Working towards a “faster future” – How to modify pre-hospital triage by offering a “bypass” option

Lecture from SLICE 2017

2 october 2017 – 16:50

With Caroline Arquizan (FRANCE), Richard Dumont (FRANCE) and Vincent Costalat

Today, in stroke care, the logistics, of offering mechanical thrombectomy (MT) effectively in large regions is an ongoing challenge. In examining pre-hospital triage, what would be the reasons to “bypass” local hospitals and primary stroke centers to send a patient directly to the regional comprehensive stroke center (CSC) for MT? Join neurologist C. Arquizan, emergency specialist, R. Dumont and neurointerventionist V. Costalat (all from Gui de Chauliac University Hospital, Montpellier, France) as they illustrate, through a series of recent cases, their experience in modifying aspects of their regional stroke system to increase access to “timely and equitable care”. What do we know from our clinical experience that makes suspicion of a large vessel occlusion a reason for sending the patient directly to the CSC? How are the indications for this condition, such as sudden onset or unilateral complete weakness or hemiplegia, used in the overall decision-making process? What are the advantages and disadvantages of this approach or the possible contraindications of IVT? What is the critical role of Stroke Team in deciding on the “bypass” option and how was this protocol integrated into local healthcare and transportation emergency care? Join the discussion and see the results of this “real-world” experience here…

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