Although the clinical trials of EVT have transformed what we do, it is now time to transform how we do it. Too few patients have access to EVT because we are too slow, and our systems of care remain poorly organized.10,18 There is an opportunity to learn from our colleagues in cardiology and trauma surgery who deal with diseases with similar time-dependence as good outcomes depend on transporting patients to most appropriate hospital as quickly as possible. To accomplish this, partnering with regional emergency medical services (EMS) professionals19,20 and establishing formal LVO protocols with non-Comprehensive Stroke Center (CSC) partners is absolutely essential.21
This article will discuss how to improve early access to EVT starting with first medical contact with Emergency Medical Services (EMS) and moving forward to the arrival at a CSC capable of delivering EVT. We will discuss a variety of solutions, acknowledging that the optimal solution for regions will vary based on geography and available resources.
- emergency treatment