Prehospital stroke alerts speed door-to-CT times

Prehospital stroke alerts speed door-to-CT times

(HealthDay)—Emergency medical services (EMS) prenotification regarding the arrival of patients who have had a stroke allows patients to bypass the emergency department and undergo computed tomography (CT) in a timely manner, according to a study published in the March issue of Neurosurgery.

Mandy J. Binning, M.D., from the Capital Institutes for Neurosciences in Trenton and Pennington, N.J., and colleagues examined the door-to-CT and door-to-needle time for 141 prehospital alert patients who bypassed the emergency department.

The researchers found that in 66 percent of cases the EMS prenotification was accurate, and 89 percent of cases had a neurological diagnosis. The average time from patient arrival to CT imaging was 11.8 minutes. Eighteen percent of the patients received intravenous , with a median of 44 minutes from arrival to tissue plasminogen activator bolus.

"Trained EMS responders are able to correctly identify patients who are experiencing neurological/neurosurgical emergencies and deliver patients to our comprehensive stroke center in a timely fashion after prenotification," the authors write "The prehospital stroke alert protocol bypasses the emergency department, allowing the patient to be met in CT by the neurological team, which has proven to decrease door-to-CT and door-to-needle times from our historical means."

Two authors disclosed financial ties to the medical device industry.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Chest complaints more costly in obese patients

Mar 08, 2014

(HealthDay)—Higher body mass index (BMI) is associated with increased cost of care and longer hospital stays for patients who present to the emergency department with chest pain and dyspnea, according to ...

Arrival method, slow response often delay stroke care

Aug 08, 2008

Most stroke patients can't recall when their symptoms started or do not arrive at the hospital in a timely manner, so they cannot be considered for time-dependent therapies such as the clot-busting drug tissue plasminogen ...

Early treatment with AED reduces duration of febrile seizures

Feb 06, 2014

New research shows that children with febrile status epilepticus (FSE) who receive earlier treatment with antiepileptic drugs (AEDs) experience a reduction in the duration of the seizure. The study published in Epilepsia, a jour ...

Recommended for you

Barriers preventing post-stroke care

21 hours ago

For stroke victims, rehabilitation is crucial to their recovery. But a Flinders University study conducted in Singapore found that rehabilitation rates following discharge from hospital are poor because of gaps in the continuum ...

Home-based rehabilitation for CVD patients

21 hours ago

Patients who are found to suffer from cardiovascular diseases often have long years of treatment ahead of them and are urged to drastically change their lifestyle. But what is probably the most difficult ...

New remote patient monitoring devices available

Jul 24, 2014

(HealthDay)—Several new remote patient monitoring devices with useful applications are available or under development, according to an article published July 8 in Medical Economics.

Monitoring pulse after stroke may prevent a second stroke

Jul 23, 2014

New research suggests that regularly monitoring your pulse after a stroke or the pulse of a loved one who has experienced a stroke may be a simple and effective first step in detecting irregular heartbeat, a major cause of ...

User comments