Author Interviews, Emergency Care, Stroke / 03.05.2013
Patterns of Emergency Medical Services Use and Its Association With Timely Stroke Treatment: Findings From Get With the Guidelines-Stroke
MedicalResearch.com eInterview with with Dr. O. James Ekundayo, MD, DrPH
Assistant Professor
Department of Family & Community Medicine
Meharry Medical College 1005 Dr. D.B. Todd Jr. Blvd.
Nashville, TN 37208
Written Interview conducted with author by Editor Marie Benz, MD
MedicalResearch.com What are the main findings of the study?
Answer: The key findings are:
· One third of stroke patients did not activate Emergency Medical Services (EMS).
· Subgroups of patients who were less likely to use EMS include younger patients, patients of minority race or ethnicity, and those living in rural communities.
· Prior history of stroke /TIA does not confer greater likelihood of EMS activation during subsequent stroke.
· Patients who used EMS had shorter pre-hospital and in-hospital delay. They arrived early, had prompter evaluation, and received more rapid treatment.
· More patients, who were eligible for clot-busting drug, received them.
These happened because EMS gives the receiving hospital pre-notification about the arrival of the patient and the ER staff is ready to act as soon as the patient arrives.
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