The identification of acute stroke: an analysis of emergency calls.

International Journal of Stroke : Official Journal of the International Stroke Society
Stephanie P JonesESCORTT group

Abstract

Accurate dispatch of emergency medical services at the onset of acute stroke is vital in expediting assessment and treatment. We examined the relationship between callers' description of potential stroke symptoms to the emergency medical dispatcher and the subsequent classification and prioritisation of emergency medical services response. To identify key 'indicator' words used by people making emergency calls for suspected stroke, comparing these with the subsequent category of response given by the emergency medical dispatcher. A retrospective chart review (hospital and emergency medical services) in North West England (October 1, 2006 to September 30, 2007) identified digitally recorded emergency medical services calls, which related to patients who had a diagnosis of suspected stroke at some point on the stroke pathway (from the emergency medical services call taker through to final medical diagnosis). Using content analysis, words used to describe stroke by the caller were recorded. A second researcher independently followed the same procedure in order to produce a list of 'indicator' words. Description of stroke-specific and nonstroke-specific problems reported by the caller was compared with subsequent emergency medical ...Continue Reading

References

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Mar 22, 2003·Stroke; a Journal of Cerebral Circulation·René HandschuFrank Erbguth
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Citations

May 21, 2013·Lancet Neurology·Klaus FassbenderJames Grotta
Aug 21, 2013·BMC Health Services Research·Caroline L WatkinsChris J Sutton
Sep 26, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Richard M LyonMaaret Castrén
Sep 27, 2014·Current Neurology and Neuroscience Reports·Keith G DeSousaDileep R Yavagal
Dec 27, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Marta MasztalewiczAnna Bajer-Czajkowska
Jul 2, 2015·Journal of Internal Medicine·R Mikulik, N Wahlgren
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
Nov 7, 2017·Acta Anaesthesiologica Scandinavica·E N EllensenE Zakariassen
May 4, 2016·Journal of the American Heart Association·Tuukka PuolakkaPerttu J Lindsberg
May 26, 2017·Stroke; a Journal of Cerebral Circulation·Sara K RostanskiJoshua Z Willey
Feb 14, 2019·International Journal of Stroke : Official Journal of the International Stroke Society·Olli S MattilaPerttu J Lindsberg
Oct 9, 2013·Emergency Medicine Journal : EMJ·James P SheppardUNKNOWN CLAHRC BBC investigators
Mar 19, 2019·Frontiers in Neurology·Shrey MathurKlaus Fassbender
Jun 15, 2021·Acta Neurologica Scandinavica·Ane Bull IversenMorten Bondo Christensen

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Software Mentioned

ATLAS
Advanced Patient Priority Dispatch System ( AMPDS )
Atlas ti
ti
AMPDS

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