院前卒中护理第一部分：急诊医疗服务和卒中护理系统。
Prehospital Stroke Care Part 1: Emergency Medical Services and the Stroke Systems of Care.
机构信息
Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA (K.S.Z., R.E.C.).
Massachusetts Department of Public Health, Boston, MA (V.M.N.).
出版信息
Stroke. 2023 Apr;54(4):1138-1147. doi: 10.1161/STROKEAHA.122.039586. Epub 2022 Nov 29.
Abstract
Acute stroke care begins before hospital arrival, and several prehospital factors are critical in influencing overall patient care and poststroke outcomes. This topical review provides an overview of the state of the science on prehospital components of stroke systems of care and how emergency medical services systems may interact in the system to support acute stroke care. Topics include layperson recognition of stroke, prehospital transport strategies, networked stroke care, systems for data integration and real-time feedback, and inequities that exist within and among systems.
摘要
急性脑卒中的治疗始于患者到达医院之前，有几个院前因素对整体患者治疗和脑卒中后结局有着至关重要的影响。本篇综述概述了脑卒中医疗系统的院前部分的科学现状，以及急救医疗服务系统如何在系统中相互作用以支持急性脑卒中的治疗。其中包括脑卒中的非专业人员识别、院前转运策略、网络化脑卒中治疗、数据整合和实时反馈系统，以及系统内和系统间存在的不平等问题。
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