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Prehospital stroke triage: a modeling study on the impact of triage tools in different regions
CONCLUSIONS: In this modeling study, we showed that prehospital triage reduced time to EVT without disproportionate IVT delay, compared to a drip-and-ship strategy. The effect of triage strategies and the associated overtriage varied between regions. Implementation of prehospital triage should therefore be considered on a regional level.PMID:37219931 | DOI:10.1080/10903127.2023.2215859
Source: Prehospital Emergency Care - May 23, 2023 Category: Endocrinology Authors: Martijne H C Duvekot Bjarty L Garcia Luuk Dekker Truc My Nguyen Ido R van den Wijngaard Karlijn F de Laat Els L L M de Schryver Loet M H Kloos Leo A M Aerden Stas A Zylicz Jan Bosch Eduard van Belle Erik W van Zwet Anouk D Rozeman Walid Moudrous Fr édér Source Type: research

Prehospital Stroke Assessment for Large Vessel Occlusions: A Systematic Review.
CONCLUSION: At this time, further evaluations must be done in the prehospital setting to determine the ease of use and true sensitivity and specificity of these scales in identifying LVOs. PMID: 29023166 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - October 14, 2017 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Complications during inter-hospital transfer of patients with acute ischemic stroke for endovascular therapy.
ConclusionComplications occurred in 26.9% of patients during transfer. Only BA occlusion could predict complication during transfer. Future studies should identify variables to help stratifying patients at high and low risk of complications during transportation. PMID: 31750753 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - November 23, 2019 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Immersive Cooling in the Prehospital Setting for Heat Stroke: A Case Report
Prehosp Emerg Care. 2023 Apr 11:1-5. doi: 10.1080/10903127.2023.2201515. Online ahead of print.ABSTRACTNon-exertional heat stroke is defined as exposure to high outdoor temperatures, core body temperature >40 °C, and alteration of mentation. Early identification and treatment are imperative to reduce morbidity and mortality in these patients. Cold water immersion therapy is the most efficient and efficacious modality in treating heat stroke, yet it is rarely initiated in the prehospital setting. We outline a case of an 82-year-old man found unconscious outside during a regional heat wave with a temperature >107F. He...
Source: Prehospital Emergency Care - April 11, 2023 Category: Endocrinology Authors: Douglas Young Bryan Everitt Brandon Fine David Miramontes Source Type: research

Consensus Statement- Prehospital Care of Exertional Heat Stroke.
Authors: Belval LN, Casa DJ, Adams WM, Chiampas GT, Holschen JC, Hosokawa Y, Jardine J, Kane SF, Labotz M, Lemieux RS, McClaine KB, Nye NS, O'Connor FG, Prine B, Raukar NP, Smith MS, Stearns RL Abstract Exertional heat stroke (EHS) is one of the most common causes of sudden death in athletes. It also represents a unique medical challenge to the prehospital healthcare provider due to the time sensitive nature of treatment. In cases of EHS, when cooling is delayed, there is a significant increase in organ damage, morbidity, and mortality after 30 minutes, faster than the average EMS transport and ED evaluation window...
Source: Prehospital Emergency Care - January 18, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Role of Emergency Medical Dispatch in Responding to Acute Stroke: Expanding Beyond High Priority Dispatch?
Authors: Patel MD PMID: 28657797 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - June 30, 2017 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Factors Affecting Interfacility Transport Intervals in Stroke Patients Transferred for Endovascular Therapy
Conclusions: At longer distances, rotor transport saved significant time specifically in the total IFT interval of patients with LVO strokes. Emphasizing processes to reduce the resource activation interval and the sending hospital interval may help reduce the overall time-to-EVT.PMID:35616919 | DOI:10.1080/10903127.2022.2082608
Source: Prehospital Emergency Care - May 26, 2022 Category: Endocrinology Authors: Nancy Glober Greg Faris Nicholas Montelauro Christopher Tainter Scott M Myers Thomas Arkins Julia Vaizer Cassie Latta Thomas Lardaro Source Type: research

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