使命:生命线®中风

基于严重程度的EMS中风分诊算法

任务:生命线卒中 一个改变中风治疗的项目是什么 focusing efforts on connecting all of the components of acute stroke care into a smoothly integrated system that reinforces use of evidence-based guidelines, 性能的措施, 确定差距, and engages in improvement projects at a systems level. The stroke system of care begins with community recognition and preparedness to identify stroke and continues all the way through hospital discharge, into rehabilitation and the initiation of secondary prevention. 它将医院聚集在一起, 救护车服务, 非运输医疗急救机构, 应急通信中心, emergency medical service regulatory and medical direction agencies, 当地政府, 据当地媒体, and payers to forge a proactive system of stroke care that saves and improves lives.

The 美国心脏协会 and 美国中风协会 (AHA/ASA) requested that its 任务:生命线卒中 Committee craft a consensus algorithm that was subsequently reviewed by numerous stroke committees within the organization. This algorithm seeks to balance the benefits of rapid, early access to EVT for patients with suspected LVO with the potential harm of delayed initiation of IV alteplase.

A thorough review of current guidelines and studies was conducted to help develop the algorithm. 和任何算法一样, it should augment but not replace clinician judgment and may need tailoring to address the needs of the communities that implement it.

任务:生命线卒中 is excited to announce the release of the Severity-based Stroke Triage Algorithm for EMS and a one page document explaining the algorithm. Click the links below to view the Algorithm and supporting document.

资源

项目领导

主席: Drs. Peter Panagos和Lee Schwamm

Peter Panagos，医学博士(联合主席). Panagos is an Associate Professor of Emergency Medicine and Neurology at Washington University in St Louis. 1987年毕业于达特茅斯学院. In 1994, he completed his medical education at Emory University. Following a year of surgical training at Naval Medical Center San Diego, he graduated and received his wings as a Naval Flight Surgeon in Pensacola, 佛罗里达. From 1996-1999, he was stationed in Okinawa, Japan from with the 1st Marine Aircraft Wing. In 2002, he completed a residency in Emergency Medicine at the University of Cincinnati and subsequently completed a SAEM funded Neurovascular Emergencies/Stroke Fellowship at the same institution in 2003. This was a first for an emergency physician in the US. Dr. Panagos’ primary research and clinical interest is the acute stroke management. He has published over 100 articles and abstracts and has lectured over 350 times across the US and worldwide, 主要是关于中风护理的话题.

Lee Schwamm医学博士(联合主席)-博士. Schwamm is Professor of Neurology at Harvard Medical School, and Vice Chairman of Neurology at the Massachusetts General Hospital, 他是急性中风服务部的主任. He also acts as Director of the Partners TeleStroke Center, a network which currently provides acute stroke consultation services to 27 rural and community hospitals in Massachusetts and Northern New England. His clinical interests are in Cerebrovascular Diseases, 重症监护医学, 脑成像和应用医疗技术. Dr. Schwamm is a recognized leader in the field on the acute stroke treatment, 中风的宣传, and in the use of telemedicine and other technology strategies to improve the quality of stroke care. He has played a pivotal role in the development and leadership of the 美国心脏协会's National Get With the Guidelines-Stroke program, and is currently chair of the national steering committee. He also serves as a consultant or technical expert to the Massachusetts Dept of Public Health, the CDC's Paul Coverdell National Acute Stroke Registry, 联合委员会初级中风中心项目, National Quality Forum and Canadian Stroke Registry.