UTSW/BioTel EMS TRAINING BULLETIN
September 2014
Purpose:
Training Points:
"When did the symptoms begin?"
- or -
"When was patient last seen normal?"
If the patient cannot communicate the time, or there is no witness present to report “Last Known Normal”, obtain a phone number for such a witness, if possible.
Additional information to obtain:
Primary Vs. Comprehensive/Comprehensive-Capable Stroke Centers
|
Primary Stroke Center |
Comprehensive or Comprehensive–Capable Stroke Center |
Takes care of: |
Most patients with acute ischemic stroke |
All types of stroke |
Neurosurgery Capability |
Within 2 hours |
24/7 |
Stroke Intensive Care Unit |
Not required |
Required |
Ability to Perform Non-invasive Catheter Procedures |
Not required |
Required |
Time from symptom onset for direct transport |
<3.5 hours OR >12 hours |
Any time frame if it is the closest Stroke and preferentially for patients with symptom onset 3.5 to 12 hours. |
Documentation regarding destination decision-making:
It is essential that paramedics document on the EPCR the following information: