Prehospital Stroke Care Part 1: Emergency Medical Services and the Stroke Systems of Care

Author:

Zachrison Kori S.1ORCID,Nielsen Victoria M.2ORCID,de la Ossa Natalia Perez3ORCID,Madsen Tracy E.4ORCID,Cash Rebecca E.1ORCID,Crowe Remle P.5ORCID,Odom Erika C.6,Jauch Edward C.7ORCID,Adeoye Opeolu M.8ORCID,Richards Christopher T.9ORCID

Affiliation:

1. Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA (K.S.Z., R.E.C.).

2. Massachusetts Department of Public Health, Boston, MA (V.M.N.).

3. Department of Neurology, Stroke Unit, Hospital Universitari Germans Trias I Pujol, Badalona, Spain and Stroke Programme, Catalan Health Department, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (N.P.d.l.O).

4. Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI (T.E.M.).

5. ESO, Inc, Austin, TX (R.P.C.).

6. Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, GA (E.C.O.).

7. Department of Research, University of North Carolina Health Sciences at Mountain Area Health Education Center, Asheville, NC (E.C.J.).

8. Department of Emergency Medicine, Washington University School of Medicine, St. Louis, MO (O.M.A.).

9. Division of EMS, Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH (C.T.R.).

Abstract

Acute stroke care begins before hospital arrival, and several prehospital factors are critical in influencing overall patient care and poststroke outcomes. This topical review provides an overview of the state of the science on prehospital components of stroke systems of care and how emergency medical services systems may interact in the system to support acute stroke care. Topics include layperson recognition of stroke, prehospital transport strategies, networked stroke care, systems for data integration and real-time feedback, and inequities that exist within and among systems.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Advanced and Specialized Nursing,Cardiology and Cardiovascular Medicine,Neurology (clinical)

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