La. Admin. Code tit. 48 § I-19301

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-19301 - LERN Destination Protocol: Stroke

A. On November 21, 2013, the Louisiana Emergency Response Network Board [R.S. 40:2842(1) and (3)] adopted and promulgated "LERN Destination Protocol: STROKE," as follows.

1. The following protocol applies to patients with suspected stroke.

Compromise Of: * Airway * Breathing * Circulation	[RIGHTWARDS ARROW]	Closest ED
NO [DOWNWARDS ARROW]
* All other patients with suspected stroke Patients with seizure with focal deficit, extended window (4-8 hrs from onset), and patients with unknown onset may benefit from evaluation at Level I or II hospital with on-site stroke expertise.	[RIGHTWARDS ARROW]	Transport to LERN Stroke Level I, II, or III
NO [DOWNWARDS ARROW]
Terminally Ill or Palliative Care Patient	[RIGHTWARDS ARROW]	Transport to LERN Stroke Level I, II, III, or IV
Guiding principles: * Time is the critical variable in acute stroke care. * Protocols that include pre -hospital notification while en route by EMS should be used for patients with suspected acute stroke to facilitate primary destination efficiency. * Treatment with intravenous tPA is the only FDA approved acute therapy for stroke. * EMS should identify the geographically closest facility capable of providing tPA treatment. * Transfer patient to the nearest hospital equipped to provide tPA treatment. * Secondary transfer to facilities equipped to provide tertiary care and interventional treatments should not prevent administration of tPA to appropriate patients.

B. This protocol was published at LR 40:189-190 (January 20, 2014).

La. Admin. Code tit. 48, § I-19301

Promulgated by the Department of Health and Hospitals, Emergency Response Network, LR 41:146 (January 2015).

AUTHORITY NOTE: Promulgated in accordance with R.S. 9:2798.5 and R.S. 40:2846(A).