Triage assessments and the activation of rapid care protocols for acute stroke patients

Australasian Emergency Nursing Journal

Volumn 16, Issue 1, 2013, Pages 4-9

  Mosley, Ian ^a,c   Morphet, Julia ^a,b   Innes, Kelli ^a,b   Braitberg, George ^a,b  

^a MONASH UNIVERSITY   (Australia)

^b Emergency Department   (Australia)

^c UNIVERSITY OF MELBOURNE   (Australia)

Author keywords

Acute stroke; Emergency care; Thrombolysis; Triage assessments

Indexed keywords

AGED; ARTICLE; AUSTRALIA; CEREBROVASCULAR ACCIDENT; CLINICAL PROTOCOL; EMERGENCY HEALTH SERVICE; EMERGENCY TREATMENT; FEMALE; HUMAN; MALE; NURSING; ORGANIZATION AND MANAGEMENT; PATIENT REFERRAL; RETROSPECTIVE STUDY; STATISTICS;

AGED; CLINICAL PROTOCOLS; EMERGENCY SERVICE, HOSPITAL; EMERGENCY TREATMENT; FEMALE; HUMANS; MALE; REFERRAL AND CONSULTATION; RETROSPECTIVE STUDIES; STROKE; TRIAGE; VICTORIA;

EID: 84876870558     PISSN: 15746267     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.aenj.2012.12.002     Document Type: Article

References (21)

1. Hankey G.J. Transient ischaemic attacks and stroke. Med J Aust 2000, 172(April (8)):394-400.
2. Mathers C.D., Vos E.T., Stevenson C.E., Begg S.J. The burden of disease and injury in Australia. Bull World Health Organ 2001, 79(11):1076-1084.
3. Thrift A.G., Dewey H.M., Macdonell R.A., McNeil J.J., Donnan G.A. Stroke incidence on the east coast of Australia: the North East Melbourne Stroke Incidence Study (NEMESIS). Stroke 2000, 31(September (9)):2087-2092.
4. Hacke W., Kaste M., Bluhmki E., Brozman M., Dávalos A., Guidetti D., et al. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med 2008, 359(13):1317-1329.
5. Adams H.P., del Zoppo G., Alberts M.J., Bhatt D.L., Brass L., Furlan A., et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke 2007, 38(May (5)):1655-1711.
6. Marler J.R., Tilley B.C., Lu M., Brott T.G., Lyden P.C., Grotta J.C., et al. Early stroke treatment associated with better outcome - the NINDS rt-PA Stroke Study. Neurology 2000, 55(December (11)):1649-1655.
7. Australasian College for Emergency Medicine. Guidelines on the implementation of the Australasian Triage Scale in Emergency Departments: Australasian College for Emergency Medicine 2005.
8. Ahmed N., Wahlgren N., Grand M., Hennerici M., Lees K., Mikulik R., et al. Implementation and outcome of thrombolysis with alteplase 3-4.5h after an acute atroke: an updated anaalysis from SITS-ISTR. Lancet Neurol 2010, 9:866-874.
9. National Stroke Foundation. Clinical Guidelines for Stroke Management. Melbourne: National Stroke Foundation; 2010 [cited 2012 May 24]; Available from: http://strokefoundation.com.au/health-professionals/tools-and-resources/clinical-guidelines-for-stroke-prevention-and-management/.
10. National Stroke Foundation. N.S.F. Audit, Clinical Report Acute Services. 2010 [cited; Available at: (accessed September 28, 2010. 2010); Available from: http://www.strokefoundation.com.au/news/welcome/national-stroke-audit-clinical-report-acute-services.
11. Evenson K.R., Rosamond W.D., Morris D.L. Prehospital and in-hospital delays in acute stroke care. Neuroepidemiology 2001, 20(May (2)):65-76.
12. Donnan G.A., Davis S.M., Parsons M.W., Ma H., Dewey H.M., Howells D.W. How to make better use of thrombolytic therapy in acute ischemic stroke. Nat Rev Neurol 2011, 7(7):400-409.
13. Mosley I., Nicol M., Donnan G., Patrick I., Dewey H. Stroke symptoms and the decision to call for an ambulance. Stroke 2007, 38(February (2)):361-366.
14. Saver J. Time is brain - quantified. Stroke 2006, 37:263-266.
15. Southern Health. Southern Health Emergency Departments. Melbourne: Southern Health; 2012 [cited 2012 16.4]; Available from: http://www.southernhealth.org.au/page/Services/Services_A_-_E/Emergency_department/.
16. National Stroke Foundation. Do you think you are having a stroke? Melbourne: National Stroke Foundation; 2012 [cited 2012 16.4]; Available from: http://www.strokefoundation.com.au/are-you-are-having-a-stroke.
17. Goldie N. Southern Health: Patients identified as stroke in the Emergency Department Memo 2012, Southern Health, Melbourne, February.
18. Kleindorfer D.O., Miller R., Moomaw C.J., Alwell K., Broderick J.P., Khoury J., et al. Designing a message for public education regarding stroke: does FAST capture enough stroke?. Stroke 2007, 38(October (10)):2864-2868.
19. Smith E.E., Abdullah A.R., Petkovska I., Rosenthal E., Koroshetz W.J., Schwamm L.H. Poor outcomes in patients who do not receive intravenous tissue plasminogen activator because of mild or improving ischemic stroke. Stroke 2005, 36(November (11)):2497-2499.
20. European Stroke Organisation Guidelines for management of ischaemic stroke and transient ischaemic attack 2008. Cerebrovasc Dis 2008, 25(5):457-507.
21. Benner P. From novice to expert: excellence and power in clinical nursing practice 1984, Addison-Wesley, Sydney.