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Regional systems of early stroke care should be developed that coordinate first-contact services with local and regional hospitals to achieve minimum delay time from symptom onset to definitive treatment.
6 sty 2015 · Nurses play a pivotal role in rapid identification and triage of patients with acute stroke, initial assessment, and coordinating the timely flow of patients with acute stroke through the health system.
The Modified LAPSS (mLAPSS) is a validated tool that helps to identify stroke mimics and excludes patients that will not benefit from stroke care. Using a stroke scale, such as mLAPSS, increases the chances of diagnosing strokes. However, stroke scales do not catch all strokes, including presentations such as aphasia, ataxia and vertigo.
There are many scoring systems to screen for an acute ischemic stroke in the field. EMS groups most commonly use Face Arm Speech Test (FAST), Cincinnati Prehospital Stroke Scale (CPSS) (most commonly used in California), or Los Angeles Prehospital Stroke Screen (LAPSS).
Acute Stroke Ready Hospital (ASRH) - Provides stabilization and acute care while transferring most patients to higher level of care. ASRH may provide IV thrombolysis often utilizing tele-stroke expertise. Primary Stroke Center (PSC) – Advanced stroke care with onsite stroke unit or designated beds for acute care of stroke patients.
The UCLA Health Comprehensive Stroke Center is among the leading centers worldwide for stroke care and research. We offer comprehensive, state-of-the-art treatment for all types of strokes and conditions affecting blood flow to and within the brain.
25 kwi 2018 · Treatment Protocol: STROKE / CVA / TIA. Ref. No. 1232-P. Base Hospital Contact: Required prior to transport for all patients with suspected Stroke or TIA. Assess airway and initiate basic and/or advanced airway maneuvers prn (MCG 1302) Administer Oxygen prn (MCG 1302) Advanced airway prn (MCG 1302)
