Efforts to evaluate emergency medical team activities by post-verification of stroke patients who were transported directly to our hospital by ambulance

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  • Tanizaki Yoshio
    Department of Neurosurgery, Geriatric Research Institute and Hospital Verifying physician, Verification Subcommittee, Gunma Medical Control Council
  • Miyamoto Naoko
    Department of Neurosurgery, Geriatric Research Institute and Hospital
  • Amari Masakuni
    Department of Neurology, Geriatric Research Institute and Hospital
  • Takatama Shin
    Department of Neurosurgery, Geriatric Research Institute and Hospital
  • Iwai Tomoyuki
    Department of Neurosurgery, Geriatric Research Institute and Hospital
  • Naito Isao
    Department of Neurosurgery, Geriatric Research Institute and Hospital
  • Sugawara Takashi
    Department of Neurology, Geriatric Research Institute and Hospital
  • Syouji Mikio
    Department of Neurology, Geriatric Research Institute and Hospital
  • Takatama Masamitsu
    Department of Internal Medicine, Geriatric Research Institute and Hospital

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  • 自院に直接救急搬送された脳卒中患者の事後検証による救急隊活動評価の取り組み
  • ジイン ニ チョクセツ キュウキュウ ハンソウ サレタ ノウソッチュウ カンジャ ノ ジゴ ケンショウ ニ ヨル キュウキュウタイ カツドウ ヒョウカ ノ トリクミ

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Abstract

<p>In Gunma Prefecture, centering on the Gunma Stroke Emergency Network, we have published the number of hospitals where recanalization therapy is possible and the number of cases of recanalization therapy. We have continued to hold the Prehospital Stroke Life Support course and post-verification of ambulance crew activities using the Gunma Prefecture integrated medical information system (“system”), but due to the spread of COVID-19, we were forced to suspend from the end of 2019. With the formulation of the Basic Plan for Cardiovascular Disease Control, post verification of ambulance crew activities has become an essential item. In 2021, we confirmed that the quality of ambulance crew activities was the same as two years ago through the primary post-verification of cases that were transported directly to our hospital by ambulance. The usefulness of the 7-item evaluation of physical observation of patients suspected of having a stroke was confirmed through secondary post-testing of cerebral infarction cases. However, the description rate of the last known well time was poor. In the future, it will be necessary to strengthen efforts to continue the primary and secondary post-verification using the "system" as the work of the Gunma Medical Control Council.</p>

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