ems world stroke may 2015
Magazine article from EMS World (May 2015) titled "A Revolution in Stroke Care" by Peter Antevy, MD; Ryan A. McTaggart, MD; and Mahesh V. Jayaraman, MD. The article reviews recent randomized trials (MR CLEAN, ESCAPE, EXTEND IA, SWIFT-PRIME, REVASCAT) supporting mechanical embolectomy for emergent large vessel occlusion (ELVO), notes that embolectomy roughly doubled the likelihood of good outcomes versus IV tPA alone, and argues EMS must develop triage strategies (use of prehospital stroke scales like LAMS and RACE, potential field CTA, mobile stroke units, and communication tools such as the Pulsara app) to direct suspected ELVO patients to comprehensive stroke centers.
Questions this document answers
December 17, 2014.
Approximately 10%.
357 patients; ELVO detected in 21%; sensitivity 85% for detecting large vessel disease.
21%.