Rooting L5
Enviado por Oliefox • 29 de Septiembre de 2013 • 583 Palabras (3 Páginas) • 359 Visitas
1. To increase both the number of patients who are treated
and the quality of care, educational stroke programs
for physicians, hospital personnel, and EMS personnel
are recommended (Class I; Level of Evidence B).
(Unchanged from the previous guideline)
2. Activation of the 911 system by patients or other members
of the public is strongly recommended (Class I;
Level of Evidence B). 911 Dispatchers should make
stroke a priority dispatch, and transport times should be
minimized. (Unchanged from the previous guideline)
3. Prehospital care providers should use prehospital stroke
assessment tools, such as the Los Angeles Prehospital
Stroke Screen or Cincinnati Prehospital Stroke Scale
(Class I; Level of Evidence B). (Unchanged from the
previous guideline)
4. EMS personnel should begin the initial management
of stroke in the field, as outlined in Table 4 in the full
text of the guideline (Class I; Level of Evidence B).
Development of a stroke protocol to be used by EMS
personnel is strongly encouraged. (Unchanged from the
previous guideline)
5. Patients should be transported rapidly to the closest
available certified primary stroke center or comprehensive
stroke center or, if no such centers exist, the most
appropriate institution that provides emergency stroke
care as described in the statement (Class I; Level of
Evidence A). In some instances, this may involve air
medical transport and hospital bypass. (Revised from the
previous guideline)
6. EMS personnel should provide prehospital notification
to the receiving hospital that a potential stroke patient is
en route so that the appropriate hospital resources may
be mobilized before patient arrival (Class I; Level of
Evidence B). (Revised from the previous guideline)
Designation of Stroke Centers and Stroke Care
Quality Improvement Process
1. The creation of primary stroke centers is recommended
(Class I; Level of Evidence B). The organization of such
resources will depend on local resources….. .
2. …
3. Healthcare institutions should organize a multidisciplinary
quality improvement committee to review and
monitor stroke care quality benchmarks, indicators,
evidence-based practices, and outcomes (Class I; Level
of Evidence B).
…..
1. To increase both the number of patients who are treated
and the quality of care, educational stroke programs
for physicians, hospital personnel, and EMS personnel
are recommended (Class I; Level of Evidence B).
(Unchanged from
...