Utstein recommendation for emergency stroke care

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

doi:10.1177/1747493020915135

Utstein recommendation for emergency stroke care

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

Copenhagen Emergency Medical Services

39 Citations (Scopus)

Abstract

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 language	English
Journal	International journal of stroke : official journal of the International Stroke Society
Volume	15
Issue number	5
Pages (from-to)	555-564
Number of pages	10
ISSN	1747-4930
DOIs	https://doi.org/10.1177/1747493020915135
Publication status	Published - 29 Mar 2020

Keywords

Stroke
emergency medical services
prehospital care

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10.1177/1747493020915135

Cite this

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, M., Panagos, P., Ranta, A., Rutan, C., Sayre, M. R., Schonau, L., Shin, S. D., Waters, D., & Lippert, F. (2020). Utstein recommendation for emergency stroke care. International journal of stroke : official journal of the International Stroke Society, 15(5), 555-564. https://doi.org/10.1177/1747493020915135

Rudd, AG, Bladin, C, Carli, P, De Silva, DA, Field, TS, Jauch, EC, Kudenchuk, P, Kurz, MW, Lærdal, T, Ong, M, Panagos, P, Ranta, A, Rutan, C, Sayre, MR, Schonau, L, Shin, SD, Waters, D & Lippert, F 2020, 'Utstein recommendation for emergency stroke care', International journal of stroke : official journal of the International Stroke Society, vol. 15, no. 5, pp. 555-564. https://doi.org/10.1177/1747493020915135

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abstract = "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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T1 - Utstein recommendation for emergency stroke care

AU - Rudd, A G

AU - Bladin, C

AU - Carli, P

AU - De Silva, D A

AU - Field, T S

AU - Jauch, E C

AU - Kudenchuk, P

AU - Kurz, M W

AU - Lærdal, T

AU - Ong, Meh

AU - Panagos, P

AU - Ranta, A

AU - Rutan, C

AU - Sayre, M R

AU - Schonau, L

AU - Shin, S D

AU - Waters, D

AU - Lippert, F

PY - 2020/3/29

Y1 - 2020/3/29

N2 - 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.

AB - 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.

KW - Stroke

KW - emergency medical services

KW - prehospital care

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DO - 10.1177/1747493020915135

M3 - Journal article

C2 - 32223543

SN - 1747-4930

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JO - International journal of stroke : official journal of the International Stroke Society

JF - International journal of stroke : official journal of the International Stroke Society

IS - 5

ER -

Utstein recommendation for emergency stroke care

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Keywords

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