September 2023
Joseph A
Zakhary
Emergency Department
Naval Hospital Rota
Rota
,
Cádiz
Spain
The long-term brain damage that can be salvaged with early interventions will positively change the course of that patient's life.
HM3 Zakhary's professionalism and clinical expertise made a life-long impact on a patient's outcome. HM3 Zakhary and a co-worker were dispatched on our ambulance to the subway on base for reports of a woman with 'weakness.' Understanding that our radiology staff is not in house 24/7, upon arrival on scene, HM3 Zakhary called the team lead and verbalized he had concern for a stroke and asked the radiology staff be called in immediately for a head CT. In emergency medicine, we call the first hour after onset of symptoms of a stroke the "golden hour". Hospitals with an abundance of resources and staff struggle to get patients treatment within that first hour, but due to HM3 Zakhary's foresight and understanding of this time-critical and life-threatening patient presentation, we had the patient in the ED at 1406, in the CT scanner at 1410, and on 061 (a Spanish ambulance to a definitive care site with a stroke center) at 1450. That essential domino being tipped in the field with his call ahead allowed our team here in the ED to set up everything and turn around the department with high-level stroke-center like speed. I am so grateful for this professionalism and expertise, and I know the patient and her family will be, too. The long-term brain damage that can be salvaged with early interventions will positively change the course of that patient's life. HM3 Zakhary's commitment to clinical excellence is the epitome of patient-centered care, and I was more grateful that I can quite articulate to have him and the rest of my ED corpsman team by my side in caring for this patient.