In patients with AF at moderate-to-high risk of stroke receiving anticoagulation, those with persistent AF have a higher risk of thrombo-embolic events and worse survival compared with paroxysmal AF.
Our diagnostic tests for diagnosing CVAs in the prehospital setting have limited specificity.
Does starting thrombolysis in the prehospital setting in a specialised mobile CT ambulance reduce alarm-to-thrombolysis time?
Prehospital identification of acute stroke increases the possibility of early treatment and good outcome. The FAST test is commonly used by lay responders, control room staff and Paramedics to identify stroke patients…but is it accurate at identifying those with stroke…especially when performed over the phone by control room staff?
A 68 year old male presents to ambulance crew through emergency call after falling from his bicycle at an unknown speed. He is vomiting profusely on arrival of Paramedics, who find no sign of an overt head injury. Is this a head injury, or has he had a stroke?
Fulltext (free): http://www.implementationscience.com/content/9/1/17 Abstract BACKGROUND: Previous studies have shown wide variations in prehospital ambulance care for acute myocardial infarction (AMI) and stroke. We aimed to evaluate the effectiveness of implementing a Quality Improvement Collaborative (QIC) for improving ambulance care for AMI and stroke. METHODS: We used an interrupted time series design to investigate the effect of […]
This question often arises – in patients with a CVA, which arm should be used for blood pressure and vital sign measurement? Only just today we were asked this very same question again. Below are some readings on this topic, but the issue is lacking in recent robust research and evidence-based recommendations. Our conclusion from […]
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