What is the protocol for emergency medical services (EMS) response to stroke?

Updated: May 27, 2020
  • Author: Edward C Jauch, MD, MS, FAHA, FACEP; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

Stroke should be a priority dispatch with prompt EMS response. EMS responders should perform a brief H&P, obtain time of symptom onset or last known normal, perform a prehospital stroke assessment, determine blood glucose levels, and provide advance notice to their ED destination in as timely a manner as possible so as to allow preparation and marshalling of personnel and resources. With the development of stroke center designation, which is currently in progress, such centers would then become the preferred destination for patients with acute stroke symptoms who utilize EMS.


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