1. Collaboration and Community Stroke Education https://www.youtube.com/watch?v=wH7k5CFp4hI

2. Barriers to seeking Care Barriers Lack of Knowledge Fear of Hospitals Denial Living Alone Preexisting Health Concerns Budgets 50/50

3. What is Community System/Local/Regional Hospitals EMS & Fire Schools & Organizations Individuals & Families Define your community Be Creative!

4. Beg...Borrow…Steal Don’t reinvent the wheel Go Above and beyond the “Health Fair” Collaborate with System/Local/Regional Coordinators & EMS/Fire Demonstrate “Team” to your Community 50/50 Impact!

5. Statistics By 2030, an additional 3.4 million people ≥18 will have had a stroke. In people with a history of TIA, impaired glucose tolerance nearly doubled the stroke risk compared with those with normal glucose levels and tripled the risks for those with DM.

6. Total direct medical stroke-related costs are projected to triple, from $71.6 billion to $184.1 billion. Approximately 15% of all strokes are heralded by a TIA.

7. Data have shown a steady increase in the proportion of ischemic stroke patients who are treated with tPA therapy. For example, administrative data in 2009 found that between 3.4% and 5.2% of acute ischemic strokes were treated with tPA, which was approximately double the treatment rate observed in 2005.219 Similarly, analysis of data from the GWTG-Stroke program demonstrated substantial increases in tPA treatment rates over the period from 2003 to 2011.

8. Analysis of tPA-treated patients in the GWTG-Stroke program between 2003 and 2009 found that the majority were not treated within the guideline-recommended interval of 60 minutes from hospital arrival and that this proportion had increased only modestly during this period (from 19% in 2003 to 29% in 2009). Paradoxically, door-to needle times were found to be inversely related to onset to arrival times; thus, tPA-treated patients who arrived earlier were less likely to receive treatment within 60 minutes of arrival.

9. When it all comes together

10. Different Strokes for Different Folks