TY - JOUR
T1 - EMS management of acute stroke - Out-of-hospital treatment and stroke system development (resource document to NAEMSP position statement)
AU - Millin, Michael G.
AU - Gullett, Travis
AU - Daya, Mohamud R.
PY - 2007/7
Y1 - 2007/7
N2 - The American Heart Association estimates an annual incidence of stroke in the United States at 700,000, leading to over 150,000 deaths. Of all strokes, approximately 88% are ischemic and 12% are hemorrhagic. Almost half of all stroke deaths occur in the out-of-hospital environment.1 Within a given region, the emergency medical services (EMS) system has an important role in the management of the acute stroke patient. Decisions made by EMS personnel can affect treatment and contribute to the immediate, short-term, and long-term outcomes of the patient. Because the patient may require emergent treatment regardless if the stroke is ischemic or hemorrhagic, EMS personnel should manage all potential stroke patients in a time-dependent nature. Proper treatment and disposition of the stroke patient begins in the out-of-hospital environment, continues in the emergency department, and then extends to the inpatient admission. This article reviews the literature on the out-of-hospital treatment of stroke patients and the role of EMS in the development of stroke systems of care.
AB - The American Heart Association estimates an annual incidence of stroke in the United States at 700,000, leading to over 150,000 deaths. Of all strokes, approximately 88% are ischemic and 12% are hemorrhagic. Almost half of all stroke deaths occur in the out-of-hospital environment.1 Within a given region, the emergency medical services (EMS) system has an important role in the management of the acute stroke patient. Decisions made by EMS personnel can affect treatment and contribute to the immediate, short-term, and long-term outcomes of the patient. Because the patient may require emergent treatment regardless if the stroke is ischemic or hemorrhagic, EMS personnel should manage all potential stroke patients in a time-dependent nature. Proper treatment and disposition of the stroke patient begins in the out-of-hospital environment, continues in the emergency department, and then extends to the inpatient admission. This article reviews the literature on the out-of-hospital treatment of stroke patients and the role of EMS in the development of stroke systems of care.
KW - Emergency medical services
KW - Stroke
KW - Systems of care
UR - http://www.scopus.com/inward/record.url?scp=34447125115&partnerID=8YFLogxK
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U2 - 10.1080/10903120701347885
DO - 10.1080/10903120701347885
M3 - Review article
C2 - 17613907
AN - SCOPUS:34447125115
SN - 1090-3127
VL - 11
SP - 318
EP - 325
JO - Prehospital Emergency Care
JF - Prehospital Emergency Care
IS - 3
ER -