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The Hunter-8 scale prehospital triage workflow for identification of large vessel occlusion and brain haemorrhage
ConclusionThe Hunter-8 workflow resulted in 28.7% of confirmed ischemic stroke patients receiving reperfusion therapies, with no secondary transfers to the comprehensive stroke centre. The role of communication with stroke team needs to be further explored.PMID:36053543 | DOI:10.1080/10903127.2022.2120134
Source: Prehospital Emergency Care - September 2, 2022 Category: Endocrinology Authors: C Garcia-Esperon C Ostman F R Walker Bla Chew S Edwards J Emery J Bendall K Alanati S Dunkerton R Starling de Barros M Amin S Gangadharan T Lillicrap M Parsons C R Levi N J Spratt Source Type: research

Prospective Evaluation of a Two-Scale Protocol for Prehospital Large Vessel Occlusion Detection
Conclusion: Prehospital administration of the C-STAT was feasible, using a model of minimal paramedic training and real-time telephone guidance. A protocol based on both a CPSS 3/3 and a positive C-STAT would decrease CSC redirected patient volume by one-third but would miss one-quarter of LVO strokes when compared to a CPSS-based protocol.PMID:33689555 | DOI:10.1080/10903127.2021.1901164
Source: Prehospital Emergency Care - March 10, 2021 Category: Endocrinology Authors: Ahmad Nehme Samantha Rivet Th érésa J Choisi Mathieu Dallaire Luc de Montigny Yan Deschaintre Nicole Daneault Gr égory Jacquin Catherine Legault Jake P Levy Joel Neves Briard C éline Odier Alexandre Y Poppe Eli Segal Christian Stapf Laura C Gioia Source Type: research

Effects of Telestroke on Thrombolysis Times and Outcomes: A Meta-analysis.
CONCLUSION: Telestroke significantly reduced OTD and hospital stay durations in stroke patients without increasing the risk of mortality or sICH. Therefore, telemedicine can improve stroke care in regional areas with minor experience in thrombolysis. Further randomized controlled trials are needed to assess the benefits of telestroke systems, especially in terms of cost-effectiveness and quality of life outcomes. PMID: 29345529 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - January 19, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

The Correlation Between COVID-19 Hospitalizations and Emergency Medical Services Responses for Time-Sensitive Emergencies During the COVID-19 Pandemic
CONCLUSION: We found significant correlation between COVID-19 hospitalizations and the frequency of EMS responses for time-sensitive emergencies in this regional EMS system. EMS systems should consider the potential effects of this and future pandemics on EMS responses and prepare to meet non-pandemic resource needs during periods of surge, particularly for time-sensitive conditions.PMID:35969017 | DOI:10.1080/10903127.2022.2112792
Source: Prehospital Emergency Care - August 15, 2022 Category: Endocrinology Authors: Nichole Bosson Jeffrey Eric Rollman Robert A Kloner David M Shavelle Jeffrey L Saver James T Niemann Asim M Rafique Xiaoyan Wang Christine Clare Marianne Gausche-Hill Source Type: research

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