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Prehospital stroke education in paramedics

  • Background and aims: Rapid pre-hospital identification of stroke symptoms result in therapy directed admission to dedicated stroke units. Widespread application of stroke scales reveal high sensitivity but low specificity, especially in non-academic first aid personal. In our previous work we show that prehospital stroke diagnostics based on neurolo-gical examination and transcranial color-coded Duplex so-nography (TCCS) is feasible and results in high sensitivity and specificity for middle cerebral artery / distal internal carotid artery occlusion. The aim of our ongoing study is to design and evaluate a dedicated stroke educational program for paramedics including transcranial ultrasound. This is a prerequisite for a telemedical decision support system in the absence of stroke experienced emergency doctors. Methods: We currently educate 6 paramedics in advanced stroke neurology and also transcranial ultrasound examina-tion during a course of 2 months. The web-based curricu-lum was designed in two parts. The first was theoretical and the second will be the real-life training under neurological supervision. For final assessment of the theoretical know-ledge a control group will be implemented without specific stroke expertise. The stroke-educated paramedics will have to assist stroke investigation, perform pre-hospital TCCS and enter the date in a mobile telestroke pad. The data set will be send to an in-hospital stroke physician. We will as-sess the mean time to reach the diagnostic assessment, its sensitivity and specificity and the patient outcome after 30 days. Results: Our study is ongoing Conclusion: The study just reach the 2 part and we will be glad to present our data on the meeting EAN 2015. Disclosure: Nothing to disclose

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Metadaten
Author:Dobri BaldaranovORCiD, Mustafa Kilic, Kenny Pflug, Stephan Theiss, Alexander Leis, Josef Pemmerl, Hendrik Pels, Sandra Boy, Ulrich BogdahnORCiD, Felix SchlachetzkiORCiDGND
Parent Title (English):European Journal of Neurology
Publisher:Wiley
Document Type:conference proceeding (presentation, abstract)
Language:English
Year of first Publication:2015
Release Date:2022/04/20
Volume:22
Issue:Suppl. 1
First Page:800
Konferenzangabe:1st Congress of the European-Academy-of-Neurology, Berlin, Germany, June 20-23, 2015
Institutes:Fakultät Informatik und Mathematik
Regensburg Center of Biomedical Engineering - RCBE
research focus:Lebenswissenschaften und Ethik
Licence (German):Keine Lizenz - Es gilt das deutsche Urheberrecht: § 53 UrhG