MDPH/OEMS Stroke Point of Entry. Created by: Central Mass EMS Corp. www.cmemsc.org Edited by: Lee H. Schwamm, MD, FAHA Associate Director, Acute Stroke Services, MGH www.stopstroke.org and Jonathan L. Burstein, MD, FACEP Medical Director, Office of Emergency Medical Services. Purpose.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Central Mass EMS Corp.
Lee H. Schwamm, MD, FAHA
Associate Director, Acute Stroke Services, MGH www.stopstroke.org
Jonathan L. Burstein, MD, FACEP
Medical Director, Office of Emergency Medical Services
To provide EMTs with the fundamental knowledge needed to recognize and manage potential stroke in the pre-hospital setting and make appropriate transport and hospital notification decisions based on the Stroke POE Plan.
Courtesy of UMass Memorial LifeFlight & Mark Ide
Source: Brady CD, Paramedic Care: Principles & Practice Vol.3 ©2001
Often caused by a ruptured blood vessel within the brain tissue of the hypertensive patient.
Often result from congenital abnormalities (e.g., aneurysms) or from head trauma
Protrusion of brain tissue through the base of skull (shown as “e”) from pressure due to mass lesion
Tissue plasminogen activator (tPA) and other thrombolytic (clot dissolving) agents used for heart attack, are also effective against certain ISCHEMIC strokes
A multi-center, randomized clinical trial conducted by The National Institute of Neurological Disorders and Stroke (NINDS) found that selected stroke patients who received t-PA within three hours of the onset of stroke symptoms were at least 30 percent more likely than placebo patients to recover from their stroke with little or no disability after three months.
(numbness or tingling)
States correctly without slurring on first attempt
Slurs words, says the wrong words or is unable to speak on first attempt (mute)
onset of symptoms to hospital arrival will be
< 2 hours, transport patient to nearest appropriate DPH designated provider of Primary Stroke Service (PSS)
105 CMR 170.345 (C)(2)
The EMS patient care report is a CRITICAL part of the patient’s medical record and contains vital information pertinent to continuing care at the hospital and to providing follow-up information to EMS.