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Peer-Reviewed Publication
Can J Neurol Sci2025;1-7.June 3, 2025Journal Article

Rural Field Consultation for Remote Acute Stroke Transport Decisions.

Marie-Andrée Panzini1, Mary-Lou Halabi2, Jillian Stang3, Jessalyn K Holodinsky4, Annette Bredenkamp5, Shannon Erfle6, Balraj Mann7, Gregory Vogelaar8, John Montpetit5, Thomas Jeerakathil9, Brian H Buck9, Aravind Ganesh10, Andrew M Demchuk11, Michael D Hill12,
1Department of Clinical Neurosciences, Centre Hospitalier Universite de Montreal, Montreal, Quebec, Canada.
2Stroke Lead, Provincial Integration Improvement Network (past Cardiovascular Health and Stroke Strategic Clinical Network), Alberta Health Services, Edmonton, Alberta, Canada.
3Senior Analyst, Data & Analytics, Alberta Health Services, Red Deer, Alberta, Canada.
4Department of Emergency Medicine, Department of Community Health Sciences, Department of Clinical Neurosciences, Centre for Health Informatics, Hotchkiss Brain Institute, O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
5Referral, Access, Advice, Placement, Information & Destination (RAAPID), Alberta Health Services, Edmonton, Alberta, Canada.
6Senior Program Lead, Provincial Integration and Improvement Network, Past Executive Director, Cardiovascular and Stroke Strategic Clinical Network), Alberta Health Services, Edmonton, Alberta, Canada.
7Senior Program Lead, Neuroscience and Stroke Provincial Integration Improvement Network (past Cardiovascular Health and Stroke Strategic Clinical Network), Alberta Health Services, Edmonton, Alberta, Canada.
8Emergency Medical Services. Alberta Health Services, Edmonton, Alberta, Canada.
9Department of Medicine (Neurology), Faculty of Medicine and Dentistry, University of Alberta, University of Alberta Hospital, Edmonton, Alberta, Canada.
10Department of Clinical Neurosciences & Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary & Foothills Medical Centre, Calgary, Alberta, Canada.
11Department of Clinical Neurosciences & Hotchkiss Brain Institute, Department of Radiology, Cumming School of Medicine, University of Calgary & Foothills Medical Centre, Calgary, Alberta, Canada.
12Department of Clinical Neurosciences & Hotchkiss Brain Institute, Department of Community Health Sciences, Department of Medicine, Department of Radiology, Cumming School of Medicine, University of Calgary & Foothills Medical Centre, Calgary, Alberta, Canada.
PubMed DOI

Abstract

BACKGROUND: The best prehospital transport strategy for patients with suspected stroke due to possible large vessel occlusion varies by jurisdiction and available resources. A foundational problem is the lack of a definitive diagnosis at the scene. Rural stroke presentations provide the most problematic triage destination decision-making. In Alberta, Canada, the implementation and 5-year experienc…

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