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in Cardiac, Medical Conditions, Neuro
20/09/14
braininjury

Higher risk of death and stroke in patients with persistent vs. paroxysmal atrial fibrillation: results from the ROCKET-AF Trial

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.

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in Featured Article, Neuro
15/05/14
FAST

Out-of-Hospital Stroke Screen Accuracy in a State With an Emergency Medical Services Protocol for Routing Patients to Acute Stroke Centers

Our diagnostic tests for diagnosing CVAs in the prehospital setting have limited specificity.

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in Featured Article, Neuro
07/05/14
stemo

The PHANTOM-S Trial: Effect of the use of ambulance-based thrombolysis on time to thrombolysis in acute ischemic stroke

Does starting thrombolysis in the prehospital setting in a specialised mobile CT ambulance reduce alarm-to-thrombolysis time?

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in Featured Article, Neuro
08/03/14
FAST

FAST Test Use in the Prehospital Setting: Better in the Ambulance than in the Emergency Medical Communication Center

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?

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in Case Studies
03/03/14
ctscan

Case Study #3: Head Injury or CVA?

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?

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in Cardiac
08/02/14

The effect of a national quality improvement collaborative on prehospital care for acute myocardial infarction and stroke in England

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 […]

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in Neuro, Rapid Reviews
07/02/14
bp

Rapid Reviews: Vital signs in CVAs – which arm?

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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