Background Few studies have discussed the emergency call and prehospital care as a continuous process to decrease in‐hospital delays for acute stroke. To identify features associated with early hospital arrival (<90 minutes) treatment (<120 minutes), we analyzed operation of current dispatch protocol medical services compared stroke recognition by dispatchers ambulance crews. Methods Results This was 2‐year prospective observational study. All patients who were transported received...

Timely recanalization improves long-term outcomes in acute ischemic stroke (IS) patients, but most patients present outside the therapeutic window. Emergency Medical Services (EMS) can reduce pre-hospital delay and increase likelihood of recanalization. We aim to determine characteristic variations amongst suspected using EMS. This retrospective observational study included all admitted a national tertiary care hospital Qatar from January 2014 September 2020. evaluated demographics, clinical...

Ambulance patients are usually transported to the hospital in emergency medical service (EMS) system. The aim of this study was describe non-conveyance practice Helsinki EMS system and report mortality following decisions.All prehospital ≥16 years attended by but not a during 2013-2017 were included study. mission- patient-related factors collected examined relation patient death within 30 days decision.The performed 324,207 missions with period. 95,909 (29.6%) missions; 72,233 met criteria....

Patients with acute epileptic seizures form a large patient group in emergency neurology. This study aims to determine the burden caused by suspected at different steps care.A retrospective, cross-sectional, population-based (>1,000,000 inhabitants), 4-year (2015-2018) was conducted an urban setting single dispatch centre, university hospital-affiliated medical service (EMS), and five departments (EDs). The covered all adult (≥16 years old) neurology patients receiving attention due from EMS...

ACADEMIC EMERGENCY MEDICINE 2010; 17:965–969 © 2010 by the Society for Academic Emergency Medicine Abstract Objectives: The aim was to determine if an intensive restructuring of approach acute stroke improved time thrombolysis over a 3‐year study period and whether delay modifications correlated with increased thrombolytic intervention or functional outcome. Methods: examined pretreatment process define specific intervals (delays) interest in management 289 consecutive ischemic patients who...

Background and Purpose— Significant portion of the prehospital delay consists minutes spent on scene with patient. We implemented a training program for emergency medical services personnel aim to optimize on-scene time (OST) study impact different elements practice OST duration. Methods— In this prospective interventional study, key operational service performance variables were analyzed from all thrombolysis candidates transported Helsinki University Hospital department. The catchment...

Background Accurate identification of acute stroke by Emergency Medical Dispatchers (EMD) is essential for timely and purposeful deployment Services (EMS), a prerequisite operating mobile units. However, precision EMD recognition currently modest. Aims We sought to identify targets improving dispatcher identification. Methods Dispatch codes EMS patient records were cross-linked investigate factors associated with an incorrect dispatch code in prospective observational cohort 625 patients...

Evaluating stroke campaigns and associated behavioural changes is crucial to assess intervention effectiveness inform future strategies. We aimed evaluate patient's bystanders’ foreknowledge of signs symptoms their response at onset. interviewed patients using a validated questionnaire or bystanders if the patient had disabling stroke. The was administered 165 participants, 142 (86.1%) 23 (13.9%) bystanders. mean age 52.6 (SD = 11.7), male–female ratio 7:1. Among 33 (20.1%) signs, these, 27...

Abstract Introduction On-scene time (OST) previously has been shown to be a significant component of Emergency Medical Services’ (EMS’) operational delay in acute stroke. Since stroke patients are managed routinely by two-person ambulance crews, increasing the number personnel available on scene is possible method improve their performance. Hypothesis Using fire engine crews support ambulances hypothesized associated with shorter OST. Methods All transported hospital as thrombolysis...

Abstract Background There is a lack of knowledge how patients with COVID-19 disease differ from similar signs or symptoms (but who will have diagnosis other than COVID-19) in the prehospital setting. The aim this study was to compare characteristics these two patient groups met by emergency medical services. Methods All after World Health Organisation (WHO) pandemic declaration 11.3.2020 until 30.6.2020 were recruited for study. screened using modified WHO criteria suspected COVID-19. Data...

Objectives The prehospital identification of stroke patients with large vessel occlusion (LVO) enables appropriate hospital selection and reduces the onset-to-treatment time. aim this study was to investigate whether Field Assessment Stroke Triage for Emergency Destination (FAST-ED) scale could be reconstructed from existing patient reports compare its performance neurologist's clinical judgement using same data. Materials & Methods All transported by ambulance code on a six-month period...

Prehospital identification of large vessel occlusion (LVO) holds significant potential to decrease the onset-to-treatment time. Several prehospital scales have been developed identify LVO but data on their comparison has limited. The aim this study was review currently available and compare performance using data.All patients transported by ambulance stroke code a six-month period were enrolled into study. patient reports retrospectively evaluated two investigators sixteen identified...

Abstract Background Evaluation of public education stroke campaigns and behavioral studies to assess emergency response at onset are scarce. We aimed patient’s bystanders’ foreknowledge signs symptoms their onset. also enquired if ‘Act FAST’ campaign in Qatar contributed foreknowledge. Methods In Qatar, the first national awareness campaign, FAST’, was launched May 2015. The study population included a convenience sample patients admitted service Qatar’s largest tertiary care hospital from...

Abstract Background Emergency medical services (EMS) were the first point of contact for many COVID-19 patients during pandemic. The aim this study was to investigate whether non-conveyance decision a patient more frequently associated with new EMS call than direct ambulance transport hospital. Methods All confirmed an within 14 days symptom onset included in study. Patients compared based on their prehospital (transport vs. non-conveyance). primary endpoint 10 leading transport. Results A...

Extracorporeal cardiopulmonary resuscitation (ECPR) is a treatment method for refractory out-of-hospital cardiac arrest (OHCA) requiring complex chain of care.All cases OHCA between 1 January 2016 and 31 December 2021 in the Helsinki University Hospital catchment area which ECPR protocol was activated were included study. The involved patient transport from emergency site with ongoing mechanical (CPR) directly to catheterisation laboratory where implementation extracorporeal membrane...

Abstract Background Emergency medical services (EMS) were the first point of contact for many COVID-19 patients during pandemic. The aim this study was to investigate whether non-conveyance decision a patient more frequently associated with new EMS call than direct ambulance transport hospital. Methods All confirmed an within 14 days symptom onset included in study. Patients compared based on their prehospital (transport vs. non-conveyance). primary endpoint 10 leading transport. Results A...

<h3>Aim</h3> Inter-facility patient transfers form an important share of out-of-hospital transport. In many countries these are commonly done by small ambulance companies and the local emergency medical services. The aim this observational study was to report operation only centralised inter-facility transfer service in Finland. <h3>Method</h3> Helsinki University Hospital is responsible all region with 1.6 million inhabitants. During a three-month cohort (1.9–31.11.2016) patients...

Background: The ‘Act FAST’ campaign is a major international stroke prevention program aiming to raise knowledge and awareness of signs symptoms encouraging calling emergency medical service (EMS) providers as soon are recognized.1 We aim evaluate the impact by analyzing EMS calls in Qatar studies on such initiative behavioral response at onset limited.2Methods: This retrospective time series evaluation utilizing monthly Hamad Medical Corporation (HMC) call data for strokes Qatar. HMC...