La. Admin. Code tit. 48 § I-19303

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

Section I-19303 - LERN Destination Protocol: Stroke

A. On April 21, 2017, the Louisiana Emergency Response Network Board [R.S. 40:2842(1) and (3)] adopted and promulgated "LERN Designation Protocol: Stroke", amending and replacing the previous "LERN Designation Protocol: Stroke" adopted on November 21, 2013 and set out in Section 19301, as follows.

LERN Destination Protocol: Stroke LERN Call Center: (866) 320-8293

The following protocol applies to patients with suspected stroke:

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* The LSN < 6hrs should include patients without a definite time of LSN, but who could reasonably be assumed to be within 6 hrs of onset, including patients who wake-up with stroke symptoms.

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 initial destination efficiency.

* Treatment with intravenous tPA is the only FDA approved medication therapy for hyperacute stroke.

* EMS should identify the geographically closest hospital 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 treatm ents should not prevent administration of tPA to appropriate patients.

La. Admin. Code tit. 48, § I-19303

Promulgated by the Department of Health, Emergency Response Network, LR 431758 (9/1/2017).

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