Prehospital Triage of Acute Stroke Patients During the COVID-19 Pandemic

Author:

Goyal Mayank12ORCID,Ospel Johanna M.13,Southerland Andrew M.4,Wira Charles5,Amin-Hanjani Sepideh6,Fraser Justin F.7,Panagos Peter8,

Affiliation:

1. Department of Clinical Neurosciences (M.G., J.M.O.), University of Calgary, Canada.

2. Department of Diagnostic Imaging (M.G.), University of Calgary, Canada.

3. Department of Radiology, University Hospital of Basel, Switzerland (J.M.O.).

4. Departments of Neurology and Public Health Sciences, University of Virginia (A.M.S.).

5. Yale Department of Emergency Medicine and Yale Stroke Program, New Haven, CT (C.W.).

6. Department of Neurosurgery, University of Illinois (S.A.-H.).

7. Departments of Neurosurgery, Neurology, Radiology, and Neuroscience, University of Kentucky (J.F.F.).

8. Division of Emergency Medicine, Washington University School of Medicine, St Louis (P.P.).

Abstract

Abstract: The coronavirus disease 2019 (COVID-19) pandemic has broad implications on stroke patient triage. Emergency medical services providers have to ensure timely transfer of patients while minimizing the risk of infectious exposure for themselves, their co-workers, and other patients. This statement paper provides a conceptual framework for acute stroke patient triage and transfer during the COVID-19 pandemic and similar healthcare emergencies in the future.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Advanced and Specialised Nursing,Cardiology and Cardiovascular Medicine,Clinical Neurology

Reference7 articles.

1. Ontario Ministry of Health. COVID-19 Screening Tool for Paramedics. http://www.health.gov.on.ca/en/pro/programs/emergency_health/edu/COVID_19_screening.aspx. Accessed May 1 2020.

2. Khosravani H Rajendram P Notario L Chapman MG Menon BK. Protected code stroke: Hyperacute stroke management during the coronavirus disease 2019 (covid-19) pandemic. [published online April 1]. Stroke. 2020. https://www.ahajournals.org/doi/abs/10.1161/STROKEAHA.120.029838. Accessed May 1 2020.

3. Centers for Disease Control and Prevention: Emergency Medical Services Workers. https://www.cdc.gov/niosh/topics/ems/othlinks.html. Accessed May 1 2020.

4. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department.;Patterson MD;BMJ Qual Saf,2013

5. Virtual TeleStroke Support for the Emergency Department Evaluation of Acute Stroke

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