Emergency Services

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Emergency Services at KRMC

The Emergency Services at Kearney Regional Medical Center sees over 6,000 patients per year.  We have the experience and reputation you can trust for high-quality emergency care day or night.

At KRMC, we provide the highest quality, experienced emergency care for all ages and medical conditions.  Our dedicated team of emergency professionals is lead by Dr. Robert Crandall, board certified in emergency medicine.  Dr. Crandall has been practicing in Nebraska for decades and brings a professional and exceptional track record of leadership and emergency care.

UNMC Advanced Telestroke Program

In March 2017, months of planning and hard work came to fruition with the launch of the Telestroke Program at the University of Nebraska Medical Center. It is a new service that utilizes a device with a camera, allowing the Telestroke neurologist on call to assess the potential stroke patient from many different degrees.

“We can’t train enough neurologists to support the growing needs of our aging population,” says Marco Gonzalez Castellon, MD, neurologist and Telestroke champion. “Telestroke is helping us to fill that gap with the aid of technology. We’re bringing the stroke expert to the bedside.”

From either their office or home, the neurologist logs into the new software and views the patient’s CT scans, while viewing and speaking with the patient. “We know every minute counts with a stroke,” says Anna Dolezal, clinical program coordinator, Neurological Sciences. “Every minute, 1.9 million brain cells die during a stroke.”

In a nutshell, here’s how the Telestroke protocol works:

  • A patient presents with recent onset of stroke symptoms (or first responders indicate a likely stroke)
  • Someone in the Emergency Department pages the neurologist on call for Telestroke
  • The neurologist calls and speaks with the attending emergency physician
  • The neurologist uses an app on their phone or tablet to connect to the Telestroke unit
  • The nurse brings the Telestroke unit into the patient’s room, introduces the neurologist and helps with the exam
  • The neurologist explains the process, conducts the exam and develops a treatment plan with the patient/family/emergency care provider
  • Treatment begins

“The sooner we treat, the better the outcome,” says Dr. Gonzalez.

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