Prehospital transport time intervals for acute stroke patients

The Journal of Emergency Medicine
Prasanthi RamanujamJames V Dunford

Abstract

Recognizing factors that cause prehospital stroke delays may improve time of presentation to the Emergency Department (ED) and allow earlier treatment of acute stroke patients. To determine the impact of stroke recognition by emergency medical dispatchers (EMD) and paramedics (PM) on ED arrival time in a large urban Emergency Medical Services system. Retrospective study of patients aged 18 years or more identified as having acute stroke by EMD, PM, or stroke neurologists from January 1, 2005 to December 31, 2005. Data were acquired from computer-assisted dispatch records, paramedic assessments, ICD-9 (International Classification of Diseases, 9(th) Revision) databases, and a hospital stroke registry. Paramedic time to scene, scene time, and total run time were computed for patients with final hospital diagnosis of stroke and grouped into missed strokes and identified strokes by EMD and PM. Time intervals were compared between missed and identified strokes as well as between incidents where EMD and PM agreed or disagreed. A total of 1067 patients were eligible for the study; 22 were excluded for missing data. For true strokes, EMD and PM were in agreement 27.3% of the time. The median RT was 2.5 min shorter when there was agreem...Continue Reading

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Citations

Oct 1, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·J Alfredo CaceresAdnan I Qureshi
Sep 15, 2012·Emergency Medicine Clinics of North America·Ricky Kue, Alaina Steck
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Sep 24, 2015·Annals of Emergency Medicine·Christopher T RichardsShyam Prabhakaran
Sep 14, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Mehul D PatelWayne D Rosamond
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Jul 1, 2017·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Christopher T RichardsShyam Prabhakaran
Jun 28, 2015·Journal of Telemedicine and Telecare·Michael J LyerlyBrendan G Carr
Apr 19, 2017·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Birgitta Wireklint SundströmPer Olof Hansson
Oct 11, 2014·Stroke; a Journal of Cerebral Circulation·Michael T MullenBrendan G Carr
Nov 7, 2015·Stroke Research and Treatment·Karen C AlbrightBrendan G Carr
Feb 19, 2014·Annals of Clinical and Translational Neurology·Tzu-Ching WuBrendan G Carr

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