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New Initiative Helps Get Vital Clot Dissolving Medication To Stroke Patients More Quickly

INTRO: Time is critical after a patient experiences a stroke. If doctors can administer a clot dissolving drug to an eligible patient within 60 minutes after arriving at the hospital, this can be beneficial to recovery. A new study evaluated an initiative designed to improve treatment times for these stroke patients. Catherine Dolf has more in this week’s JAMA Report.

VIDEO
B-ROLL
Gloria walking into exam room

AUDIO
VO
LOOKING AT GLORIA SCHAFFER NOW, IT’S HARD TO TELL SHE HAD A STROKE ABOUT FOUR MONTHS AGO.

NATSO/FULL Runs:03
“…how many fingers do you see one or two…two…good…”

AUDIO
SOT/FULL Super@:08 Gloria Schaffer – Stroke Patient Runs:08
“I started feeling the sense like of a strobe light in my eyes. I started seeing flashes, very painful actually.”

AUDIO
SOT/FULL Super@:16 Gregg C. Fonarow, M.D. – University of California, Los Angeles Runs:08
“Every minute that a blood vessel to the brain is blocked there can be as many as two million brain cells that are dying.”

VIDEO
B-ROLL
tPA drug with syringe, cu of medication bottle, ambulance arriving at hospital, patient being taken out of ambulance

AUDIO
VO
TISSUE PLASMINOGEN ACTIVATOR OR T-P-A, IS A CLOT DISSOLVING MEDICATION. WHEN GIVEN WITHIN 60 MINUTES OF ARRIVING AT THE HOSPITAL IT CAN HELP DISSOLVE THE CLOT, RESTORE BLOOD FLOW TO THE BRAIN AND LEAVE PATIENTS WITH LESS DISABILITY. THIS TIME FRAME IS KNOWN AS DOOR-TO-NEEDLE TIME. HOWEVER, LESS THAN A THIRD OF STROKE PATIENTS IN THE U-S WERE GETTING T-P-A WITHIN THE 60 MINUTE TIME WINDOW.

AUDIO
SOT/FULL Super@:44 Gregg C. Fonarow, M.D. – University of California, Los Angeles Runs:14
“The Target: Stroke initiative was designed to improve the timeliness of evaluating patients with stroke, improve their care and hopefully that that would translate to better clinical outcomes.”

(Video covering middle of bite: patient inside ambulance, EMT writing on clipboard)

VIDEO
B-ROLL
Dr. Fonarow and colleague walking into room, various shots of doctors looking at brain scan

AUDIO
VO
DR. GREGG FONAROW FROM THE UNIVERSITY OF CALIFORNIA, LOS ANGELES AND CO-AUTHORS EVALUATED OUTCOMES AT MORE THAN A THOUSAND U-S HOSPITALS BEFORE AND AFTER THE INITIATIVE WAS ROLLED OUT.

AUDIO
SOT/FULL Super@1:07 Gregg C. Fonarow, M.D., – University of California, Los Angeles Runs:14
“Just prior to the initiative only 29 percent of patients had door to needle times within 60 minutes. After the initiative was put into place this had increased to 53.3 percent.”

(Video covering 2nd half of bite: IV bag being hooked up)

GXF FULL
JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super@1:24 Gregg C. Fonarow, M.D., – University of California, Los Angeles Runs:16
“There was a reduction in mortality, more patients were able to be discharged home, more patients were able to walk on their own and importantly a potential complication that can develop, bleeding into the brain, that was also reduced.”

(Video covering 2nd half of bite: Pan up from floor to doctor and Gloria, Gloria walking, pan up from feet to doctor and Gloria, brain scan

VIDEO
B-ROLL
Gloria and doctor doing hand strength tests

AUDIO
VO
GLORIA RECEIVED T-P-A WITHIN THE FIRST 60 MINUTES WHICH SHE SAYS HELPED HER RECOVERY.

AUDIO
SOT/FULL Super@1:45 Gloria Schaffer – Stroke Patient Runs:09
“I did feel better soon after I had the medication. I feel like I got a second chance, a second chance.”

(Video covering 2nd half of bite: Gloria walking into hospital)

VIDEO
B-ROLL
Gloria walking into hospital

AUDIO
VO
CATHERINE DOLF, THE JAMA REPORT.

TAG:THE TARGET: STROKE INITIATIVE WAS ORGANIZED BY THE AMERICAN HEART ASSOCIATION, AMERICAN STROKE ASSOCIATON AND LAUNCHED IN JANUARY OF 2010.

INTRO: Time is critical after a patient experiences a stroke. If doctors can administer a clot dissolving drug to an eligible patient within 60 minutes after arriving at the hospital, this can be beneficial to recovery. A new study evaluated an initiative designed to improve treatment times for these stroke patients. Catherine Dolf has more in this week’s JAMA Report.

VIDEO
B-ROLL
Gloria walking into exam room

AUDIO
VO
LOOKING AT GLORIA SCHAFFER NOW, IT’S HARD TO TELL SHE HAD A STROKE ABOUT FOUR MONTHS AGO.

NATSO/FULL Runs:03
“…how many fingers do you see one or two…two…good…”

AUDIO
SOT/FULL Super@:08 Gloria Schaffer – Stroke Patient Runs:08
“I started feeling the sense like of a strobe light in my eyes. I started seeing flashes, very painful actually.”

AUDIO
SOT/FULL Super@:16 Gregg C. Fonarow, M.D. – University of California, Los Angeles Runs:08
“Every minute that a blood vessel to the brain is blocked there can be as many as two million brain cells that are dying.”

VIDEO
B-ROLL
tPA drug with syringe, cu of medication bottle, ambulance arriving at hospital, patient being taken out of ambulance

AUDIO
VO
TISSUE PLASMINOGEN ACTIVATOR OR T-P-A, IS A CLOT DISSOLVING MEDICATION. WHEN GIVEN WITHIN 60 MINUTES OF ARRIVING AT THE HOSPITAL IT CAN HELP DISSOLVE THE CLOT, RESTORE BLOOD FLOW TO THE BRAIN AND LEAVE PATIENTS WITH LESS DISABILITY. THIS TIME FRAME IS KNOWN AS DOOR-TO-NEEDLE TIME. HOWEVER, LESS THAN A THIRD OF STROKE PATIENTS IN THE U-S WERE GETTING T-P-A WITHIN THE 60 MINUTE TIME WINDOW.

AUDIO
SOT/FULL Super@:44 Gregg C. Fonarow, M.D. – University of California, Los Angeles Runs:14
“The Target: Stroke initiative was designed to improve the timeliness of evaluating patients with stroke, improve their care and hopefully that that would translate to better clinical outcomes.”

(Video covering middle of bite: patient inside ambulance, EMT writing on clipboard)

VIDEO
B-ROLL
Dr. Fonarow and colleague walking into room, various shots of doctors looking at brain scan

AUDIO
VO
DR. GREGG FONAROW FROM THE UNIVERSITY OF CALIFORNIA, LOS ANGELES AND CO-AUTHORS EVALUATED OUTCOMES AT MORE THAN A THOUSAND U-S HOSPITALS BEFORE AND AFTER THE INITIATIVE WAS ROLLED OUT.

AUDIO
SOT/FULL Super@1:07 Gregg C. Fonarow, M.D., – University of California, Los Angeles Runs:14
“Just prior to the initiative only 29 percent of patients had door to needle times within 60 minutes. After the initiative was put into place this had increased to 53.3 percent.”

(Video covering 2nd half of bite: IV bag being hooked up)

GXF FULL
JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super@1:24 Gregg C. Fonarow, M.D., – University of California, Los Angeles Runs:16
“There was a reduction in mortality, more patients were able to be discharged home, more patients were able to walk on their own and importantly a potential complication that can develop, bleeding into the brain, that was also reduced.”

(Video covering 2nd half of bite: Pan up from floor to doctor and Gloria, Gloria walking, pan up from feet to doctor and Gloria, brain scan

VIDEO
B-ROLL
Gloria and doctor doing hand strength tests

AUDIO
VO
GLORIA RECEIVED T-P-A WITHIN THE FIRST 60 MINUTES WHICH SHE SAYS HELPED HER RECOVERY.

AUDIO
SOT/FULL Super@1:45 Gloria Schaffer – Stroke Patient Runs:09
“I did feel better soon after I had the medication. I feel like I got a second chance, a second chance.”

(Video covering 2nd half of bite: Gloria walking into hospital)

VIDEO
B-ROLL
Gloria walking into hospital

AUDIO
VO
CATHERINE DOLF, THE JAMA REPORT.

TAG:THE TARGET: STROKE INITIATIVE WAS ORGANIZED BY THE AMERICAN HEART ASSOCIATION, AMERICAN STROKE ASSOCIATON AND LAUNCHED IN JANUARY OF 2010.

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