Pre-Hospital Fast Positive Cases Identified by DFB Ambulance Paramedics – Final Clinical Diagnosis

Hdl Handle:
http://hdl.handle.net/10147/620610
Title:
Pre-Hospital Fast Positive Cases Identified by DFB Ambulance Paramedics – Final Clinical Diagnosis
Authors:
Feeney, A; Barry, T; Hayden, D; Higgins, L; Kavanagh, E; MacMahon, P; O’Reilly, M; Teeling, SP; Kelly, PJ; Murphy, S
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Apr-2016
URI:
http://hdl.handle.net/10147/620610
Additional Links:
http://www.imj.ie
Abstract:
Ischaemic stroke clinical outcomes are improved by earlier treatment with intravenous thrombolysis. An existing pathway at the Mater University Hospital for assessment of suspected acute stroke in the Emergency Department was updated, aiming to shorten ‘door to needle time’. This study examines the final clinical diagnosis of Dublin Fire Brigade Ambulance Paramedic identified Face Arm Speech Test (FAST) positive patients presenting to the Emergency Department over a 7 month period. A retrospective analysis was carried out of 177 consecutive FAST positive patients presenting between March and November 2014. The final clinical diagnosis was acute stroke in 57.1% (n=101) of patients. Of these, 76 were ischaemic strokes of whom 56.5% (n=43) were thrombolysed. In the pre-hospital setting Ambulance Paramedics can identify, with reasonable accuracy, acute stroke using the FAST test. Over half of the ischaemic stroke patients presenting via this pathway can be treated with intravenous thrombolysis
Item Type:
Article
Language:
en
Keywords:
STROKE

Full metadata record

DC FieldValue Language
dc.contributor.authorFeeney, Aen
dc.contributor.authorBarry, Ten
dc.contributor.authorHayden, Den
dc.contributor.authorHiggins, Len
dc.contributor.authorKavanagh, Een
dc.contributor.authorMacMahon, Pen
dc.contributor.authorO’Reilly, Men
dc.contributor.authorTeeling, SPen
dc.contributor.authorKelly, PJen
dc.contributor.authorMurphy, Sen
dc.date.accessioned2016-09-21T11:03:33Z-
dc.date.available2016-09-21T11:03:33Z-
dc.date.issued2016-04-
dc.identifier.urihttp://hdl.handle.net/10147/620610-
dc.description.abstractIschaemic stroke clinical outcomes are improved by earlier treatment with intravenous thrombolysis. An existing pathway at the Mater University Hospital for assessment of suspected acute stroke in the Emergency Department was updated, aiming to shorten ‘door to needle time’. This study examines the final clinical diagnosis of Dublin Fire Brigade Ambulance Paramedic identified Face Arm Speech Test (FAST) positive patients presenting to the Emergency Department over a 7 month period. A retrospective analysis was carried out of 177 consecutive FAST positive patients presenting between March and November 2014. The final clinical diagnosis was acute stroke in 57.1% (n=101) of patients. Of these, 76 were ischaemic strokes of whom 56.5% (n=43) were thrombolysed. In the pre-hospital setting Ambulance Paramedics can identify, with reasonable accuracy, acute stroke using the FAST test. Over half of the ischaemic stroke patients presenting via this pathway can be treated with intravenous thrombolysisen
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.relation.urlhttp://www.imj.ieen
dc.subjectSTROKEen
dc.titlePre-Hospital Fast Positive Cases Identified by DFB Ambulance Paramedics – Final Clinical Diagnosisen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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