Prehospital Acute Stroke Recognition and Triage
1Department of Emergency Medicine, Division of EMS, University of Cincinnati, United States of America
All stroke systems of care rely on public recognition of stroke symptoms and activation of emergency services. Prehospital providers, with limited resources, must quickly and reliably triage these patients, in the context of local capabilities, to make sure the right patient makes it to the right hospital in the right amount of time.
Recent advances in endovascular thrombectomy have made acute ischemic stroke due to a large vessel occlusion more treatable than ever. Rapid access to treatment remains paramount and multiple large vessel occlusion prediction scales have been created to enhance prehospital identification and triage of these patients. This presentation summarizes the current state of large vessel occlusion prediction scales, proposes a set of ideal scale features, and discusses the future of these scales and prehospital neurological emergency response systems.