How's Your Command Bench Strength?
Editor's Note: In May 2025, FireRescue1 released their annual digital edition, Fire Command Ready: Building Bench Strength, proudly sponsored by...
2 min read
Team Pulsara
:
Mar 02, 2017
EDITOR'S NOTE: Special thanks to Kris Kaull, B.S., NRP, CCEMT-P, FP-C for writing today's blog post. You can connect with him on LinkedIn.
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This past week at the International Stroke Conference in Houston, Mission: Lifeline Stroke released two documents related to prehospital LVO care.
This is a dynamic field of medicine and research continually changes. We, as medics, need to be working as part of a regional system of care. The patient should be the focus. AND, it’s a team effort that includes EMS, ED, Radiology, Neurology, Cath, Pharmacy and many others.
WHAT ARE THESE TWO DOCUMENTS?
ABOUT THE SEVERITY-BASED STROKE TRIAGE ALGORITHM FOR EMS
EVERY EMS provider should read this document. It provides the most current stance on where we have limitations (in both research and capabilities), and it also outlines three core definitions.
SEVERITY-BASED STROKE TRIAGE ALGORITHM FOR EMS
For those of you in EMS, you’re familiar with PALS, ACLS or BLS algorithms. This algorithm follows along similar lines, but for a patient who’s having a suspected stroke:
QUESTIONS: Do you have updated stroke protocols? Do you provide standardized training across your entire EMS system? Would you bypass the closest hospital and transport directly to an EVT-capability stroke center? What if the hospital is 15 minutes further? What if it’s a 60 minute longer drive? When would you choose to transport via air medical vs. ground?
These are the conversations we should be having in our community.
Our patients deserve it.
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