From research to the road: the development of EMS specialty triage

Air Medical Journal
Robert DomeierChristopher Wagner

Abstract

A recent study in the Journal of Neurosurgery demonstrates decreased mortality rates in patients with subarachnoid hemorrhage (SAH) treated at tertiary care centers with higher volumes of SAH patients.(1) As clinical research in emergency and critical care increases, so will its impact on transport systems. In recent years, advances in cardiology, interventional radiology, surgery, and emergency care all have had major influences in the triage and transport of critically ill and injured patients. The challenge facing modern transport systems is how to integrate research to improve patient care while respecting the logistic, financial, and political issues that are entwined in this process. This article discusses the process undertaken by one medical control zone in the triage and transport of prehospital patients with suspected ischemic stroke. It discusses the transition from initial research and national recommendations for emergent thrombolytic therapy through the development and implementation of prehospital triage protocols. The authors hope it will offer some guidance in dealing with these rapidly emerging and often complicated transport decisions.

References

Jun 1, 1995·Stroke; a Journal of Cerebral Circulation·R KothariS Ashbrock
Jan 28, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·W D RosamondD L Morris
Dec 29, 1998·Annals of Emergency Medicine·R KothariT Liu
Mar 27, 1999·Annals of Emergency Medicine·R U KothariJ Broderick
Apr 7, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·D L MorrisR A Gorton
Jul 29, 1999·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·C S LinH Chang
Nov 5, 1999·Stroke; a Journal of Cerebral Circulation·J A ChalelaA M Pancioli
Dec 3, 1999·Stroke; a Journal of Cerebral Circulation·M B ConroyS E Kasner
Jan 8, 2000·Stroke; a Journal of Cerebral Circulation·C S KidwellJ L Saver
Mar 16, 2004·Stroke; a Journal of Cerebral Circulation·Jeffrey L SaverUNKNOWN FAST-MAG Pilot Trial Investigators
Dec 18, 2013·BMC Health Services Research·Assunta De LucaUNKNOWN Stroke group Italian Society pre hospital emergency Services

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