AI Article Synopsis
- The study compares the compliance of rural and urban prehospital emergency medical services (EMS) care for stroke using ten evaluation indicators recommended by acute stroke guidelines.
- It involved 100 randomly selected stroke patients, analyzing their transport methods to an urban stroke center in Canada during 2013.
- While both rural and urban EMS showed similar compliance overall, rural EMS lagged in using a prehospital diagnostic tool and did not consistently document scene times, indicating potential areas for improvement.
Article Abstract
Objective: Stroke guideline compliance of rural Canadian prehospital emergency medical services (EMS) care in acute stroke is unknown. In this quality assurance study, we sought to compare rural and urban care by prehospital EMS evaluation/management indicators from patients assessed at an urban Canadian stroke center.
Materials And Methods: One hundred adult patients were randomly selected from the stroke registry. Patients were transported through Rural EMS bypass protocols or urban EMS protocols (both bypass and direct) to our stroke center between January and December 2013. Patients were excluded if they were first evaluated at any other health center. Prehospital care was assessed using ten indicators for EMS evaluation/management, as recommended by acute stroke guidelines.
Results: Compliance with acute stroke EMS evaluation/management indicators were statistically similar for both groups, except administrating a prehospital diagnostic tool (rural 31.8 vs. urban 70.3%; = 0.002). Unlike urban EMS, rural EMS did not routinely document scene time.
Conclusion: Rural EMS responders' compliance to prehospital stroke evaluation/management was similar to urban EMS responders. Growth areas for both groups may be with prehospital stroke diagnostic tool utilization, whereas rural EMS responders may also improve with scene time documentation.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602258 | PMC |
| http://dx.doi.org/10.4103/jnrp.jnrp_2_17 | DOI Listing |
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