Conahan, Erin M, RN, CNRN

Gesell, Mitchell, DO

Glenn-Porter, Bernadette, BS

Henry-Morrow, Tara K, EMT-P

Jacoby, Jeanne L, MD

Mathiesen, Claranne, RN, MSN, CNRN

Monaghan, Gregory, MD

Nelson, Bryan D, MBA, NR-P

Niehaus, Matthew, DO

Porter, Lauren M

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of Emergency MedicineDoes a Brief Educational Intervention Allow forGreater Prehospital Recognition of Acute Stroke byParamedics?.Tara K. Henry-Morrow EMT-PLehigh Valley Health Network, Tara.Henry-Morrow@lvhn.orgBryan D. Nelson MBA, NR-PLehigh Valley Health Network, Bryan_D.Nelson@lvhn.orgErin M. Conahan RN, CNRNLehigh Valley Health Network, Erin_M.Conahan@lvhn.orgClaranne Mathiesen RN, MSN, CNRNLehigh Valley Health Network, Claranne.Mathiesen@lvhn.orgBernadette Glenn-Porter BSLehigh Valley Health Network, Bernadette.GI-Porter@lvhn.orgSee next page for additional authorsFollow this and additional works at: http://scholarlyworks.lvhn.org/emergency-medicinePart of the Emergency Medicine CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtHenry-Morrow, T. K., Nelson, B. D., Conahan, E., Mathiesen, C., Glenn-Porter, B., Niehaus, M. T., & ... Jacoby, J. L. (2017, April). Doesa Brief Educational Intervention Allow for Greater Prehospital Recognition of Acute Stroke by Paramedics?. Poster Presented at: PAAmerican College of Emergency Physicians (ACEP), Scientific Assembly, Pittsburgh, PA.Henry-Morrow, T. K., Nelson, B. D., Conahan, E., Mathiesen, C., Glenn-Porter, B., Niehaus, M. T., & ... Jacoby, J. L. (2016, Oct). Doesa Brief Educational Intervention Allow for Greater Prehospital Recognition of Acute Stroke by Paramedics?. Poster Presented at: the annualscientific Assembly of the American College of Emergency Physicians (ACEP), Las Vegas, NV.AuthorsTara K. Henry-Morrow EMT-P; Bryan D. Nelson MBA, NR-P; Erin M. Conahan RN, CNRN; ClaranneMathiesen RN, MSN, CNRN; Bernadette Glenn-Porter BS; Matthew Niehaus DO; Lauren M. Porter;Mitchell Gesell DO; Gregory Monaghan MD; and Jeanne L. Jacoby MDThis poster is available at LVHN Scholarly Works: http://scholarlyworks.lvhn.org/emergency-medicine/481© 2017 Lehigh Valley Health NetworkCONCLUSIONSStroke Alerts per Total Number of 911 CallsAccuracy of Stroke Alerts Pre and Post •  Identification of candidates for acute stroke therapy in the prehospital setting has potential to reduce time to treatment and increase acute stroke interventions •  Purpose of this trial was to determine if a brief educational intervention for prehospital providers would increase identification of stroke victims without compromising the accuracy of stroke alerts called in the field •  This was a prospective before and after study. •  An 8 hour didactic and scenario-based class was presented to 25 full time and 15 part time paramedics to one service with approximately 16,900 calls per year •  The total number of prehospital stroke alerts called by this cohort was compared to the stroke alerts called by the same ambulance service prior to the educational intervention. •  Mean number of stroke alerts increased from 2 to 3.4 per month, p<.0001. •  Number of alerts determined to represent true stroke increased from 63 to 71%, p>0.2. •  IV TPA use increased from 50% to 54%, p>0.6.   •  An educational intervention that emphasized early stroke recognition doubled the rate of prehospital alerts  •  The proportion of patients correctly identified as stroke and the proportion of patients receiving intravenous lytic therapy or endovascular reperfusion remained constant •  An educational intervention directed at paramedics increased the absolute number of therapeutic interventionsDoes a Brief Educational Intervention Allow for Greater Prehospital Recognition of Acute Stroke by Paramedics?0.22%.34%0.00%0.05%0.10%0.15%0.20%0.25%0.30%0.35%0.40%Period A Period BStroke Alerts per Total Number of 911 Calls82/2409079%70%50% 47%0%10%20%30%40%50%60%70%80%90%Period A Period BTrue Strokes as a Percentage of Stroke Alerts % Non-hemorrhagic Strokes Receiving TPALehigh Valley Health Network, Allentown, PennsylvaniaTara K. Henry-Morrow, Bryan D. Nelson, Erin Conahan, Claranne Mathieson, Bernadette Glen Porter, Matthew T. Niehaus, Lauren M. Porter, Mitchell R. Gesell, Gregory Monaghan, Jeanne L. JacobyMETHODSRESULTSBACKGROUND

Does a Brief Educational Intervention Allow for Greater Prehospital Recognition of Acute Stroke by Paramedics?.

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1496&context=emergency-medicine

Does a Brief Educational Intervention Allow for Greater Prehospital Recognition of Acute Stroke by Paramedics?.

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Lehigh Valley Health Network: LVHN Scholarly Works