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Updated: Aug 19, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Prehospital Stroke Care Part 1: Emergency Medical Services and the Stroke Systems of Care
Kori S Zachrison1, Victoria M Nielsen2, Natalia Perez de la Ossa3
1Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA (K.S.Z., R.E.C.).
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.
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