Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-23T23:15:19.619Z Has data issue: false hasContentIssue false

Prehospital triage to stroke centres: Is it a solution to the problem?

Published online by Cambridge University Press:  21 May 2015

P. Richard Verbeek*
Affiliation:
Division of Prehospital Care, Department of Emergency Services, Sunnybrook and Women’s College Health Sciences Centre, Toronto, Ont.
Brian Schwartz
Affiliation:
Division of Emergency Medicine, University of Toronto, Toronto, Ont.
*
Toronto Ambulance, 4330 Dufferin St., Toronto ON M3H 5R9; [email protected]

Abstract

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Commentary • Commentaire
Copyright
Copyright © Canadian Association of Emergency Physicians 2000

References

1.Osborn, TM, LaMonte, MP, Gaasch, WR.Intravenous thrombolytic therapy for stroke: a review of recent studies and controversies. Ann Emerg Med 1999;34:24455.CrossRefGoogle ScholarPubMed
2.Norris, JW, Buchan, A, Cote, R, Hachinski, V, Phillips, SJ, Shuaib, A, et al. Canadian guidelines for intravenous thrombolytic treatment in acute stroke. Can J Neurol Sci 1998;25:2579.CrossRefGoogle ScholarPubMed
3.O’Connor, RE, McGraw, P, Edelsohn, L.Thrombolytic therapy for acute ischemic stroke: why the majority of patients remain ineligible for treatment. Ann Emerg Med 1999;33:914.CrossRefGoogle ScholarPubMed
4.Pancioli, AM, Broderick, J, Kothari, R, Brott, T, Tuchfarber, A, Miller, R, et al. Public perception of stroke warning signs and knowledge of potential risk factors. JAMA 1998;279:128892.CrossRefGoogle ScholarPubMed
5.Kothari, R, Sauerbeck, L, Jauch, E, Broderick, J, Brott, T, Khoury, J, et al. Patients’ awareness of stroke signs, symptoms, and risk factors. Stroke 1997;28:18715.CrossRefGoogle ScholarPubMed
6.Kothari, R, Jauch, E, Broderick, J, Brott, T, Sauerbeck, L, Khoury, J, et al. Acute stroke: delays to presentation and emergency department evaluation. Ann Emerg Med 1999;33:38.CrossRefGoogle ScholarPubMed
7.Barsan, WG, Brott, TG, Broderick, JP, Haley, EC, Levy, DE, Marler, JR.Time of hospital presentation in patients with acute stroke. Arch Intern Med 1993;153:255861.CrossRefGoogle ScholarPubMed
8.Pepe, PE, Zachariah, BS, Sayre, MR, Floccare, D.Ensuring the chain of recovery for stroke in your community. Acad Emerg Med 1998;5:3528.CrossRefGoogle Scholar
9.(NINDS) rt-PA Stroke Study Group. A systems approach to immediate evaluation and management of hyperacute stroke. Stroke 1997;28:153040.CrossRefGoogle Scholar
10.Kothari, RU, Pancioli, A, Liu, T, Brott, T, Broderick, J.Cincinnati Prehospital Stroke Scale: reproducibility and validity. Ann Emerg Med 1999;33:3738.CrossRefGoogle ScholarPubMed
11.Kothari, R, Hall, K, Brott, T, Broderick, J.Early stroke recognition: developing an out-of-hospital NIH stroke scale. Acad Emerg Med 1997;4:98690.CrossRefGoogle ScholarPubMed
12.Kidwell, CS, Saver, JL, Schubert, GB, Eckstein, M, Starkman, S.Design and retrospective analysis of the Los Angeles Prehospital Stroke Screen (LAPSS). Prehosp Emerg Care 1998;2:26773.CrossRefGoogle ScholarPubMed
13.Buchan, AM, Feasby, TE.Stroke thrombolysis: Is tissue plasminogen activator a defibrillator for the brain? CMAJ 2000; 162(1):478.Google ScholarPubMed
14.Smith, WS, Isaacs, M, Corry, MD.Accuracy of paramedic identification of stroke and transient ischemic attack in the field. Prehosp Emerg Care 1998;2:1705.CrossRefGoogle ScholarPubMed
15.Clawson, JJ, Martin, RL, Hauert, SA.Protocols versus guidelines. Choosing a medical-dispatch program. Emerg Med Serv 1994; 23:5260.Google Scholar
16.Wheeler, HB, Hirsh, J, Wells, P, Anderson, FA.Diagnostic tests for deep vein thrombosis. Arch Intern Med 1994;154:19218.CrossRefGoogle ScholarPubMed
17.Deyo, RA, Haselkorn, J, Hoffman, R, Kent, DL.Designing studies of diagnostic tests for low back pain or radiculopathy. Spine 1994;19:2057S65S.CrossRefGoogle ScholarPubMed
18.Kothari, R, Barsan, W, Brott, T, Broderick, J, Ashbrock, S.Frequency and accuracy of prehospital diagnosis of acute stroke. Stroke 1995;26(6):93741.CrossRefGoogle ScholarPubMed