Australian and New Zealand Living Clinical Guidelines for Stroke Management - Chapter 1 of 8: Pre-hospital care

Published by Stroke Foundation on Sep 3, 2024

View

Disclaimer

These Clinical Guidelines are a general guide to appropriate practice, to be followed subject to the clinician’s judgment and the patient’s preference in each individual case. The Clinical Guideline is designed to provide information to assist decision-making and are based on the best evidence available at the time of development. The Clinical Guidelines can be viewed at www.informme.org.au - Citation: Stroke Foundation. Clinical Guidelines for Stroke Management. Melbourne Australia. © No part of this publication can be reproduced by any process without permission from the Stroke Foundation. December 2023.

Sponsors

The Stroke Foundation gratefully acknowledges the previous financial assistance provided by the Australian Government, Medical Research Future Fund. The development of the recommendations has not been influenced by the views or interests of the funding body.

Contact

Abstract

This is the first in a series of eight chapters that provide evidence-based recommendations for management of stroke and TIA in adults.

Language

en-au

PICOS

PICO 40.1

Population
Adults with suspected stroke
Intervention
Emergency medical dispatch - priority Level 1 (immediate ambulance dispatch)
Comparator
Emergency medical dispatch - standard priority (Level 2 - within 30 minutes)
Outcomes

PICO 40.2

Population
Adults with suspected stroke
Intervention
Pre-hospital thrombolysis
Comparator
Usual care
Outcomes

PICO 40.3

Population
Adults with suspected stroke
Intervention
Prehospital neuroprotection
Comparator
Usual care
Outcomes

PICO 40.4

Population
Adults with suspected stroke eligible for thrombolysis
Intervention
Mobile stroke unit (MSU)
Comparator
Conventional care
Outcomes

PICO 40.5

Population
Adults with suspected stroke
Intervention
Pre-hospital workflow optimisation
Comparator
Conventional care
Outcomes

PICO 40.6

Population
Adults with suspected stroke
Intervention
In-ambulance telestroke
Comparator
Standard care
Outcomes

PICO 40.7

Population
Adults with suspected stroke
Intervention
Pre-hospital blood-pressure reduction
Comparator
Usual blood-pressure management
Outcomes