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Utstein recommendation for emergency stroke care

Research output: Contribution to journalJournal articleResearchpeer-review


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  • A G Rudd
  • C Bladin
  • P Carli
  • D A De Silva
  • T S Field
  • E C Jauch
  • P Kudenchuk
  • M W Kurz
  • T Lærdal
  • Meh Ong
  • P Panagos
  • A Ranta
  • C Rutan
  • M R Sayre
  • L Schonau
  • S D Shin
  • D Waters
  • F Lippert
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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.

Original languageEnglish
JournalInternational journal of stroke : official journal of the International Stroke Society
Issue number5
Pages (from-to)555-564
Number of pages10
Publication statusPublished - 29 Mar 2020

Bibliographical note

Publisher Copyright:
© 2020 World Stroke Organization.

Copyright 2020 Elsevier B.V., All rights reserved.

    Research areas

  • Stroke, emergency medical services, prehospital care

ID: 59768117