20 Shifts Protocol Quiz - Stroke Transport

Lake EMS Stroke Alert Procedures

• Lake Emergency Dispatch in Lake County, Tavares, receives all EMS calls for Lake County and dispatches fire departments using Enhanced 911 and a computer-aided dispatch system.
• The Emergency Medical Dispatcher dispatches the closest available unit(s) to the scene to determine care level, stabilization, and treatment.
• Patients presenting as a potential acute CVA are evaluated using the FAST criteria, including the Cincinnati Stroke Scale and Time Last Seen Normal.
• Patients positive for any of the FAST criteria are categorized using the Lake EMS Stroke Alert Checklist, which includes the Los Angeles Motor Screen (LAMS).
• Stroke Alert status and destination decision are based on the findings of the Lake EMS Stroke Alert Checklist and LAMS.
• The on-scene paramedic determines the closest appropriate receiving facility and method of transportation for the destination.
• Patients who meet the Stroke Alert criteria are transported to the nearest appropriate Stroke Center.
• If the transporting paramedic deems the patient too unstable for transport to the nearest Stroke Center, the patient should be transported to the closest receiving facility.
• All strokes meeting criteria for transport to a Primary Stroke Center should be transported by GROUND.
• All strokes meeting criteria for transport to a Comprehensive Stroke Center will be transported via AIR or GROUND based on the LAMS score and transport time.
• Lake EMS Stroke Alert Procedures include a list of Stroke centers and initial receiving hospitals to where Lake Emergency Medical Services will routinely transport Stroke Alert patients.
• The list includes Comprehensive Stroke Centers and Primary Stroke Centers located in different cities, such as Orlando, Tampa, Ocala, Kissimmee, and Gainesville.

Lake EMS Stroke Alert Procedures

• Lake Emergency Dispatch in Lake County, Tavares, receives all EMS calls for Lake County and dispatches fire departments using Enhanced 911 and a computer-aided dispatch system.
• The Emergency Medical Dispatcher dispatches the closest available unit(s) to the scene to determine care level, stabilization, and treatment.
• Patients presenting as a potential acute CVA are evaluated using the FAST criteria, including the Cincinnati Stroke Scale and Time Last Seen Normal.
• Patients positive for any of the FAST criteria are categorized using the Lake EMS Stroke Alert Checklist, which includes the Los Angeles Motor Screen (LAMS).
• Stroke Alert status and destination decision are based on the findings of the Lake EMS Stroke Alert Checklist and LAMS.
• The on-scene paramedic determines the closest appropriate receiving facility and method of transportation for the destination.
• Patients who meet the Stroke Alert criteria are transported to the nearest appropriate Stroke Center.
• If the transporting paramedic deems the patient too unstable for transport to the nearest Stroke Center, the patient should be transported to the closest receiving facility.
• All strokes meeting criteria for transport to a Primary Stroke Center should be transported by GROUND.
• All strokes meeting criteria for transport to a Comprehensive Stroke Center will be transported via AIR or GROUND based on the LAMS score and transport time.
• Lake EMS Stroke Alert Procedures include a list of Stroke centers and initial receiving hospitals to where Lake Emergency Medical Services will routinely transport Stroke Alert patients.
• The list includes Comprehensive Stroke Centers and Primary Stroke Centers located in different cities, such as Orlando, Tampa, Ocala, Kissimmee, and Gainesville.