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Stroke

Comparison of Emergency Medical Service Stroke Identification and Neurologist In-Hospital Stroke Assessment: Results of the Pilot Study of Genova Network

Andrea Furgani, MD, Silvia Distefano, MD, Lavinia Ferraro, EMD-Q, Silvano Ruffoni, MD, Francesco Bermano, MD

Mar 04, 2020|AEDR 2019 Vol. 7 Issue 3|Original Research

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...

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Comparison of Emergency Medical Service Stroke Identification and Neurologist In-Hospital Stroke Assessment: Preliminary Results of the Genova Network

Andrea Furgani, MD, Silvia Distefano, MD, Silvano Ruffoni, MD, Francesco Bermano, MD

Aug 17, 2018|Research Posters

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...

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Ist die Verwendung des Diagnoseinstruments zur Schlaganfallerkennen von Bedeutung?

AEDR Editorial Team

Dec 18, 2017|Research Briefs

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...

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Stroke of Genius with Chuck Gipson

AEDR Editorial Team

Dec 12, 2017|Dispatch in Depth

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...

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Importe-t-il d'utiliser l'outil diagnostic ?

AEDR Editorial Team

Dec 11, 2017|Research Briefs

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...

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Does Using the Stroke Diagnostic Tool Matter?

AEDR Editorial Team

Sep 26, 2017|Research Briefs

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...

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Comparison of Emergency Medical Dispatcher Stroke Identification and Paramedic On-Scene Stroke Assessment

Isabel Gardett, PhD, Christopher Olola, PhD, Greg Scott, MBA, EMD-QI, Meghan Broadbent, MS, Jeff J. Clawson, MD

Mar 22, 2017|AEDR 2017 Vol. 5 Issue 1|Original Research

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...

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Effects of a Prehospital Emergency Care System on the Treatment and Prognosis of Stroke Patients

Liu Ru-lu, Luo Meng-yue, Li Ying

Mar 22, 2017|AEDR 2017 Vol. 5 Issue 1|Original Research

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...

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Communication Factors Associated with Stroke Identification During Emergency Calls: A Systematic Review

Elaine Schneiker, GradDip, Stephen Ball, PhD, GradDip (GIS), BSc, Teresa Williams, PhD, Kay O'Halloran, PhD, Judith Finn, PhD, MEdSt, GradDipPH, BSc, DipAppSc, RN, RM, ICCert, FACN, FAHA

Aug 28, 2016|AEDR 2016 Vol. 4 Issue 2|Original Research

The first opportunity for prompt identification of a stroke in the prehospital environment often occurs when people telephone for emergency medical services. A better understanding of how callers and dispatchers communicate during emergency calls may assist dispatcher identification of stroke. To conduct a systematic review of the literature to determine communication factors associated with the identification of stroke during emergency calls. Six databases were searched (CINAHL, Cochrane, Embase, Informit, MEDLINE and PsychInfo). To meet...

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