Why Stroke is a Bigger Threat in Rural Communities

Raising awareness on World Stroke Day

For nearly 50 million Americans, advanced stroke care is more than 60 minutes from where they live. When every minute counts, those additional miles delay treatment and contributes to the higher stroke mortality rates seen in rural communities.

Fortunately, geography isn't the only factor that influences stroke outcomes. Recognizing the warning signs and seeking emergency care immediately can make a significant difference. In recognition of World Stroke Day, Aspirus Health is encouraging people to learn about the symptoms of stroke and understand why every minute matters.

“Time is critically important,” said Dr. Divyajot Sandhu, Interventional Neurologist at Aspirus Health. “A stroke occurs when blood flow to part of the brain is interrupted. Without oxygen and nutrients, brain cells begin to die within minutes. The sooner a patient receives treatment, the better the chance they have of limiting permanent damage.”  

Because stroke treatments are highly time-sensitive, recognizing the warning signs quickly is one of the most important things a person can do. Dr. Sandhu encourages people to remember BE FAST, an acronym that highlights common warning signs:

• B - Balance: Sudden loss of balance, dizziness or difficulty walking
• E - Eyes: Sudden vision changes or loss of vision
• F - Face: Facial drooping or an uneven smile
• A - Arms: Sudden weakness, numbness or clumsiness, especially on one side
• S - Speech: Slurred speech, difficulty speaking or trouble finding the right words
• T - Time: Call 911 immediately

“These signs are a clue that a stroke has already been set into motion,” Dr. Sandhu said. “The damage is still reversible in a lot of cases, either completely or partially. Stroke care has improved incredibly in the past 10 years. But it all depends on quick and timely action.”

For residents of rural northeastern Minnesota, northern and central Wisconsin, and the Upper Peninsula of Michigan, access to expert stroke care can make all the difference. Through its regional network, Aspirus Health provides access to emergency care, Telestroke consultations, advanced imaging, clot-busting medications, and specialized neurological services designed to help patients receive treatment as quickly as possible.

The biggest mistakes people make are waiting to see if symptoms improve or attempting to drive to the hospital themselves. If a stroke is suspected, calling 911 immediately should always be the next step.

"Do not try to drive someone to the hospital yourself in these situations,” Dr. Sandhu shared. "EMS professionals can assess the situation, begin appropriate care and alert the receiving hospital before arrival.” That advance notice can help the hospital prepare its stroke team and diagnostic resources, saving valuable time once the patient reaches the emergency department.

Finally, one of the best ways to reduce your risk of stroke is to focus on the factors you can control. While not every stroke can be prevented, many of the leading risk factors are manageable. Controlling blood pressure, staying physically active, avoiding tobacco, and working with your health care provider to manage chronic conditions can significantly lower your risk.

To find a compassionate, expert Aspirus provider near you, visit aspirus.org to use the Find a Doctor tool.

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