Comparative Evaluation of Stroke Triage Algorithms for Emergency Medical Dispatchers (MeDS): Prospective Cohort Study Protocol |
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| Authors: | Prasanthi Govindarajan David Ghilarducci Charles McCulloch Jessica Pierog Evan Bloom Claiborne Johnston |
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| Institution: | (1) Department of Emergency Medicine, University of California San Francisco, 505 Parnassus Avenue L 126, Mail Code 0208, San Francisco, CA 94143-0208, USA;(2) American Medical Response EMS agency, 268 Calvin Place, Santa Cruz, CA 95060, USA;(3) Division of Biostatistics, UCSF, Box 0560, 185 Berry Street, Lobby 5, Suite 5700, San Francisco, CA 94107-1762, USA;(4) Division of Emergency Medicine, 300 Pasteur Drive, Alway Bldg M121, Mail Code: 5119, Stanford, CA 94305-2200, USA;(5) Departments of Neurology, Epidemiology and Biostatistics, University of California, San Francisco, USA |
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| Abstract: | Background Stroke is a major cause of death and leading cause of disability in the United States. To maximize a stroke patient's chances
of receiving thrombolytic treatment for acute ischemic stroke, it is important to improve prehospital recognition of stroke.
However, it is known from published reports that emergency medical dispatchers (EMDs) using Card 28 of the Medical Priority
Dispatch System protocols recognize stroke poorly. Therefore, to improve EMD's recognition of stroke, the National Association
of Emergency Medical Dispatchers recently designed a new diagnostic stroke tool (Cincinnati Stroke Scale -CSS) to be used
with Card 28. The objective of this study is to determine whether the addition of CSS improves diagnostic accuracy of stroke
triage. |
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