Evaluating Improvement in Acute Stroke Management following Pre-hospital Initiation of Acute Stroke Service

Prehospital notification of the stroke team in alerting incoming acute patient has been practiced several countries worldwide. Currently this is not Malaysia. This study evaluates feasibility and impact to door review time when prehospital employed. Duration case control was between June 2018 January 2019. Control phase consists conventionally activating after in-hospital assessment by emergency medical officer. then followed an intervention where on scene activation done Emergency Care (PHC) staff. Training PHC staff recognising based identification BE-FAST (Balance, Eyes, Face, Arm Speech Test) abnormalities. The objectives were compare mean two groups for time, computerised tomography (CT) scan thrombolysis time. Thirty-nine patients analysed (control n=29, n=10). Results insignificant (p>0.05). Mean minutes vs. as follows: Door 25.96 + 39.16 15.9 13.14, CT 43.04 40.00 25.8 11.35. Only 3 underwent thrombolytic therapy during period. Limitation non-parametric data with lack number cases responded With continual training pre-hospital detecting stroke, can be improved.