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

Adrenal sex hormone level may predict heart disease risk

10 hours ago

(HealthDay)—Blood levels of the adrenal sex hormone dehydroepiandrosterone (DHEA) and its sulfate (DHEA-S) may predict an increased risk of coronary heart disease (CHD) in elderly men, according to a study ...

Researchers aim to simplify life saving drug

Oct 29, 2014

Heparin, the life saving blood thinner used in major surgeries and treatment of heart diseases, is a complicated drug but a research team from the University of British Columbia has set out to make its use a lot safer by ...

Frequent readmissions, high costs after cardiac arrest

Oct 29, 2014

(HealthDay)—Frequent readmissions and high inpatient costs are seen among older survivors of in-hospital cardiac arrest, according to a study published online Oct. 28 in Circulation: Cardiovascular Quality an ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.