Deans' stroke musings: Statewide Emergency Medical Services Protocols for Suspected Stroke and Large Vessel Occlusion

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, September 20, 2021

Statewide Emergency Medical Services Protocols for Suspected Stroke and Large Vessel Occlusion

You should easily find out if your hospital has these protocols and what they are. Because YOU ARE RESPONSIBLE for having a stroke that fits these protocols so you can be treated properly and get 100% recovered. YOUR RESPONSIBILITY! Not your doctor or hospital to have exact protocols for any type of stroke coming in.

Statewide Emergency Medical Services Protocols for Suspected Stroke and Large Vessel Occlusion

Carlin C. Chuck, BS¹; Thomas J. Martin, BA, NRP¹; Roshini Kalagara, BA²; et al Tracy E. Madsen, MD, PhD³; Karen L. Furie, MD⁴; Shadi Yaghi, MD⁴; Michael E. Reznik, MD⁴

Author Affiliations

JAMA Neurol. Published online September 20, 2021. doi:10.1001/jamaneurol.2021.3227

Prehospital triage is critically important in the care of patients with stroke caused by large vessel occlusion (LVO), both because of the time-sensitive nature of acute interventions and the need to appropriately use available resources.¹ However, it is unclear if standardized LVO-specific triage protocols exist among emergency medical services (EMS) nationwide.

We performed a cross-sectional analysis of publicly available statewide EMS protocols in December 2020 using online searches cross-referenced to previous literature² to characterize prehospital LVO transport algorithms across the US. We included states with mandated or recommended protocols as well as those with relevant state department of health–issued guidelines. Other states were excluded, even if they had protocols on a regional level.