The Impact of Policy & Procedure on Fire Command
Editor's Note: In May 2025, FireRescue1 released their annual digital edition, Fire Command Ready: Building Bench Strength, proudly sponsored by...
2 min read
James Woodson, MD
:
Mar 21, 2017
Bridging therapy made functional independence equally likely for stroke patients transported first to primary stroke centers without endovascular capabilities and peers taken straight to a comprehensive stroke center, a study showed.That strategy of IV thrombolysis within 4.5 hours of symptom onset at one center followed by transport to another where mechanical thrombectomy can be performed within 6 hours of symptom onset was just as likely to produce good functional outcomes 3 months later (modified Rankin scale scores of 2 or below) as transporting patients straight to a thrombectomy-capable center (61.0% versus 50.8%, P=0.26) -- even after multivariable adjustment (P=0.82).
"This study found that patients treated under the drip-and-ship paradigm also benefit from bridging therapy, with no statistically significant difference compared with those treated directly in a comprehensive stroke center," Sonia Alamowitch, MD, of Hôpital Saint-Antoine in Paris, and colleagues reported online in JAMA Neurology.
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In the article, Louis R. Caplan, MD, of Beth Israel Deaconess Medical Center in Boston also recommended several changes to all stroke centers:
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