For Mari, under Option 210
An ambulance takes Mari to Bronglais Hospital, and she is taken directly to the CT scanner, rather than to the Emergency Department. If a stroke is confirmed, thrombolysis treatment would start while in the scanning department. Mari would then be moved to the 12/7 Stroke Unit (12 hours a day, seven days a week).
If Mari hasn’t had a stroke, she will go to the Emergency Department at Bronglais Hospital for further tests.
If Mari had a more serious stroke (with a large blood vessel occlusion, which is a type of stroke where blood flow to a main artery in the brain is interrupted) she would be taken by ambulance from Bronglais Hospital directly to the thrombectomy centre at Bristol or Cardiff. Thrombectomy can be used to treat these types of stroke. This care is provided regionally for Wales and south and western regions of England at Bristol and Cardiff.
Once the Bristol or Cardiff thrombectomy team assess Mari is fit to be discharged from their care she will be transferred back to the Stroke Unit at Glangwili or Bronglais Hospital or directly home dependent on her recovery post thrombectomy.
If thrombectomy is not the right treatment for Mari, then she will be transferred to the Stroke Unit in Glangwili for acute treatment and then back to Bronglais Hospital (12 hours a day, seven days a week).
Following completion of stroke treatment at Bronglais Hospital, and once medically stable, Mari’s onward stroke care will be arranged with her local Health Board (Powys Teaching Health Board).
If you would like to understand how your stroke care may be different, depending on where you access the initial care, please contact Powys Teaching Health Board for information and guidance.