Deans' stroke musings: AHA publishes new recommendations for transporting stroke patients

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, March 15, 2021

AHA publishes new recommendations for transporting stroke patients

These are still just recommendations; NOT PROTOCOLS. So the AHA/ASA still is uselessly going down the guideline/recommendation route. This will not change until we get survivors in charge.

AHA publishes new recommendations for transporting stroke patients

A paper from the Prehospital Stroke System of Care Consensus Conference offers guiding principles for triage and transport destinations

Mar 12, 2021

By Laura French

DALLAS — The American Heart Association has published new recommendations for prehospital triage and transport of stroke patients.

A consensus statement, developed through the Prehospital Stroke System of Care Consensus Conference and published in the AHA journal Stroke, outlines guiding principles for determining transport destinations in rural, suburban and urban communities.

The statement comes from the American Academy of Neurology, American Heart Association/American Stroke Association, American Society of Neuroradiology, National Association of EMS Physicians, National Association of State EMS Officials, Society of NeuroInterventional Surgey and Society of Vascular and Interventional Neurology, and is endorsed by The Neurocritical Care Society.

"With the advent of new treatments for stroke such as thrombectomy, the American Stroke Association recognizes the need for a national consensus approach to acute stroke prehospital triage that considers differences in regional plans in urban, suburban and rural environments," said American Stroke Association Advisory Committee Chair Lee H. Schwamm, MD, in a statement. "In time-critical conditions, the capabilities of the first destination hospital can strongly influence clinical outcomes, so it is vital to integrate both speed of transport with level of stroke care required for definitive treatment. This new statement, developed through consensus of leading professional organizations focused on stroke, provides needed recommendations to local communities and regions to improve their stroke systems of care."

The authors stress that patients with suspected stroke due to large vessel occlusion (LVO) should be preferentially triaged to the nearest endovascular therapy (EVT) capable stroke center, and that local public health agencies are best suited to determine the most appropriate stroke destination plans given unique regional and geographic considerations. The paper offers three separate sets of recommendations for stroke systems of care in rural, suburban and urban communities.

The full paper can be accessed online on the AHA Journals website, and further information about prehospital stroke care is provided by the American Stroke Association. A summary of the recommendations can be read below: