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BACKGROUND Early identification and transfer of patients with acute stroke to a primary or comprehensive stroke center results in favorable outcomes. OBJECTIVE To describe implementation and results of an emergency medical service (EMS)-driven stroke protocol in Lucas County, Ohio. METHOD All county EMS personnel (N=464) underwent training in the Rapid(More)
BACKGROUND Over half of patients who receive intravenous tissue plasminogen activator for middle cerebral artery division (MCA-M2) occlusion do not recanalize, leaving a large percentage of patients who may need mechanical thrombectomy (MT). However, the outcomes of MT for M2 occlusion have not been well characterized. OBJECTIVE To determine if MT of M2(More)
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