Episode 12-Pre-Hospital Stroke Care: RACE, MSUs, and tPA!
This episode of The Overrun is all about prehospital stroke care. What should you look for? How should you measure it? What can be done by EMS for stroke, and where should these patients be transported to maximize their chances for recovery?
We talk about the RACE score, Mobile Stroke Units, helicopters, and stroke centers…Dan tells Kevin he IS going to fly his stroke patient, whether he likes it or not!
This is a dynamically changing area of prehospital medicine, your textbook and what we did even 5 years ago is obsolete. Take a listen and see what’s going on!
The DAWN study for thrombectomy out to 24 hours:
https://www.nejm.org/doi/full/10.1056/nejmoa1706442
The RACE score for large vessel occlusion:
https://www.ncbi.nlm.nih.gov/pubmed/24281224
An article on Mobile Stroke Units:
practicalneurology.com/2018/01/mobile-stroke-units¢er=41
The latest AHA/ASA guidelines:
https://www.acc.org/latest…/2018-guidelines-for-the-early-management-of-stroke
Hemorrhage after t-PA:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726129/
More on sICH following tPA: this had higher mortality than we discussed!!
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3690951/
AAEM position statement on use of tPA:
https://www.aaem.org/…/statements/position/aaem-position-statement-on-tpa-the-use-o…
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