Analysis of the prehospital life support and consideration for stroke bypass in Tokyo

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  • Shigeta Keigo
    Department of Neurosurgery, National Hospital Organization Disaster Medical Center
  • Hayakawa Takanori
    Department of Neurosurgery, National Hospital Organization Disaster Medical Center
  • Yatsushige Hiroshi
    Department of Neurosurgery, National Hospital Organization Disaster Medical Center
  • Aoki Michiru
    Department of Information Systems Architecture, Graduate School of Industrial Technology, Advanced Institute of Industrial Technology
  • Ohashi Hiroaki
    Department of Information Systems Architecture, Graduate School of Industrial Technology, Advanced Institute of Industrial Technology
  • Xu Xiangyang
    Department of Information Systems Architecture, Graduate School of Industrial Technology, Advanced Institute of Industrial Technology
  • Koyama Hiroshi
    Department of Information Systems Architecture, Graduate School of Industrial Technology, Advanced Institute of Industrial Technology

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  • 東京都の病院前救護活動の分析とstroke bypass の検討

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Abstract

<p>Background and Purpose: To introduce the stroke bypass system in Tokyo for the direct transfer of the patients suffered from emergent large vessel occlusion (ELVO) to endovascular capable center, the present status of the Tokyo Emergency Medical Service (TEMS) was confirmed. Methods: We analyzed eight representative prehospital stroke scales (PSS), TEMS guideline, Prehospital Stroke Life Support (PSLS) guideline of the Japanese Society for Emergency Medicine (JSEM). Results: Enough patient’s information to calculate some PSS had been already collected according to TEMS guideline as equal to PSLS. Conclusion: Stroke bypass system could be already performed in Tokyo if TEMS crews could calculate the PSS to predict ELVO with high precision. To solve this problem, we developed an application to calculate the PSS automatically when they enter the patient’s information on it.</p>

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