Comparing National Institutes of Health Stroke Scale Among a Stroke Team and Helicopter Emergency Medical Service Providers | Zendy

Matthew R. Kesinger | Zendy; Denisse J. Sequeira | Zendy; Samantha Buffalini | Zendy; Francis X. Guyette | Zendy

Open Access

Comparing National Institutes of Health Stroke Scale Among a Stroke Team and Helicopter Emergency Medical Service Providers

Author(s) -

Matthew R. Kesinger,

Denisse J. Sequeira,

Samantha Buffalini,

Francis X. Guyette

Publication year - 2014

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/strokeaha.114.007850

Subject(s) - medicine , triage , stroke (engine) , emergency medical services , emergency medicine , thrombolysis , medical emergency , myocardial infarction , mechanical engineering , engineering

The use of tissue-type plasminogen activator is limited to a maximum of 4.5 hours after symptom-onset. Endovascular recanalization may improve outcomes for large-vessel occlusions (LVO), but efficacy decreases with time from symptom-onset. A National Institutes of Health Stroke Scale (NIHSS) score ≥12 is predictive of LVOs and could be used to triage patients if appropriately used by prehospital providers. The NIHSS has been considered too complex and has not been validated in the prehospital setting.

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