Developing a statewide protocol to ensure patients with suspected emergent large vessel occlusion are directly triaged in the field to a comprehensive stroke center: how we did it

Mahesh V Jayaraman; Arshad Iqbal; Brian Silver; Matthew S Siket; Caryn Amedee; Ryan A McTaggart; Gino Paolucci; Jason Rhodes; John Potvin; Megan Tucker; Nicole Alexander-Scott

doi:10.1136/neurintsurg-2016-012275

Developing a statewide protocol to ensure patients with suspected emergent large vessel occlusion are directly triaged in the field to a comprehensive stroke center: how we did it

J Neurointerv Surg. 2017 Mar;9(3):330-332. doi: 10.1136/neurintsurg-2016-012275. Epub 2016 Mar 3.

Authors

Mahesh V Jayaraman^{1

2

3}, Arshad Iqbal⁴, Brian Silver², Matthew S Siket⁵, Caryn Amedee², Ryan A McTaggart¹, Gino Paolucci⁵, Jason Rhodes⁶, John Potvin⁷, Megan Tucker⁸, Nicole Alexander-Scott⁶

Affiliations

¹ Department of Diagnostic Imaging, Warren Alpert School of Medicine at Brown University, Rhode Island Hospital, Providence, Rhode Island, USA.
² Department of Neurology, Warren Alpert School of Medicine at Brown University, Rhode Island Hospital, Providence, Rhode Island, USA.
³ Department of Neurosurgery, Warren Alpert School of Medicine at Brown University, Rhode Island Hospital, Providence, Rhode Island, USA.
⁴ Department of Neurology, Kent Hospital, Warwick, Rhode Island, USA.
⁵ Department of Emergency Medicine, Warren Alpert School of Medicine at Brown University, Providence, Rhode Island, USA.
⁶ Department of Health, State of Rhode Island, Providence, Rhode Island, USA.
⁷ East Providence Fire Department, East Providence, Rhode Island, USA.
⁸ American Heart Association, Providence, Rhode Island, USA.

PMID: 26940315
DOI: 10.1136/neurintsurg-2016-012275

Abstract

We describe the process by which we developed a statewide field destination protocol to transport patients with suspected emergent large vessel occlusion to a comprehensive stroke center.

Keywords: Political; Stroke.

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Publication types

Review

MeSH terms

Brain Ischemia / epidemiology
Brain Ischemia / prevention & control
Cerebrovascular Disorders / epidemiology*
Cerebrovascular Disorders / surgery*
Embolectomy / methods
Embolectomy / standards
Humans
Rhode Island / epidemiology
Stroke / epidemiology
Stroke / prevention & control
Triage / methods*
Triage / standards