Navigation Links
1 in 3 stroke emergencies don't use EMS
Date:4/29/2013

More than a third of stroke patients don't get to the hospital by ambulance, even though that's the fastest way to get there, according to new research in Circulation: Cardiovascular Quality and Outcomes, an American Heart Association journal.

Researchers studied records on more than 204,000 stroke patients arriving at emergency rooms at 1,563 hospitals participating in the American Heart Association/American Stroke Association's Get With The Guidelines-Stroke quality improvement program in 2003-10. Emergency medical services (EMS) transported 63.7 percent of the patients, with the rest arriving in various other ways, researchers said.

During a stoke emergency, quick treatment is critical. EMS transported 79 percent of those who got to the hospital within two hours of the start of their symptoms. That resulted in earlier arrival, quicker evaluation and faster treatment, said the researchers who found:

  • Almost 61 percent of people transported by EMS got to the hospital within three hours of the first symptoms, compared to 40 percent who didn't use EMS;
  • Almost 55 percent using EMS had a brain scan within 25 minutes of hospital arrival, compared to 35.6 percent who didn't use EMS;
  • Of patients eligible for a clot-busting drug, 67.3 percent using EMS received it within three hours of symptom onset, compared to 44.1 percent who didn't use EMS.

"EMS are able to give the hospital a heads up, and that grabs the attention of the emergency room staff to be ready to act as soon as the patient arrives," said Jeffrey L. Saver, M.D., senior author of the study and director of the UCLA Comprehensive Stroke Center in Los Angeles, Calif. "The ambulance crew also knows which hospitals in the area have qualified stroke centers. Patients don't lose time going to one hospital only to be referred to another that can provide more advanced care if needed, whether that's drugs to bust up the clot or device procedures to remove it."

Minorities and rural residents were less likely to call for EMS at the signs of a stroke, researchers found.

"A number of factors can fuel the reluctance to call 9-1-1," said James Ekundayo, M.D., Dr.P.H., lead author of the study and assistant professor in the

Department of Family and Community Medicine at Meharry Medical College in Nashville, Tenn. "People may not recognize symptoms and may delay seeking medical care or call their doctor instead.

We hear people say they just didn't want to be a bother, but many times there could have been a better outcome if EMS had been called."

About 795,000 Americans experience a new or recurrent stroke each year a stroke every 40 seconds or a related death every four minutes.

Boosting public awareness efforts and education is critical to improving stroke outcomes in the short- and long-term, researchers said.

The American Heart Association/American Stroke Association's Together to End Stroke, sponsored nationally by healthcare products leader Covidien, raises stroke awareness and educates Americans that stroke is largely preventable, treatable and beatable. The campaign now includes a free mobile app that highlights the acronym F.A.S.T. to help people recognize a stroke:

  • Face Drooping Does one side of the face droop or is it numb? Ask the person to smile.
  • Arm Weakness Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward?
  • Speech Difficulty Is speech slurred, are they unable to speak, or are they hard to understand? Ask the person to repeat a simple sentence, like "The sky is blue." Is the sentence repeated correctly?
  • Time to call 9-1-1 If the person shows any of these symptoms, even if the symptoms go away, call 9-1-1 and get them to the hospital immediately. "Your life, your brain, depends on calling 9-1-1," Saver said. "Know the signs and act fast if you or someone you're with is having stroke symptoms."


'/>"/>

Contact: Cathy Lewis
cathy.lewis@heart.org
214-706-1324
American Heart Association
Source:Eurekalert

Related medicine news :

1. Living in Stroke Belt as Teen May Raise Future Risk
2. Breakthrough Stroke Treatment Pioneered by Edward Tobinick M.D. and Taught at Neurological Wellness Center Results in Substantial Recovery Years After Stroke
3. Hard Physical Labor May Boost Risk of Heart Disease, Stroke: Studies
4. New Research Reveals That Green Tea May Reduce Stroke Risk, Making Products Such As In Liproxenol Not Only Beneficial For Weight Loss But Also For Overall Health
5. Why Some Stroke Survivors Struggle With Communication
6. Chronic Pain Often Follows Stroke
7. Shift of language function to right hemisphere impedes post-stroke aphasia recovery
8. Doctors Health Press Reports on Study: Apples, Pears, Leafy Green Vegetables Lower Risk of Stroke
9. More Dietary Fiber Might Help Thwart Stroke: Study
10. Acute stroke therapy used 3 times more at certified primary stroke centers
11. Stroke Before Age 50 Linked to Raised Risk of Early Death
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)... ... February 12, 2016 , ... ... exclusively to funding innovative lymphoma research and serving the lymphoma community through a ... 250 members of South Florida’s philanthropic community at its 10th anniversary Fashion Luncheon ...
(Date:2/12/2016)... Middletown, PA (PRWEB) , ... February 12, 2016 , ... ... year’s event will be held in Anaheim, CA at the Anaheim Convention Center. Almost ... they can see new therapy products in action, learn more about their chosen field ...
(Date:2/12/2016)... ... February 12, 2016 , ... T.E.N., a technology and ... the ISE Southeast Awards 2016. Finalists and winners of the ISE® Awards for ... Forum and Awards Gala on March 15, 2016 at the Westin Peachtree Plaza, ...
(Date:2/12/2016)... ... 2016 , ... Every winter, someone is killed, injured or loses a home ... Center, part of the Allegheny Health Network, has partnered with Etna Volunteer Fire ... Need Space” campaign. , “Space Heaters Need Space” aims to bring awareness ...
(Date:2/12/2016)... ... February 12, 2016 , ... The Jones Agency, a family owned insurance ... is launching a cooperative charity drive with the Tarrant Area Food Bank in the ... individuals and families in need, the Tarrant County Food Bank offers hope and security ...
Breaking Medicine News(10 mins):
(Date:2/12/2016)... Affairs leaders at pharmaceutical organizations are looking to either start or ... some companies have conducted a significant number of clinical trials in ... as India and China ... India are now requiring local clinical trials to win ... China and India are ...
(Date:2/12/2016)... , Feb. 12, 2016  Innophos Holdings, Inc. (NASDAQ: ... specialty ingredients, today announced that it will host a live ... ET to discuss its fourth quarter and full year 2015 ... The press release detailing fourth quarter and full year results ... close. --> --> ...
(Date:2/12/2016)... VIEJO , Kalifornien, 12. Februar 2016 /PRNewswire/ ... mit der Aufnahme von Patienten für eine Studie ... von Aneurysmen („WEB") speziell für die Behandlung von ... Spelle , MD, Leiter der Neuroradiologie an der ... Frankreich, und Hauptprüfarzt der CLARYS-Studie hat den ersten ...
Breaking Medicine Technology: