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The study design was changed to a prospective cohort study due to difficulties in using a randomized approach in an emergency setting
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This study will compare the diagnostic accuracy of Card 28 stroke protocol to Card 28 and Cincinnati Stroke Scale, when used by emergency medical dispatchers to interrogate a 911 call suggestive of stroke.
The authors hypothesize that a combination of Card 28 plus the Cincinnati Stroke Scale (CSS) will improve the diagnostic accuracy of emergency medical dispatchers for stroke.
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Inclusion Criteria:
Exclusion Criteria:
All calls that require immediate response (ECHO level determinant for life threatening conditions) and emergency medical dispatchers cannot complete Card 28
Calls answered by emergency medical dispatchers who have not completed training on the use of Cincinnati Stroke Scale.
Calls originating from the cities of Palo Alto, Mountain View, Sunnyvale, Santa Clara, and San Jose that are not interrogated by the County Communication Center for Santa Clara County.
911 calls with no available outcomes in the final discharge database.
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The target study population consists of all 911 callers with symptoms suggestive of stroke in the participating county. Specifically, the accessible population for this study is the group of patients whose 911 calls are answered and interrogated by the emergency medical dispatchers at the County Communication Center, Santa Clara.
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| Name | Affiliation | Role |
|---|---|---|
| Prasanthi Govindarajan, MBBS, MAS | University of California, San Francisco | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alameda County | Alameda | California | United States |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |