Royal Victoria Regional Health Centre
201 Georgian Drive
Barrie, ON L4M 6M2
Name: Cheryl Moher
Contact number: 705-728-9802 ext 46300
Email address: firstname.lastname@example.org
The Simcoe stroke district is a large geographic area that includes a blend of urban and rural communities and all sixteen County of Simcoe municipalities. It borders the Greater Toronto Area to the south, Georgian Bay to the west, Lake Simcoe to the east and Muskoka to the north. Statistics Canada 2016 census profile estimates the population to be 422,204. It is home to a number of First Nations communities and has a significant Francophone population, primarily in the Midland-Penetanguishene area.
The Enhanced District Stroke Centre at Royal Victoria Regional Health Centre works closely with the North Simcoe Muskoka Local Health Integration Network (NSM LHIN) to plan and coordinate stroke services in this area.
The Simcoe Muskoka Acute Stroke Protocol governs the ambulance dispatch response within Simcoe/Muskoka and a small section of East Parry Sound and Northwest Haliburton. The objective of the protocol is to quickly assess and transport eligible stroke patients to the closest and most appropriate hospital for assessment and consideration of hyperacute stroke therapy (e.g. thrombolytic therapy [tPA], endovascular therapy [EVT]).
After 911 is activated, paramedics will apply criteria outlined in the Provincial Paramedic Prompt Card for Acute Stroke Protocol to assess whether the patient should be transported to the closest Stroke Centre. Patients that meet the criteria will be transported directly to the closest Stroke Centre Emergency Department (i.e., Royal Victoria Regional Health Centre (RVH) or Muskoka Algonquin Healthcare – Huntsville District Memorial Hospital (HDMH)), “by-passing” their “Community Hospital”. Patients who are subsequently considered to be EVT candidates will be transferred to an EVT delivery site. This transfer will be facilitated through Criticall Ontario.
“Walk-in” patients to Community Hospitals (those who do not access EMS) will be assessed by their local hospital as candidates for hyperacute stroke therapy. Patients who are candidates for hyperacute therapy will be transported to the closest, most appropriate Stroke Centre Emergency Department (e.g. RVH or HDMH) Code 4 CTAS level 2.
Integrated stroke units combine acute and rehabilitation beds on one specialized unit. In the district of Simcoe, there are two integrated stroke units located at Orillia Soldiers Memorial Hospital and Royal Victoria Regional Health Centre.
Rehabilitation (Inpatient & Outpatient):
In the district of Simcoe, inpatient stroke rehabilitation care is available on a rehabilitation unit at Georgian Bay General Hospital, an integrated stroke unit at Orillia Soldiers Memorial Hospital and an integrated stroke unit at Royal Victoria Regional Health Centre.
Stroke Prevention Clinic:
The Stroke Prevention Clinic at the Royal Victoria Regional Health Centre provides early access to stroke prevention services for patients in Simcoe Muskoka. Please Click Here for further information and to access the SPC referral form. To access the SPC Patient Brochure Click here
for further information about the Stroke Program at the Royal Victoria Regional Health Centre, please click on Stroke & Rehabilitation.
Orillia Soldiers’ Memorial Hospital
170 Colborne Street West,
Orillia, ON L3V 2Z3
Georgian Bay General Hospital
1112 St. Andrew Drive,
Midland, ON L4R 4P4
Stevenson Memorial Hospital
P.O. Box 4000
200 Fletcher Crescent,
Alliston, ON L9R 1W7
Collingwood General and Marine Hospital
459 Hume Street,
Collingwood, ON L9Y 1W9