Medical Director Mercy Health Life Flight Network Perrysburg, Ohio
Disclosure(s): No financial relationships to disclose
Case: 1 inter facility LVO stroke requests but they were taken to a local hospital, providing average times and expectations of care published on the topics.
Brief recap of the literature that exists on the topic of Stroke care with highlights to the time critical nature of the interventions.
Case 2 Contrast with Scene HEMS Stroke Activation how direct to Comprehensive stroke center care can improve time to interventions and prevent delays
Brief recap of what we saw with direct from Scene to Comprehensive stroke care.
Discuss the limitations of the RACE CAT trial with respect to HEMS activation in the United States vs Catalonia Spain
Engaging the local EMS community
How our aviation team and dispatch have implemented aggressive launch procedures to be at patients side faster
Follow up and circling back with the community EMS requestor to ensure improvements in the application of initial RACE scale to keep over triage low.
Session Outline: Case 1 and recap: 5 minutes Goal is to bring insight for the providers that rural communities without rapid access to stroke care will suffer a higher burden and risk for worse neurological outcomes than those with close proximity and rapid access to a comprehensive stroke center in the US. Case 2 and recap of RACECAT 5 minutes Goal is to show there are other ways beyond the hub and spoke model for stroke care in the US and that HEMS utilization based off of a RACE scale is a reasonable decision for trying to improve patient delays to interventions. Engaging local EMS community 3 minutes Goal is to encourage EMS outreach and obtain community buy in for activation of HEMS for possible LVO strokes Aviation and Dispatch 3 minutes Goal is to discuss challenges that were overcome and how our QI process lead to more rapid activation and easy cancels when utilizing near simultaneous dispatch. Follow up and Closure 4 minutes Goal is to show how following up with EMS who wants the best for their community is one of the best tools for improving the quality of RACE scale detection.
Learning Objectives:
Upon Completion participants will be able to identify the challenges faced by rural communities and delays present care
Upon Completion participants will be able to describe and begin to design a local and regional system for HEMS activation to deliver potential LVO Strokes directly Comprehensive stroke Care
Upon Completion participants will be ready to deal with some common challenges that are faced to improve the care for possible LVO Strokes using the RACE Scale
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