Stroke care

A stroke happens when a blood vessel carrying oxygen and nutrients to the brain is either blocked by a clot (ischemic stroke) or bursts (hemorrhagic stroke). Stroke is the fifth leading cause of death and the primary cause of permanent disability in the United States.

If you or someone you know is experiencing stroke symptoms, call 911.

At UCHealth, you can count on the fastest, most efficient and effective stroke care available in the Rocky Mountain region. Our rapid-response begins when our emergency medical services (EMS) team arrives at your location. A 24/7 Stroke Alert system at UCHealth activates our Primary Stroke Response Team—ready to provide the life-saving care you need.

B.E.F.A.S.T. - spot stroke signs

The letters in “B.E.F.A.S.T.” help you spot stroke signs, and know when to call 911.

B – Balance: Sudden difficulty standing or walking.
E – Eyes: Sudden loss of vision, or double vision.
F – Face: Drooping or uneven smile.
A – Arm weakness.
S – Speech: Difficulty speaking, slurred or jumbled speech.
T – Time to call 911 if you observe any symptoms.

Minutes matter when the first symptoms of stroke appear

It’s often said that when strokes occur, “time is brain.” By some estimates, two million neurons die each minute of an ischemic stroke – one in which a clot blocks blood flow to the brain.

B.E. F.A.S.T. – know the signs of a stroke

“BE FAST” was developed by Intermountain Healthcare, as an adaptation of the FAST model implemented by the American Stroke Association. Reproduced with permission from Intermountain Healthcare. © 2011 Intermountain Healthcare. All rights reserved.

Stroke tests & treatments

Blood tests can’t yet tell us if you’re having a stroke. We must rely on brain images taken with either MRI or CT advanced technology. Our physicians also use CT perfusion and CT angiography to look for blocked blood vessels in the brain or areas that aren’t getting enough blood.

We take these scans almost immediately when you get to the hospital, so we have time to evaluate your specific situation and make decisions about your treatment options.

Stroke treatments currently include:

  • Drugs, such as tPA, that “dissolve” the clot in an artery; tPA, the drug most commonly used to break up blood clots in the brain; in the UCHealth system, we typically beat the national standard by more than 15 minutes for tPA delivered by IV.
  • Intra-arterial (IA) treatments – Depending on the location and severity of your stroke, you may need an intra-arterial procedure once you’re at the hospital; in the UCHealth system, you have access to our specially trained interventional neuroradiologists who exceed the national guidelines and have 24/7 team availability.

Cerebrovascular disease treatments include:

  • Anticoagulant and antiplatelet medications to help prevent blood clots.
  • Surgical/interventional procedures:
    • Carotid endarterectomy to remove plaque in narrowed or blocked arteries of the neck.
    • External/internal carotid artery bypass to get around the clogged artery and resupply blood to the brain.
    • Clipping or coiling to stop blood flow in a brain aneurysm or hemorrhage.

Dedicated stroke care in the hospital

As you arrive at the hospital and begin the process of stroke diagnosis and treatment, you may receive care from many members of our stroke team, including:

  • Emergency physicians and nurses. Continue stabilization and diagnostic work-up.
  • Stroke nurse practitioner. Directs your care, including treatment decisions.
  • Neurosurgeon. Specializes in surgery of nervous system structures, including stroke-related procedures to treat hemorrhages and aneurysms.
  • Neurologist. Diagnoses and treats medical (non-surgical) disorders of the nervous system.
  • Hospitalist (hospital-based medical doctor). Specializes in caring for patients admitted to the hospital.
  • Interventional radiologist. Specializes in using advanced imaging (CT, fluoroscopy, ultrasound) to perform procedures; stroke-related goal is to quickly clear blocked blood vessels.
  • CT/MRI staff. Take radiographic images to identify the source of neurologic issues.
  • Neuroradiologists. Use x-rays, CT and MRI images to diagnose disorders and diseases of the nervous system.
  • Intensivist. Specializes in helping patients who require critical care for diagnosis.

  • Neurological ICU and neuroscience unit nurses. Provide continuing care after you’re admitted, guide efforts to prevent complications, and help prepare you for stroke recovery and rehabilitation; our Neuro ICU is the only one in the state and one of the oldest in the nation; most of our Neuro ICU nurses hold designations as Critical Care Registered Nurses (CCRN) or Certified Neuroscience Nurses (CNRN); our Neuro ICU received the 2012 gold-level Beacon Award for Excellence from the American Association of Critical Care Nurses (AACN), one of only two neuro ICU units in the country to achieve this recognition.
  • Social workers. Work with you and your family to offer support during hospitalization for what is often a life-changing event; coordinate after-care services and provide psychosocial support to your family.
  • Discharge planners. Help you and your family prepare you for discharge to the most appropriate setting, whether that’s inpatient rehabilitation, another rehabilitation hospital close to your home, a skilled nursing facility, or outpatient therapy services.

Provider showing man test resultsWhat to expect in the ER

When you arrive at the hospital emergency department, we perform a CT scan to get detailed information about potential causes of stroke and help determine best treatments, including clot-dissolving medications like tPA.

Once you’re stable, you’re admitted to a hospital neuro ICU or stroke care unit for further observation, evaluation, and intensive medical management to start on the road to recovery. It’s a short stay—typically about two days—as we monitor your condition by checking:

  • Neurological status. To help avoid falls from not being able to feel the side of the body affected by the stroke.
  • Vital signs. To help keep blood pressure within certain guidelines.
  • Swallow response. To help assess muscles affecting your ability to swallow.
  • Visual field. To help determine vision capacity, especially on the side of the body affected by the stroke.

Under the guidance of our physical medicine doctors (physiatrists) and other therapeutic specialists, you begin the stroke recovery and rehabilitation process right away.

And although you’ll leave our hospital and get back to your life as quickly as possible, you’ll never leave our care. After you return home, we continue to provide medical management and follow-up services, including access to stroke support groups for you and your family.

Comprehensive stroke recovery & rehabilitation

The stroke recovery process begins right away in the hospital—and continues at a designated rehabilitation facility or on an outpatient basis. The sooner you start rehab, the better your chances for a full recovery.

Our stroke rehabilitation team helps you recover as much function as possible while you retrain your body and adapt to any changes you experience. You may receive care from any of our specialists, including:

  • Physiatrist (doctor trained in physical medicine). Leads your team of specialists in providing rehabilitation care.
  • Physical therapists. Help restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities.
  • Occupational therapists. Help improve your ability to perform typical tasks in daily living and working environments
  • Speech therapists. Assess, diagnose, treat, and help prevent speech, language, thinking, communication, voice, swallowing, fluency, and related disorders

  • Dietitians and nutritionists. Plan food and nutrition programs and supervise meal preparation and serving; treat and prevent illnesses by promoting healthy eating habits and recommending dietary modifications, such as using less salt for those with high blood pressure or reducing fat and sugar intake for those who are overweight.
  • Social workers. Provide support during rehab for you and your family; coordinate after-care services and offer psychosocial support.
  • Discharge planners. Work with you and your family to help you return home or find the most appropriate setting for your ongoing care.

Stroke prevention

nutritionist image

Stroke prevention is still the best medicine!

The most correctable conditions linked to stroke are:

  • High blood pressure – Treat it.
  • Cigarette smoking – Quit.
  • Heart disease – Manage it.
  • Diabetes – Control it.
  • Transient ischemic attacks (TIAs) where stroke symptoms appear for a short time and then disappear – Get help.