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Cutting the Prehospital On-Scene Time of Stroke Thrombolysis in Helsinki
- Source :
- Stroke. 47:3038-3040
- Publication Year :
- 2016
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2016.
-
Abstract
- Background and Purpose— Significant portion of the prehospital delay consists of minutes spent on the scene with the patient. We implemented a training program for the emergency medical services personnel with the aim to optimize the on-scene time (OST) and to study the impact of different elements of prehospital practice to the OST duration. Methods— In this prospective interventional study, key operational emergency medical service performance variables were analyzed from all thrombolysis candidates transported to the Helsinki University Hospital emergency department. The catchment period was 4 months before and 4 months after the implementation. Results— One hundred and forty-one patients were managed as thrombolysis candidates before and 148 patients after the training program implementation. The OST duration for the groups was 25 (20.5–31) and 22.5 (18–28.5) minutes, respectively ( P Conclusions— Implementation of the emergency medical services training program successfully decreased the OST of thrombolysis candidates by 10%. Higher expertise level of the ambulance crew was associated with shorter OST, and decisions to consult a physician via telephone were reflected by longer OST.
- Subjects :
- Male
Emergency Medical Services
medicine.medical_specialty
Time Factors
Ambulances
03 medical and health sciences
0302 clinical medicine
Emergency medical services
Humans
Medicine
Thrombolytic Therapy
Prospective Studies
Stroke
Acute ischemic stroke
Finland
Aged
Aged, 80 and over
Advanced and Specialized Nursing
business.industry
030208 emergency & critical care medicine
Middle Aged
medicine.disease
Emergency Medical Technicians
Emergency medicine
Stroke thrombolysis
Female
Neurology (clinical)
Medical emergency
Emergency Service, Hospital
Cardiology and Cardiovascular Medicine
business
Training program
030217 neurology & neurosurgery
Program Evaluation
Subjects
Details
- ISSN :
- 15244628 and 00392499
- Volume :
- 47
- Database :
- OpenAIRE
- Journal :
- Stroke
- Accession number :
- edsair.doi.dedup.....9473bab5034081ba99276cb238c0f506