J Stroke.  2022 Sep;24(3):417-420. 10.5853/jos.2022.01200.

Updated New York City Emergency Medical Services Acute Stroke Triage Protocol Reduces Interfacility Transfers and Time to Endovascular Thrombectomy for Emergent Large Vessel Occlusion Stroke Patients

• Morey JR
• Kim BD
• Redlener M
• Zhang X
• Marayati NF
• Matsoukas S
• Fiano E
• Stein LK
• Mocco J
• Fifi JT

• KMID: 2534271
• DOI: http://doi.org/10.5853/jos.2022.01200

Figure

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  Figure 1. New York City Emergency Medical Services (NYC EMS) acute stroke triage protocol. S-LAMS, Los Angeles Motor Scale with the addition of Speech; FSBG, finger stick blood glucose; ED, emergency department; TSC, Thrombectomy Capable Stroke Centers; LKW, last known well; DMO, direct medical oversight. *Per DMO approval; †e.g., trauma, treated hypoglycemia with resolved symptoms.

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  Figure 2. Time intervals pre- and post-protocol implementation. EMS, Emergency Medical Services; IVT, intravenous thrombolysis; TSC, Thrombectomy Capable Stroke Center; EVT, endovascular thrombectomy.

Reference

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