University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan, USA.
Ann N Y Acad Sci. 2012 Sep;1268:51-6. doi: 10.1111/j.1749-6632.2012.06746.x.
Stroke is a major public health concern afflicting an estimated 795,000 Americans annually. The associated morbidity and mortality is staggering. Early treatment with thrombolytics is beneficial. The window for treatment is narrow and minimization of the time from symptom onset to treatment is vital. The general population is not well informed as to the warning signs or symptoms of stroke, leading to substantial delays in emergency medical services (EMS) activation. Ambulance transport of stroke patients to the hospital has demonstrated improvements in key benchmarks such as door to physician evaluation, door to CT initiation, and increased thrombolytic treatment. Pre-hospital notification of the impending arrival of a stroke patient allows for vital preparation in the treating emergency department, and improving timely evaluation and treatment upon arrival of the stroke patient. EMS systems are a vital component of the management of stroke patients, and resources used to improve these systems are beneficial.
中风是一个严重的公共卫生问题，每年估计有 79.5 万美国人受到影响。其相关的发病率和死亡率令人震惊。早期使用溶栓药物治疗是有益的。治疗的窗口期很窄，从症状发作到治疗的时间最小化至关重要。一般公众对中风的警告信号或症状了解甚少，导致紧急医疗服务（EMS）的激活出现大量延迟。将中风患者用救护车送往医院已证明在关键基准方面有所改善，例如从医生评估到 CT 启动的时间，以及增加溶栓治疗的时间。在中风患者即将到来之前向急诊部门发出预先通知，可在治疗中做好重要准备，并在中风患者到达时及时进行评估和治疗。EMS 系统是中风患者管理的重要组成部分，用于改善这些系统的资源是有益的。
