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Prehospital Care of the Neurologically Injured Patient

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Textbook of Neurointensive Care

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Abstract

The neurologically injured patient presents several unique challenges to the clinician. Of importance is a full understanding of the role of early intervention and the impact of every stage of clinical care – from the prehospital environment to the intensive care unit. As Emergency Medical Systems grow in sophistication, so does the ability to intervene with time sensitive measures that will improve outcomes. This chapter provides an overview of prehospital care systems development and early interventions (both in the prehospital and emergency department environments) that impact the outcomes of neurologically injured patient.

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References

  1. Ramzy AI, Parry JM, Greenberg J. Head and spinal injury: pre-hospital care. In: Greenberg J, editor. Handbook of head and spine trauma. New York: Marcel Dekker; 1993. p. 29–44.

    Google Scholar 

  2. Field JM, Hazinski MF, Sayre MR, et al. 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care science. Circulation. 2010;122 Suppl 3:18.

    Google Scholar 

  3. Hollenberg J, Herlitz J, Lindqvist J, Riva G, Bohm K, Rosenqvist M, Svensson L. Improved survival after out-of-hospital cardiac arrest is associated with an increase in proportion of emergency crew–witnessed cases and bystander cardiopulmonary resuscitation. Circulation. 2008;118:389–96.

    Article  PubMed  Google Scholar 

  4. Lund-Kordahl I, Olasveengen TM, Lorem T, Samdal M, Wik L, Sunde K. Improving outcome after out-of-hospital cardiac arrest by strengthening weak links of the local chain of survival: quality of advanced life support and post-resuscitation care. Resuscitation. 2010;81:422–6.

    Article  PubMed  Google Scholar 

  5. Iwami T, Nichol G, Hiraide A, Hayashi Y, Nishiuchi T, Kajino K, Morita H, Yukioka H, Ikeuchi H, Sugimoto H, Nonogi H, Kawamura T. Continuous improvements in “chain of survival” increased survival after out-of-hospital cardiac arrests: a large-scale population-based study. Circulation. 2009;119:728–34.

    Article  PubMed  Google Scholar 

  6. Rea TD, Helbock M, Perry S, Garcia M, Cloyd D, Becker L, Eisenberg M. Increasing use of cardiopulmonary resuscitation during out-of-hospital ventricular fibrillation arrest: survival implications of guideline changes. Circulation. 2006;114:2760–5.

    Article  PubMed  Google Scholar 

  7. Bobrow BJ, Clark LL, Ewy GA, Chikani V, Sanders AB, Berg RA, Richman PB, Kern KB. Minimally interrupted cardiac resuscitation by emergency medical services for out-of-hospital cardiac arrest. JAMA. 2008;299:1158–65.

    Article  PubMed  CAS  Google Scholar 

  8. Hartl R, Gerber LM, Iacono L, et al. Direct transport within an organized state trauma system reduces mortality in patients with severe traumatic brain injury. J Trauma. 2006;60:1250–6; discussion 1256.

    Article  PubMed  Google Scholar 

  9. Minardi J, Crocco T, et al. Management of traumatic brain injury: first link in chain of survival. Mt Sinai J Med. 2009;76:138–44.

    Article  PubMed  Google Scholar 

  10. Crosby LA, Lewallen DG, editors. Emergency care and transportation of the sick and injured. 6th ed. Rosemont: American Academy of Orthopaedic Surgeons; 1995.

    Google Scholar 

  11. Frandsen F, Nielsen JR, Gram L, et al. Evaluation of intensified pre-hospital treatment in out-of-hospital cardiac arrest: survival and cerebral prognosis – the Odense ambulance study. Cardiology. 1991;79:256–64.

    Article  PubMed  CAS  Google Scholar 

  12. Nicholl JP, Brazier JE, Snooks HA. Effects of London helicopter emergency medical service on survival after trauma. BMJ. 1995;311:217–22.

    Article  PubMed  CAS  Google Scholar 

  13. Bartolomeo SD, Sanson G, Nardi G, Scian F, et al. Effects of 2 patterns of pre-hospital care on the outcome of patients with severe head injury. Arch Surg. 2001;136:1–15.

    Article  Google Scholar 

  14. Botker M, Bakke S, Christensen E, et al. A systematic review of controlled studies: do physicians increase survival with prehospital treatment? Scand J Trauma Resusc Emerg Med. 2009;17:12.

    Article  PubMed  Google Scholar 

  15. Nirula R, Brusel K. Do trauma centers improve functional outcomes: a national trauma databank analysis? J Trauma. 2006;61:268–71.

    Article  PubMed  Google Scholar 

  16. Brown JB, Stassen NA, Bankey PE, et al. Helicopters and the civilian trauma system: national utilization patterns demonstrate improved outcomes after trauma. J Trauma. 2010;69:1030–6.

    Article  PubMed  Google Scholar 

  17. Brown JB, Stassen NA, Bankey PE, et al. Helicopters improve survival in seriously injured patients requiring interfacility transfer for definitive care. J Trauma. 2011;70:310–4.

    Article  PubMed  Google Scholar 

  18. Rivera-Laura L, Zhang J, Muehlschlegel S. Therapeutic hypothermia for acute neurological injuries. Neurotherapeutics. 2012;9:73–86.

    Article  CAS  Google Scholar 

  19. Bahr J, Klingler H, Panzer W, Rode H, Kettler D. Skills of lay people in checking the carotid pulse. Resuscitation. 1997;35:23–6.

    Article  PubMed  CAS  Google Scholar 

  20. Brennan RT, Braslow A. Skill mastery in public CPR classes. Am J Emerg Med. 1998;16:653–7.

    Article  PubMed  CAS  Google Scholar 

  21. Chamberlain D, Smith A, Woollard M, Colquhoun M, Handley AJ, Leaves S, Kern KB. Trials of teaching methods in basic life support : comparison of simulated CPR performance after first training and at 6 months, with a note on the value of re-training. Resuscitation. 2002;53:179–87.

    Article  PubMed  Google Scholar 

  22. Eberle B, Dick WF, Schneider T, Wisser G, Doetsch S, Tzanova I. Checking the carotid pulse check: diagnostic accuracy of first responders in patients with and without a pulse. Resuscitation. 1996;33:107–16.

    Article  PubMed  CAS  Google Scholar 

  23. Frederick K, Bixby E, Orzel MN, Stewart-Brown S, Willett K. Will changing the emphasis from ‘pulseless’ to ‘no signs of circulation’ improve the recall scores for effective life support skills in children? Resuscitation. 2002;55:255–61.

    Article  PubMed  Google Scholar 

  24. Lapostolle F, Le Toumelin P, Agostinucci JM, Catineau J, Adnet F. Basic cardiac life support providers checking the carotid pulse: performance, degree of conviction, and influencing factors. Acad Emerg Med. 2004;11:878–80.

    Article  PubMed  Google Scholar 

  25. Moule P. Checking the carotid pulse: diagnostic accuracy in students of the healthcare professions. Resuscitation. 2000;44:195–201.

    Article  PubMed  CAS  Google Scholar 

  26. Nyman J, Sihvonen M. Cardiopulmonary resuscitation skills in nurses and nursing students. Resuscitation. 2000;47:179–84.

    Article  PubMed  CAS  Google Scholar 

  27. Owen CJ, Wyllie JP. Determination of heart rate in the baby at birth. Resuscitation. 2004;60:213–7.

    Article  PubMed  Google Scholar 

  28. Sarti A, Savron F, Ronfani L, Pelizzo G, Barbi E. Comparison of three sites to check the pulse and count heart rate in hypotensive infants. Paediatr Anaesth. 2006;16:394–8.

    Article  PubMed  Google Scholar 

  29. Wang HE, Kupas DF, Paris PM, Bates RR, Yealy DM. Preliminary experience with a prospective, multi-centered evaluation of out-of-hospital endotracheal intubation. Resuscitation. 2003;58:49–58.

    Article  PubMed  Google Scholar 

  30. Callaham M, Madsen CD, Barton CW, Saunders CE, Pointer J. A randomized clinical trial of high-dose epinephrine and norepinephrine vs. standard-dose epinephrine in prehospital cardiac arrest. JAMA. 1992;268:2667–72.

    Article  PubMed  CAS  Google Scholar 

  31. Gueugniaud PY, Mols P, Goldstein P, Pham E, Dubien PY, Deweerdt C, Vergnion M, Petit P, Carli P. A comparison of repeated high doses and repeated standard doses of epinephrine for cardiac arrest outside the hospital. European Epinephrine Study Group. N Engl J Med. 1998;339:1595–601.

    Article  PubMed  CAS  Google Scholar 

  32. Lindner KH, Prengel AW, Brinkmann A, et al. Vasopressin administration in refractory cardiac arrest. Ann Intern Med. 1996;124:1061–4.

    Article  PubMed  CAS  Google Scholar 

  33. Wenzel V, Lindner KH, Krismer AC, et al. Repeated administration of vasopressin but not epinephrine maintains coronary perfusion pressure after early and late administration during prolonged cardiopulmonary resuscitation in pigs. Circulation. 1999;99:1379–84.

    Article  PubMed  CAS  Google Scholar 

  34. Prengel AW, Lindner KH, Keller A. Cerebral oxygenation during cardiopulmonary resuscitation with epinephrine and vasopressin in pigs. Stroke. 1996;27:1241–8.

    Article  PubMed  CAS  Google Scholar 

  35. Wenzel V, Linder KH, Augenstein S, Prengel AW, Strohmenger HU. Vasopressin combined with epinephrine decreases cerebral perfusion compared with vasopressin alone during cardiopulmonary resuscitation in pigs. Stroke. 1998;29:1462–8.

    Article  PubMed  CAS  Google Scholar 

  36. Stiell IG, Hebert PC, Wells GA, Vandemheen KL, Tang AS, Higginson LA, Dreyer JF, Clement C, Battram E, Watpool I, Mason S, Klassen T, Weitzman BN. Vasopressin versus epinephrine for in hospital cardiac arrest: a randomized controlled trial. Lancet. 2001;358:105–9.

    Article  PubMed  CAS  Google Scholar 

  37. Dorian P, Cass D, Schwartz B, Cooper R, Gelaznikas R, Barr A. Amiodarone as compared with lidocaine for shock-resistant ventricular fibrillation. N Engl J Med. 2002;346:884–90.

    Article  PubMed  CAS  Google Scholar 

  38. Somberg JC, Bailin SJ, Haffajee CI, Paladino WP, Kerin NZ, Bridges D, Timar S, Molnar J. Intravenous lidocaine versus intravenous amiodarone (in a new aqueous formulation) for incessant ventricular tachycardia. Am J Cardiol. 2002;90:853–9.

    Article  PubMed  CAS  Google Scholar 

  39. Somberg JC, Timar S, Bailin SJ, Lakatos F, Haffajee CI, Tarjan J, Paladino WP, Sarosi I, Kerin NZ, Borbola J, Bridges DE, Molnar J. Lack of a hypotensive effect with rapid administration of a new aqueous formulation of intravenous amiodarone. Am J Cardiol. 2004;93:576–81.

    Article  PubMed  CAS  Google Scholar 

  40. Paiva EF, Perondi MB, Kern KB, Berg RA, Timerman S, Cardoso LF, Ramirez JA. Effect of amiodarone on haemodynamics during cardiopulmonary resuscitation in a canine model of resistant ventricular fibrillation. Resuscitation. 2003;58:203–8.

    Article  PubMed  CAS  Google Scholar 

  41. Herlitz J, Ekstrom L, Wennerblom B, Axelsson A, Bang A, Lindkvist J, Persson NG, Holmberg S. Lidocaine in out-of-hospital ventricular fibrillation. Does it improve survival? Resuscitation. 1997;33:199–205.

    Article  PubMed  CAS  Google Scholar 

  42. Stueven HA, Tonsfeldt DJ, Thompson BM, Whitcomb J, Kastenson E, Aprahamian C. Atropine in asystole: human studies. Ann Emerg Med. 1984;13:815–7.

    Article  PubMed  CAS  Google Scholar 

  43. Coon GA, Clinton JE, Ruiz E. Use of atropine for brady-asystolic prehospital cardiac arrest. Ann Emerg Med. 1981;10:462–7.

    Article  PubMed  CAS  Google Scholar 

  44. Tortolani AJ, Risucci DA, Powell SR, Dixon R. In-hospital cardiopulmonary resuscitation during asystole. Therapeutic factors associated with 24-hour survival. Chest. 1989;96:622–6.

    Article  PubMed  CAS  Google Scholar 

  45. Stiell IG, Wells GA, Hebert PC, Laupacis A, Weitzman BN. Association of drug therapy with survival in cardiac arrest: limited role of advanced cardiac life support drugs. Acad Emerg Med. 1995;2:264–73.

    Article  PubMed  CAS  Google Scholar 

  46. Dorph E, Wik L, Steen PA. Effectiveness of ventilation-compression ratios 1:5 and 2:15 in simulated single rescuer paediatric resuscitation. Resuscitation. 2002;54:259–64.

    Article  PubMed  CAS  Google Scholar 

  47. Hwang SO, Kim SH, Kim H, Jang YS, Zhao PG, Lee KH, Choi HJ, Shin TY. Comparison of 15:1, 15:2, and 30:2 compression-to-ventilation ratios for cardiopulmonary resuscitation in a canine model of a simulated, witnessed cardiac arrest. Acad Emerg Med. 2008;15:183–9.

    Article  PubMed  Google Scholar 

  48. Banerjee S, Singhi SC, Singh S, Singh M. The intraosseous route is a suitable alternative to intravenous route for fluid resuscitation in severely dehydrated children. Indian Pediatr. 1994;31:1511–20.

    PubMed  CAS  Google Scholar 

  49. Brickman KR, Krupp K, Rega P, Alexander J, Guinness M. Typing and screening of blood from intraosseous access. Ann Emerg Med. 1992;21:414–7.

    Article  PubMed  CAS  Google Scholar 

  50. Fiser RT, Walker WM, Seibert JJ, McCarthy R, Fiser DH. Tibial length following intraosseous infusion: a prospective, radiographic analysis. Pediatr Emerg Care. 1997;13:186–8.

    Article  PubMed  CAS  Google Scholar 

  51. Atkinson E, Mikysa B, Conway JA, Parker M, Christian K, Deshpande J, Knilans TK, Smith J, Walker C, Stickney RE, Hampton DR, Hazinski MF. Specificity and sensitivity of automated external defibrillator rhythm analysis in infants and children. Ann Emerg Med. 2003;42:185–96.

    Article  PubMed  Google Scholar 

  52. Cecchin F, Jorgenson DB, Berul CI, Perry JC, Zimmerman AA, Duncan BW, Lupinetti FM, Snyder D, Lyster TD, Rosenthal GL, Cross B, Atkins DL. Is arrhythmia detection by automatic external defibrillator accurate for children? Sensitivity and specificity of an automatic external defibrillator algorithm in 696 pediatric arrhythmias. Circulation. 2001;103:2483–8.

    Article  PubMed  CAS  Google Scholar 

  53. Atkins DL, Scott WA, Blaufox AD, Law IH, Dick II M, Geheb F, Sobh J, Brewer JE. Sensitivity and specificity of an automated external defibrillator algorithm designed for pediatric patients. Resuscitation. 2008;76:168–74.

    Article  PubMed  Google Scholar 

  54. Bar-Cohen Y, Walsh EP, Love BA, Cecchin F. First appropriate use of automated external defibrillator in an infant. Resuscitation. 2005;67:135–7.

    Article  PubMed  Google Scholar 

  55. Konig B, Benger J, Goldsworthy L. Automatic external defibrillation in a 6 year old. Arch Dis Child. 2005;90:310–1.

    Article  PubMed  CAS  Google Scholar 

  56. Deasy C, Bernard S, Cameron P, et al. Design of the RINSE trial: the rapid infusion of cold normal saline by paramedics during CPR. BMC Emerg Med. 2011;13:11–7.

    Google Scholar 

  57. Bernard SA, Smith K, Cameron P, et al. Induction of therapeutic hypothermia by paramedics after resuscitation from out-of-hospital ventricular fibrillation cardiac arrest: a randomized controlled trial. Circulation. 2010;122:737–42.

    Article  PubMed  Google Scholar 

  58. Bernard S. Hypothermia after cardiac arrest: expanding the therapeutic scope. Crit Care Med. 2009;37:S227–33.

    Article  PubMed  Google Scholar 

  59. Holzer M, Bernard SA, Hachimi-Idrissi S, et al. Hypothermia for neuro protection after cardiac arrest: systematic review and individual patient data meta-analysis. Crit Care Med. 2005;33:414–8.

    Article  PubMed  Google Scholar 

  60. Scolletta S, Taccone FS, et al. Intra-arrest hypothermia during cardiac arrest: a systematic review. Crit Care. 2012;16:R41.

    Article  PubMed  Google Scholar 

  61. Choi HA, Badjatia N, Mayer SA. Hypothermia for acute brain injury-mechanisms and practical aspects. Nat Rev Neurol. 2012;8:214–22.

    PubMed  CAS  Google Scholar 

  62. Bernard SA, Gray TW, Buist MD, et al. Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N Engl J Med. 2002;346:557–63.

    Article  PubMed  Google Scholar 

  63. The Hypothermia after cardiac arrest Study Group. Mild therapeutic hypothermia to improve neurologic outcome after cardiac arrest. N Engl J Med. 2002;346:549–56.

    Article  Google Scholar 

  64. Steen PA, Newberg LD. Hypothermia and barbituates: individual and combined effects on canine cerebral oxygen consumption. Anesthesiology. 1983;58:527–32.

    Article  PubMed  CAS  Google Scholar 

  65. Shreckinger M, Marion DW. Contemporary management of traumatic intracranial hypertension: is there a role for therapeutic hypothermia? Neurocrit Care. 2009;11:427–36.

    Article  Google Scholar 

  66. Kliegel A, et al. Cold simple intravenous infusions preceding special endovascular cooling for faster induction of mild hypothermia after cardiac arrest – a feasibility study. Resuscitation. 2005;64:347–51.

    Article  PubMed  Google Scholar 

  67. Bernar S, Buist N, Monteiro O, Smith K. Induced hypothermia using large volume, ice-cold intravenous fluid in comatose survivors of out of hospital cardiac arrest- a preliminary report. Resuscitation. 2003;56:9–13.

    Article  Google Scholar 

  68. Badjatia N. Fever control in the neuro – ICU: why, who and when? Curr Opin Crit Care. 2009;15:79–92.

    Article  PubMed  Google Scholar 

  69. Badjatia N, Strongilis E, Gordon E, et al. Metabolic impact of shivering during therapeutic temperature modulation: the bedside shivering assessment scale. Stroke. 2008;39:3242–7.

    Article  PubMed  Google Scholar 

  70. Choi HA, Ko SB, Presciutti M, et al. Prevention of shivering during therapeutic temperature modulation: the Columbia anti-shivering protocol. Neurocrit Care. 2011;14:389–94.

    Article  PubMed  Google Scholar 

  71. Doufas AG, Lin CM, Suleman MI, et al. Dexmetetomidate and meperidine additively reduce the shivering threshold in humans. Stroke. 2003;34:1218–23.

    Article  PubMed  CAS  Google Scholar 

  72. Kurz A, Sessler DI, Annadata R, et al. Midazolam minimally impairs thermoregulatory control. Anesth Anal. 1995;81:393–8.

    CAS  Google Scholar 

  73. Van der Worp HB, Sena ES, Donnan GA, Howells DW, Macleod MR. Hypothermia in animal models of acute ischemic stroke: a systematic review and meta-analysis. Brain. 2007;130:3063–74.

    Article  PubMed  Google Scholar 

  74. De Georgia MA, Kreiger DW, Abou-Chebl A, et al. Cooling for acute ischemic brain damage (COOL AID) a feasibility trial of endovascular cooling. Neurology. 2004;63:312–7.

    Article  PubMed  Google Scholar 

  75. Kollmar R, et al. Hypothermia reduces peri-hemorrhagic edema after intracerebral hemorrhage. Stroke. 2010;41:1684–9.

    Article  PubMed  Google Scholar 

  76. Cappuccino A, Bisson LJ, Carpenter B, et al. The use of systemic hypothermia for the treatment of an acute cervical spinal cord injury in a professional foot ball player. Spine (Philadelphia PA 1976). 2010;35:E57–62.

    Article  Google Scholar 

  77. Knuth T. Guidelines for the field management of combat related head injury. Brain Trauma Foundation. 2005. Available online at https://www.braintrauma.org/coma-guidelines/. Last accessed 13 June 2012.

  78. Adelson PD, Bratton SL, Carney NA, et al. Guidelines for the acute medical management of severe traumatic brain injury of infants, children, and adolescents. Pediatr Crit Care Med. 2003;4(3 Suppl):S72–5.

    PubMed  Google Scholar 

  79. Bullock MR, Chestnut R, Ghajar J, et al. Guidelines for the surgical management of traumatic brain injury. Neurosurgery. 2006;58(3 Suppl):S2-1–62.

    Google Scholar 

  80. Davis DP, Hoyt DB, Ochs M, et al. The effect of paramedic rapid sequence intubation on outcome in patients with severe traumatic brain injury. J Trauma. 2003;54:444–53.

    Article  PubMed  Google Scholar 

  81. Wang HE, Peitzman AB, Cassidy LD, et al. Out-of-hospital endotracheal intubation and outcome after traumatic brain injury. Ann Emerg Med. 2004;44:439–60.

    Article  PubMed  Google Scholar 

  82. Bernard S, Nguyen V, Cameron P. Prehospital rapid sequence intubation improves functional outcome for patients with severe traumatic brain injury. Ann Surg. 2010;252:959–65.

    Article  PubMed  Google Scholar 

  83. Stocchetti N, Furlan A, Volta F. Hypoxemia and arterial hypotension at the accident scene in head injury. J Trauma. 1996;40:764–7.

    Article  PubMed  CAS  Google Scholar 

  84. Chestnut RM, Marshall LF, Klauber MR, et al. The role of secondary brain injury in determining outcome from severe brain injury. J Trauma. 1993;34:216–22.

    Article  Google Scholar 

  85. Bulger EM, May S, Kerby JD, et al. Out-of-hospital hypertonic resuscitation after traumatic hypovolemic shock: a randomized, placebo controlled trial. Ann Surg. 2011;253:431–41.

    Article  PubMed  Google Scholar 

  86. Farrell LS, Hannan EL, Cooper A. Severity of injury and mortality associated with pediatric blunt injuries: hospitals with pediatric intensive care units versus other hospitals. Pediatr Crit Care Med. 2004;5:5–9.

    Article  PubMed  Google Scholar 

  87. Muizelaar JP, Marmarou A, Ward JD, et al. Adverse effects of prolonged hyperventilation in patients with severe head injury: a randomized clinical trial. J Neurosurg. 1991;75:731–9.

    Article  PubMed  CAS  Google Scholar 

  88. Thomas SH, Orf J, Wedel SK, Conn AK. Hyperventilation in traumatic brain injury patients: inconsistency between consensus guidelines and clinical practice. J Trauma. 2002;52:47–53.

    Article  PubMed  Google Scholar 

  89. Bullock R, Chesnut RM, Clifton G, et al. Guidelines for the management of severe head injury. New York: Brain Trauma Foundation; 1995.

    Google Scholar 

  90. Rocksworld SB, Rockswold GL, Defillo A. Hyperbaric oxygen in traumatic brain injury. Neurol Res. 2007;29:162–72.

    Article  Google Scholar 

  91. Cortez R, Levi AD. Acute spinal cord injury. Curr Treat Options Neurol. 2007;9:115–25.

    Article  PubMed  Google Scholar 

  92. Geisler FH, Coleman WP, Grieco G, et al. The Sygen multicenter acute spinal cord injury study. Spine. 2001;26:S87–98.

    Article  PubMed  CAS  Google Scholar 

  93. Kwon BK, Mann C, Sohn HM, et al. Hypothermia for spinal cord injury. Spine. 2008;8:859–74.

    Article  Google Scholar 

  94. Levi AD, Casella G, Green B, et al. Spinal cord injury and modest hypothermia. J Neurotrauma. 2009;26:407–15.

    Article  PubMed  Google Scholar 

  95. Dietrich 3rd WD. Therapeutic hypothermia for spinal cord injury. Crit Care Med. 2009;37(Supp 7):S238–42.

    Article  PubMed  Google Scholar 

  96. Asai T, Goy RW, Liu E, et al. Cricoid pressure prevents placement of the laryngeal tube and laryngeal tube-suction II. Br J Anaesth. 2007;99:282–5.

    Article  PubMed  CAS  Google Scholar 

  97. Turgeon AF, Nicole PC, Trepanier CA, Marcoux S, Lessard MR. Cricoid pressure does not increase the rate of failed intubation by direct laryngoscopy in adults. Anesthesiology. 2005;102:315–9.

    Article  PubMed  Google Scholar 

  98. Allman KG. The effect of cricoid pressure application on airway patency. J Clin Anesth. 1995;7:197–9.

    Article  PubMed  CAS  Google Scholar 

  99. Brimacombe J, White A, Berry A. Effect of cricoid pressure on ease of insertion of the laryngeal mask airway. Br J Anaesth. 1993;71:800–2.

    Article  PubMed  CAS  Google Scholar 

  100. McNelis U, Syndercombe A, Harper I, Duggan J. The effect of cricoid pressure on intubation facilitated by the gum elastic bougie. Anaesthesia. 2007;62:456–9.

    Article  PubMed  CAS  Google Scholar 

  101. Hartsilver EL, Vanner RG. Airway obstruction with cricoid pressure. Anaesthesia. 2000;55:208–11.

    Article  PubMed  CAS  Google Scholar 

  102. Hocking G, Roberts FL, Thew ME. Airway obstruction with cricoid pressure and lateral tilt. Anaesthesia. 2001;56:825–8.

    Article  PubMed  CAS  Google Scholar 

  103. McKinney JS, Deng Y, Kasner SE, et al. Comprehensive stroke centers overcome the weekend vs. weekday gap in stroke treatment and mortality. Stroke. 2011;42:2403–9.

    Article  PubMed  Google Scholar 

  104. Florida Bureau of EMS Stroke Alert Checklist (Sample Document). http://www.doh.state.fl.us/demo/ems/Forms/Forms.html#formsother. Last accessed 13 June 2012.

  105. Kothari RU, Pancioli A, Liu T, et al. Cincinnati prehospital stroke scale: reproducibility and validity. Ann Emerg Med. 1999;33:373–8.

    Article  PubMed  CAS  Google Scholar 

  106. Kidwell CS, Saver JL, Schubert GB, Eckstein M, Starkman S. Design and retrospective analysis of the Los Angeles Prehospital Stroke Screen (LAPSS). Prehosp Emerg Care. 1998;2:267–73.

    Article  PubMed  CAS  Google Scholar 

  107. Kidwell CS, Starkman S, Eckstein M, Weems K, Saver JL. Identifying stroke in the field: prospective validation of the Los Angeles Prehospital Stroke Screen (LAPSS). Stroke. 2000;31:71–6.

    Article  PubMed  CAS  Google Scholar 

  108. Advanced Stroke Life Support MEND Examination. http://www.asls.net/mend.html. Last accessed 13 June 2012.

  109. Nazeil B, Starkman S, Liebeskind D, et al. A brief prehospital stroke severity scale identifies ischemic stroke patients harboring persisting large arterial occlusions. Stroke. 2008;39:2264–7.

    Article  Google Scholar 

  110. Adams Jr HP, Zoppo G, Alberts MJ, 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. Stroke. 2007;38:1655–711.

    Article  PubMed  Google Scholar 

  111. Jauch EC, Cucchiara B, Adeoye O, et al. Adult stroke: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122 Suppl 3:S818–28.

    Article  PubMed  Google Scholar 

  112. Mosley I, Nicol M, Donnan G, et al. The impact of ambulance practice on acute stroke care. Stroke. 2007;38:2765–70.

    Article  PubMed  Google Scholar 

  113. Croco TJ, Grotta JC, Jauch EC, et al. EMS management of acute stroke—prehospital triage (resource document to NAEMSP position statement). Prehosp Emerg Care. 2007;11:313–7.

    Article  Google Scholar 

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  1. Department of Emergency Medicine, University of Florida College of Medicine, 1329 SW 16th Street, 100186, Gainesville, FL, 32608, USA

    Christine Van Dillen MD, David Meurer MD & Joseph A. Tyndall MD, MPH

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  1. Pulmonary and Critical Care Medicine, Geisinger Health System, Danville, Pennsylvania, USA

    A Joseph Layon

  2. Departments of Anesthesiology & Surgery, University of Florida College of Medicine, Gainesville, Florida, USA

    Andrea Gabrielli

  3. Department of Neurosurgery, University of Florida, Gainesville, Florida, USA

    William A. Friedman

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Van Dillen, C., Meurer, D., Tyndall, J.A. (2013). Prehospital Care of the Neurologically Injured Patient. In: Layon, A., Gabrielli, A., Friedman, W. (eds) Textbook of Neurointensive Care. Springer, London. https://doi.org/10.1007/978-1-4471-5226-2_9

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