc.>
>>>
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>>
>>
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>
>
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Xavier E. Prida MD FACC FSCAI
Assistant Professor of Medicine
Program Director Cardiology Fellowship Training
USF Morsani College of Medicine
Department of Cardiovascular Sciences
2 Tampa General Circle
STC 5 th Floor
Tampa, Fl 33606
813 259 0992(O)






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

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