Ambulance Clinical Triage for Acute Stroke Treatment: Paramedic Triage Algorithm for Large Vessel Occlusion

Ambulance Clinical Triage for Acute Stroke Treatment: Paramedic Triage Algorithm for Large Vessel Occlusion

BACKGROUND AND PURPOSE—Clinical triage scales for prehospital recognition of large vessel occlusion (LVO) are limited by low specificity when applied by paramedics. We created the 3-step ambulance clinical triage for acute stroke treatment (ACT-FAST) as the first algorithmic LVO identification tool,...

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Veröffentlicht in:Stroke (1970) 2018-04, Vol.49 (4), p.945-951
Hauptverfasser: Zhao, Henry, Pesavento, Lauren, Coote, Skye, Rodrigues, Edrich, Salvaris, Patrick, Smith, Karen, Bernard, Stephen, Stephenson, Michael, Churilov, Leonid, Yassi, Nawaf, Davis, Stephen M, Campbell, Bruce C.V
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Sprache:eng
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Zusammenfassung:BACKGROUND AND PURPOSE—Clinical triage scales for prehospital recognition of large vessel occlusion (LVO) are limited by low specificity when applied by paramedics. We created the 3-step ambulance clinical triage for acute stroke treatment (ACT-FAST) as the first algorithmic LVO identification tool, designed to improve specificity by recognizing only severe clinical syndromes and optimizing paramedic usability and reliability. METHODS—The ACT-FAST algorithm consists of (1) unilateral arm drift to stretcher
ISSN:0039-2499
1524-4628
DOI:10.1161/STROKEAHA.117.019307