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Utstein recommendation for emergency stroke care.
Rudd, A G; Bladin, C; Carli, P; De Silva, D A; Field, T S; Jauch, E C; Kudenchuk, P; Kurz, M W; Lærdal, T; Ong, Meh; Panagos, P; Ranta, A; Rutan, C; Sayre, M R; Schonau, L; Shin, S D; Waters, D; Lippert, F.
Afiliación
  • Rudd AG; NHS England and King's College, London, England.
  • Bladin C; Eastern Health Monash University, Melbourne, Australia.
  • Carli P; Emergency Medical Services, Paris, France.
  • De Silva DA; National Neuroscience Institute, Singapore General Hospital, Singapore.
  • Field TS; University of British Columbia, Vancouver, Canada.
  • Jauch EC; Mission Health System, Asheville, USA.
  • Kudenchuk P; University of Washington School of Medicine, Seattle, WA, USA.
  • Kurz MW; Stavanger University Hospital, Stavanger, Norway.
  • Lærdal T; The Laerdal Foundation, Stavanger, Norway.
  • Ong M; Singapore General Hospital and Duke-NUS Medical School, Singapore, Singapore.
  • Panagos P; Washington University School of Medicine, St. Louis, MO, USA.
  • Ranta A; University of Otago, Dunedin, New Zealand.
  • Rutan C; American Heart Association, Dallas, TX, USA.
  • Sayre MR; University of Washington, USA.
  • Schonau L; Danish Resuscitation Council, Copenhagen, Denmark.
  • Shin SD; Seoul National University College of Medicine, Seoul, South Korea.
  • Waters D; Ambulance New Zealand, Wellington, New Zealand.
  • Lippert F; Copenhagen Emergency Medical Services, Copenhagen, Denmark.
Int J Stroke ; 15(5): 555-564, 2020 07.
Article en En | MEDLINE | ID: mdl-32223543
BACKGROUND: Recent advances in treatment for stroke give new possibilities for optimizing outcomes. To deliver these prehospital care needs to become more efficient. AIM: To develop a framework to support improved delivery of prehospital care. The recommendations are aimed at clinicians involved in prehospital and emergency health systems who will often not be stroke specialists but need clear guidance as to how to develop and deliver safe and effective care for acute stroke patients. METHODS: Building on the successful implementation program from the Global Resuscitation Alliance and the Resuscitation Academy, the Utstein methodology was used to define a generic chain of survival for Emergency Stroke Care by assembling international expertise in Stroke and Emergency Medical Services (EMS). Ten programs were identified for Acute Stroke Care to improve survival and outcomes, with recommendations for implementation of best practice. CONCLUSIONS: Efficient prehospital systems for acute stroke will be improved through public awareness, optimized prehospital triage and timely diagnostics, and quick and equitable access to acute treatments. Documentation, use of metrics and transparency will help to build a culture of excellence and accountability.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidente Cerebrovascular / Servicios Médicos de Urgencia Tipo de estudio: Guideline Límite: Humans Idioma: En Revista: Int J Stroke Año: 2020 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidente Cerebrovascular / Servicios Médicos de Urgencia Tipo de estudio: Guideline Límite: Humans Idioma: En Revista: Int J Stroke Año: 2020 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos