Large vessel occlusion (LVO) stroke is the most severe form of ischemic stroke. Early recognition of LVO stroke by EMD could reduce time-to-treatment and improve patient outcomes. With the most recent versions of the Medical Priority Dispatch System (MPDS), EMD use its Stroke Diagnostic Tool (SDxT) to assess patients when a stroke is suspected.
Acute stroke is one of the five time-dependent conditions (first hour quintet, FHQ) that emergency medical services (EMS) must manage better and faster; early identification and treatment are critical to reduce both immediate damage and long-term disability. For Emergency Medical Communication Centers, the rapid and accurate identification of stroke patients is the challenge to be won in the coming years. The main objective of this study is to evaluate the ability of Emergency Medical Dispatchers (EMDs) and rescuers to rapidly and...
MAAKT HET GEBRUIK VAN HET HULPMIDDEL BEROERTE DIAGNOSE WAT UIT? Ja! Het bespaart tijd en zorgt voor behoud van de hersenen. IST DIE VERWENDUNG DES DIAGNOSEINSTRUMENTS ZUR SCHLAGANFALLERKENNUNG VON BEDEUTUNG? Ja! Es spart Zeit und rettet Gehirnmasse. È IMPORTANTE UTILIZZARE LO STRUMENTO PER L'IDENTIFICAZIONE DI ICTUS? Sì! Fa risparmiare tempo e salva il cervello...
The main objective of this study was to compare emergency medical dispatch (EMD) stroke identification with hospital-confirmed stroke. The secondary objective was to compare the results of stroke diagnostic tool (SDxT) of Medical Priority Dispatch System™ (MPDS®) with National Institutes of Health Stroke Scale (NIHSS) used in hospital by neurologists. Data utilized for the observational study were taken from a preliminary stroke dataset collected at San Martino Hospital (Genova) between January 2016 and June 2017. All cases of suspected stroke arrived at First Aid began part of the study...
IST DIE VERWENDUNG DES DIAGNOSEINSTRUMENTS ZUR SCHLAGANFALLERKENNUNG VON BEDEUTUNG? Ja! Es spart Zeit und rettet Gehirnmasse. Schlaganfälle unterbrechen die Blutversorgung zu einem Teil des Gehirns durch eine Blockierung oder Blutung. Die Zeitdauer, über die ein Schlaganfall die Blutzufuhr unterbricht, bestimmt den Umfang des verursachten Gehirnschadens. Die zügige Wiederherstellung des normalen Blutflusses zum Gehirn ist von entscheidender Bedeutung und erfordert eine intelligente Identifizierung und einen zeitnahen Einsatz. Medizinische Notfalldisponenten (Emergency Medical Dispatcher, kurz...
Isabel talks with Chuck Gipson, Quality and Education Manager for MEDIC EMS. They discuss how emergency dispatchers were instrumental in getting the prehospital stroke alert off the ground, the importance of getting a stroke patient help as soon as possible, and building trust between dispatch centers, paramedics, and hospitals...
IMPORTE-T-IL D'UTILISER L'OUTIL DIAGNOSTIC ? Oui ! Il fait gagner du temps et sauve le cerveau. Les AVC interrompent l'approvisionnement sanguin à une partie du cerveau via un blocage ou un saignement. Le délai de l'interruption d'approvisionnement causé par l'AVC détermine la gravité des lésions cérébrales causées. La restauration rapide de la circulation sanguine normale au cerveau est d'une importance critique, nécessitant une identification intelligente et une intervention rapide. Les Répartiteurs Médicaux d'Urgence (RMU) fournissent une identification intelligente en...
DOES USING THE STROKE DIAGNOSTIC TOOL MATTER? Yes! It saves time and brain. Strokes interrupt blood supply to part of the brain through blockage or bleeding. The length of time a stroke interrupts the supply determines the amount of brain damage caused. Quickly restoring normal blood flow to the brain is critical, requiring smart identification and timely response. Emergency Medical Dispatchers (EMDs) provide smart identification by knowing and recognizing stroke symptoms as callers describe them. This can be challenging when stroke symptoms change or mimic other conditions. EMDs strengthen...
Some have argued that there is no need for a dispatcher stroke evaluation because emergency medical services (EMS) responders can perform a more detailed, in-person stroke evaluation in the field. In fact, little or no research exists to determine whether dispatch stroke evaluations are actually redundant when compared with EMS field responder assessments. The purpose of this study is to determine whether some strokes identified by emergency medical dispatchers (EMDs) are not identified by field paramedics. The descriptive study utilized data from...
We sought to study a recently implemented prehospital emergency care system and its effects on the treatment level and prognosis of stroke patients. Prior to the introduction of the new system, no dispatch triage or prehospital care was available, and most patients accessed emergency care directly, without calling an emergency number. From April 2014 to March 2015, at our associate hospital's emergency department, 325 first-time acute stroke patients were admitted to the emergency department. This cohort was divided according to hospital admission method...
