Regional Stroke Centres
Within the Toronto Stroke Networks (TSNs), there are 3 Regional Stroke Centres:
St. Michael’s Hospital (SMH)
A Regional Stroke Centre within the South East Toronto stroke region.
70 Bond St, Basement
Toronto, Ontario, M5B 1W8
Sunnybrook Health Sciences Centre (SHSC)
A Regional Stroke Centre within the North & East GTA stroke region.
2075 Bayview Avenue
5th Floor, D Wing, Room D5-81
Toronto, Ontario, M4N 3M5
Toronto Western Hospital (TWH)
A Regional Stroke Centre within the Toronto West stroke region.
399 Bathurst Street
5th Floor, West Wing, Room 425
Toronto, Ontario, M5T 2S8
These 3 regional centres offer pre-hospital, emergency, acute, and secondary prevention services.
Emergency Stroke Management
To ensure access to stroke best practices, Ontario paramedics and hospitals have worked together to bring persons with stroke symptoms directly to the Regional Stroke Centres. These centres can deliver a clot-busting drug, tissue plasminogen activa (tPA), within 4.5 hours of stroke onset, when indicated. In Toronto, these Regional Stroke Centres are: Sunnybrook Health Sciences Centre, St. Michael’s Hospital and Toronto Western Hospital.
tPA is a protein involved in the breakdown of blood clots and has been widely used as a clot-busting drug for ischemic stroke patients. As tPA is not useful for hemorrhagic stroke patients or head trauma patients, paramedics have been trained to recognize the signs and symptoms of stroke, as well as screen for those who benefit from tPA.
Acute Stroke Unit
What are the benefits of acute stroke unit care?
- Improved patient outcomes by reducing mortality and disability.
- More timely intervention to get patients moving and begin early rehabilitation (in acute and transferred to rehabilitation centres earlier).
- Specialized assessment skills and training to facilitate improved stroke recovery
Acute stroke unit care is provided at the following Toronto hospitals:
- Humber River Hospital – Wilson Site
- North York General Hosptial
- Scarborough and Rouge Hospital – General Site
- St. Joseph’s Health Centre
- St. Michael’s Hospital
- Sunnybrook Health Sciences Centre
- Michael Garron Hospital – Toronto East Health Network
- University Health Network – Toronto Western Hospital
These acute stroke units are in line with the Canadian Best Practice Recommendations for Stroke Care, and have:
A dedicated interprofessional team with expertise in stroke care
This could include: Clinical Nutritionist or Registered Dietitian (RD), Neurologist or General Internal Medicine Specialist, Nurse, Occupational Therapist (OT), Pharmacist, Physical Therapist (PT), Social Work (SW), and Speech-Language Pathologist (S-LP).
Early assessment and initiation of therapy
Timely transfer to rehabilitation, as appropriate