Hyperacute stroke unit training for paramedics

Haran, Hanna; Bhalla, Ajay; Cluckie, Gillian; Birns, Jonathan

doi:10.12968/jpar.2016.8.10.494

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…Providing opportunities for paramedics to undertake CPD which focuses on identified areas of interest such as assessment of suspected stroke patients and atypical strokes, or uses multidisciplinary teams to deliver training, could encourage people to complete more strokerelated training. Courses delivering this type of content report positive feedback (Haran, Bhalla, Cluckie, & Birns, 2016).…”

Section: Stroke Training and Continuing Professional Developmentmentioning

confidence: 99%

A survey of UK paramedics’ views about their stroke training, current practice and the identification of stroke mimics

McClelland¹,

Flynn²,

Rodgers³

et al. 2017

BPJ

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Aims -Paramedics play a crucial role in identifying patients with suspected stroke and transporting them to appropriate acute care. Between 25% and 50% of suspected stroke patients are later diagnosed with a condition other than stroke known as a 'stroke mimic'. If stroke mimics could be identified in the pre-hospital setting, unnecessary admissions to stroke units could potentially be avoided. This survey describes UK paramedics' stroke training and practice, their knowledge about stroke mimic conditions and their thoughts about pre-hospital identification of these patients.Methods -An online survey invitation was circulated to members within the UK College of Paramedics and promoted through social media (8 September 2016 and 23 October 2016). Topics included: stroke training; assessment of patients with suspected stroke; local practice; and knowledge about and identification of stroke mimics.

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Section: Stroke Training and Continuing Professional Developmentmentioning

confidence: 99%

A survey of UK paramedics’ views about their stroke training, current practice and the identification of stroke mimics

McClelland¹,

Flynn²,

Rodgers³

et al. 2017

BPJ

View full text Add to dashboard Cite

show abstract

“…Scenario-based learning has been theorised to encourage active engagement by presenting clinical learning within authentic contexts and has been commonly used to support problem-based learning [Prince, 2004]. Furthermore, previous novel HASU teaching models have demonstrated the benefits of observation of stroke specialists" clinical assessments of stroke patients, thus helping to refine learners" own assessments and direct behavioural change for the future [Haran et al, 2016].…”

Section: : Rehabilitation 12 Summarymentioning

confidence: 99%

Development of a Novel Multimedia E-Learning Tool for Teaching the Symptoms and Signs of Stroke

Birns¹,

Woodward²,

Brenton³

et al. 2018

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A novel, scenario-based, curriculum-mapped, multimedia stroke e-learning tool was developed by a multi-professional project team incorporating experts in stroke, education and virtual reality and human computer interaction. Resource acquisition and generation involved capturing of "real-time, real-life" patient data, including video and audio recordings, and the creation of a digital stroke taxonomy classifying the symptoms and signs of stroke. A number of approaches were explored for visually demonstrating the effects of functional impairment in stroke patients using animations and juxtaposing brain imaging scans and 3D models. An iterative, evolutionary, action research approach was employed to build the e-learning tool around an array of acute neurological scenarios of stroke and stroke-mimic presentations. Each scenario followed a standardised teaching process aligned to the "patient journey". Evaluation helped to focus on how successful different interface elements reinforced the underlying development design strands.

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“…Internationally, some areas have brought the CT scanner to the patient in order to begin treatment immediately ( Aoun et al, 2015 ), however this is expensive. Within the UK, current best practice is to transport the stroke patient to a centralised hyper acute stroke unit (HASU) if available, and within the appropriate timeframe from onset ( Haran et al, 2016 ; Price et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Do methods of hospital pre-alerts influence the on-scene times for acute pre-hospital stroke patients? A retrospective observational study

Gunn¹

2021

British Paramedic Journal

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Introduction: Stroke is one of the leading causes of death and disability worldwide. The ambulance service is often the first medical service to reach an acute stroke patient, and due to the time-critical nature of stroke, a time-critical assessment and rapid transport to a hyper acute stroke unit are essential. As stroke services have been centralised, different hospitals have implemented different pre-alert admission policies that may affect the on-scene time of the attending ambulance crew. The aim of this study is to investigate if the different pre-alert admission policies affect time on scene.Method: The current study is a retrospective quantitative observational study using data routinely collected by North East Ambulance Service NHS Foundation Trust. The time on scene was divided into two variables; group one was a telephone pre-alert in which a telephone discussion with the receiving hospital is required before they accept admission of the patient. Group two was a radio-style pre-alert in which the attending clinician makes an autonomous decision on the receiving hospital and alerts them via a short radio message of the incoming patient. These times were then compared to identify if there was any difference between them.Results: Data on 927 patients over a three-month period, from October to December 2019, who had received the full stroke bundle of care, were within the thrombolysis window and recorded as a stroke by the attending clinician, were split into the variable groups and reported on. The mean time on scene for a telephone call pre-alert was 33 minutes and 19 seconds, with a standard deviation of 13 minutes and 8 seconds. The mean on-scene time for a radio pre-alert was 28 minutes and 24 seconds, with a standard deviation of 11 minutes and 51 seconds.Conclusion: A pre-alert given via radio instead of via telephone is shown to have a mean time saving of 4 minutes and 55 seconds, representing an important decrease in time which could be beneficial to patients.

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Hyperacute stroke unit training for paramedics

Cited by 3 publications

References 17 publications

A survey of UK paramedics’ views about their stroke training, current practice and the identification of stroke mimics

A survey of UK paramedics’ views about their stroke training, current practice and the identification of stroke mimics

Development of a Novel Multimedia E-Learning Tool for Teaching the Symptoms and Signs of Stroke

Do methods of hospital pre-alerts influence the on-scene times for acute pre-hospital stroke patients? A retrospective observational study

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