Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

A stroke scale for emergency triage.

Christine M Whelley-Wilson1, George C Newman

  • 1Stroke Program, University of Wisconsin Hospitals and Clinics, Madison, Wisconsin, USA.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|October 2, 2007
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Impact of an emergency medicine pharmacist on door to needle alteplase time and patient outcomes in acute ischemic stroke.

The American journal of emergency medicine·2021
Same author

Patent foramen ovale and cryptogenic stroke.

The New England journal of medicine·2013
Same author

Focal Raynaud's phenomenon of the 5th digit related to iPad reading posture.

Clinical rheumatology·2013
Same author

Nonparametric Residue Analysis of Dynamic PET Data With Application to Cerebral FDG Studies in Normals.

Journal of the American Statistical Association·2009
Same author

Association of diabetes, homocysteine, and HDL with cognition and disability after stroke.

Neurology·2007
Same author

Validation of an acute ischemic stroke model: does diffusion-weighted imaging lesion volume offer a clinically significant improvement in prediction of outcome?

Stroke·2007
Same journal

Admission Cognitive Function Independently Predicts Discharge Walking Function and Functional Independence After Stroke: A Multicenter Retrospective Cohort Study.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association·2026
Same journal

Association Between Race, Ethnicity, and Sex with Prehospital Identification and Outcomes of Patients with Stroke.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association·2026
Same journal

Direct Oral Anticoagulants versus Aspirin for Prevention of Overt and Covert Cerebral Infarction: A Meta-Analysis.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association·2026
Same journal

Efficacy of Pharyngeal Balloon Muscle Resistance Treatment in Post-Stroke Dysphagia: A Randomized Controlled Trial.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association·2026
Same journal

Detection of atrial fibrillation via adhesive single-lead ECG vs. Holter monitoring in embolic stroke of undetermined source: the AVANT-GARDE trial.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association·2026
Same journal

Predictive value of the waist-to-height ratio and HbA1c product for incident stroke: a stratified analysis by blood pressure status.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association·2026
See all related articles

The Emergency Triage Stroke Scale (ETSS) accurately predicts the National Institutes of Health Stroke Scale (NIHSS) for acute ischemic stroke patients. This simplified scale aids emergency medical service providers and nurses in stroke assessment and treatment decisions.

Area of Science:

  • Neurology
  • Emergency Medicine
  • Clinical Assessment Tools

Background:

  • The National Institutes of Health Stroke Scale (NIHSS) is standard for acute ischemic stroke but complex for non-specialists.
  • Emergency medical service (EMS) providers and triage nurses require a simplified tool for rapid stroke assessment.

Purpose of the Study:

  • To develop and validate the Emergency Triage Stroke Scale (ETSS) as a predictor of the NIHSS.
  • To assess the ETSS's utility for EMS providers and triage nurses lacking specialized stroke training.

Main Methods:

  • The ETSS was designed to mirror NIHSS domains using routine EMS assessments.
  • 48 acute ischemic stroke patients were evaluated by ED residents, nurses, EMS personnel (ETSS), and ED attendings/stroke physicians (NIHSS).
  • Statistical analyses included ANOVA, linear regression, Spearman correlation, and K statistic for reproducibility.

Related Experiment Videos

Main Results:

  • Excellent agreement was found between residents and nurses using the ETSS.
  • A strong correlation existed between NIHSS and ETSS scores from residents/nurses.
  • EMS providers showed good performance, though with a tendency to overestimate scores in severe cases.
  • All ETSS raters effectively predicted thrombolytic therapy candidacy (predicted NIHSS 4-23).

Conclusions:

  • The ETSS is a simplified prehospital stroke scale that correlates well with the NIHSS.
  • With clearer instructions and education, EMS personnel can achieve reliable ETSS results.
  • The ETSS facilitates better stroke assessment and management in prehospital settings.