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Source: Prehospital Emergency Care
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Total 112 results found since Jan 2013.
An Analysis of EMS and ED Detection of Stroke.
CONCLUSIONS: EMS stroke alerts have better diagnostic test performance than stroke alerts by ED staff, likely due to higher NIH Stroke Scale scores (more obvious presentations) and are associated with better process measures. The fairly low PPV suggests room for improvement in prehospital stroke protocols.
PMID: 28339314 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - March 26, 2017 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Identifying Key Words in 9-1-1 Calls for Stroke: A Mixed Methods Approach.
CONCLUSIONS: Most 9-1-1 callers used vague, non-specific, or distractor words and phrases and infrequently provide classic stroke descriptions during 9-1-1 calls for stroke. Both qualitative and quantitative methodologies identified similar key words and phrases associated with accurate EMD stroke recognition. This study suggests that tools incorporating commonly used words and phrases could potentially improve EMD stroke recognition.
PMID: 28661784 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - June 30, 2017 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Accuracy of Prehospital Identification of Stroke in a Large Stroke Belt Municipality.
CONCLUSIONS: EMD and EMS personnel in a large city in the Southeastern United States, with high stroke prevalence, had a relatively high sensitivity in identifying acute stroke patients. Paramedic accuracy was augmented by positive CPSS screening and by EMD recognition of stroke.
PMID: 29596006 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - March 31, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Emergency Dispatcher Stroke Recognition: Associations with Downstream Care.
CONCLUSIONS: Emergency dispatcher stroke recognition is associated with higher rates of on-scene stroke scale performance and EMS ischemic stroke recognition but not with reduced transport times, door-to-CT times, or t-PA treatment.
PMID: 29336708 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - January 18, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
The Cincinnati Prehospital Stroke Scale Compared to Stroke Severity Tools for Large Vessel Occlusion Stroke Prediction.
Conclusions: In this large sample of real-world prehospital patient encounters, the CPSS demonstrated similar predictive performance characteristics compared to the RACE, LAMS, and VAN for detecting LVO stroke. Prior to implementing a specific screening tool, EMS agencies should evaluate ease of use and associated implementation costs. Scored 0-3, the simple, widely-used CPSS may serve as a favorable prehospital screening instrument for LVO detection with a cut-point of 2 or higher maximizing the tradeoff between sensitivity and specificity.
PMID: 32017644 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - February 6, 2020 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Simplified Prehospital Prediction Rule to Estimate the Likelihood of 4 Types of Stroke: The 7-Item Japan Urgent Stroke Triage (JUST-7) Score.
Conclusions: The simplified 7-item JUST (JUST-7) score had good predictive ability and can help healthcare providers to estimate the likelihood of different types of stroke and decide the referral hospital.
PMID: 32701385 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - July 25, 2020 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Emergency Medical Services Utilization for Acute Stroke Care: Analysis of the Paul Coverdell National Acute Stroke Program, 2014-2019.
CONCLUSIONS: Strategies to help increase stroke awareness and utilization of EMS among those with symptoms of stroke should be considered in order to help improve stroke outcomes.
PMID: 33464940 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - January 21, 2021 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Prognostic Value of BEFAST vs. FAST to Identify Stroke in a Prehospital Setting.
CONCLUSION: Adding coordination and diplopia assessments to face, arm, and speech assessment does not improve stroke detection in the prehospital setting.
PMID: 30118372 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - August 18, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Effect of Acute Stroke Care Regionalization on Intravenous Alteplase Use in Two Urban Counties.
Conclusions: Our findings suggest that greater post-regionalization improvements in San Mateo County contributed to significantly better county-level thrombolysis use than Santa Clara County.
PMID: 31599705 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - October 11, 2019 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Prospective Prehospital Evaluation of the Cincinnati Stroke Triage Assessment Tool.
CONCLUSION: In this pilot prospective evaluation performed in the prehospital setting by EMS providers without formalized training, C-STAT is comparable to other published tools in test characteristics and may inform appropriate CSC triage beyond LVO ascertainment alone.
PMID: 28121225 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - January 26, 2017 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
The Need to Prioritize Education of the Public Regarding Stroke Symptoms and Faster Activation of the 9-1-1 System: Findings from the Florida-Puerto Rico CReSD Stroke Registry.
CONCLUSIONS: Following acute stroke onset, time elapsed for EMS response and transport is relatively short compared to the lengthy intervals elapsing between symptom onset and 9-1-1 system activation, regardless of demographics. Exploration of innovative strategies to improve public education regarding stroke symptoms and immediate 9-1-1 system activation are strongly recommended.
PMID: 30239244 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - September 23, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Potential Impact of C-STAT for Prehospital Stroke Triage Up to 24 Hours on a Regional Stroke System.
Conclusions: Preferential triage of prehospital suspected stroke patients using C-STAT would increase the number of patients transported to the CSC by 11% within six hours and an additional 10% from six to 24 hours. For every patient with LVO as final diagnosis, approximately an additional 6 non-LVO patients would be triaged to a CSC.
PMID: 31580180 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - October 5, 2019 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Paramedic Perspectives on Barriers to Prehospital Acute Stroke Recognition.
CONCLUSIONS: While challenges to stroke recognition in the field were slightly different for rural and urban EMS, participants concurred that timely, systematic feedback on individual patients and case-based training would strengthen early stroke recognition skills.
PMID: 26855299 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - February 14, 2016 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Contemporary Prehospital Emergency Medical Services Response Times for Suspected Stroke in the United States.
CONCLUSIONS: In the United States, time from receipt of 9-1-1 calls to treatment center arrival takes a median of 36 minutes for stroke patients, an improvement upon previously published times. The fact that 22%-46% of EMS responses did not meet stroke guidelines highlights an opportunity for improvement. Future studies should examine EMS diagnostic accuracy nationally or regionally using outcomes based approaches, as accurate recognition of prehospital strokes is vital in order to improve response times, adhere to guidelines, and ultimately provide timely and effective stroke treatment.
PMID: 26953776 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - March 13, 2016 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Accuracy and Implications of Hemorrhagic Stroke Recognition by Emergency Medical Services.
CONCLUSIONS: Among EMS-transported hemorrhagic stroke cases, stroke screen documentation was strongly associated with EMS stroke recognition, which was in turn associated with higher quality of EMS care and faster CT scans upon emergency department arrival.
PMID: 33026277 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - October 9, 2020 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
