INTRODUCTION: With the publication of the recent trials showing the tremendous benefits of mechanical thrombectomy, opportunities exist to refine prehospital processes to identify @entity1 with @entity64 . MATERIALS AND METHODS: We retrospectively reviewed consecutive @entity1 who were brought via scene flight from rural parts of the region to our institution, from December 1, 2014 to June 5, 2015, with severe @entity1269 or @entity1158 . We assessed the accuracy of the diagnosis of @entity64 and the number of @entity1 requiring endovascular therapy. Moreover, we reviewed the times along the pathway of @entity1 who were treated with endovascular therapy. RESULTS: 45 @entity1 were brought via helicopter from the field to our institution. 27 (60%) @entity1 were diagnosed with an @entity385 . Of these, 12 (26.7%) were treated with mechanical thrombectomy and 6 (13.3%) with intravenous tissue plasminogen activator alone. An additional three @entity1 required embolization procedures for either a dural arteriovenous @entity292 or @entity438 . Thus a total of 15 (33%) @entity1 received an endovascular procedure and 21/45 (46.7%) received an acute treatment. For @entity1 treated with thrombectomy, the median time from first medical contact to groin puncture was 101   min, with 8 of the 12 @entity1 (66.7%) being discharged to home. CONCLUSIONS: We have presented a pilot study showing that severe @entity1269 or @entity1158 may be a reasonable prehospital tool in recognizing @entity1 requiring endovascular treatment. @entity1 being identified earlier may be treated faster and potentially improve outcomes. Further prospective controlled studies are required to assess the impact on outcomes and cost effectiveness using this methodology.

Severe XXXX as a prehospital tool to triage @entity64 severity: a pilot study to assess diagnostic accuracy and treatment times.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity1158 :: ('MESH:D006429', 'Disease') :: ['hemiplegia'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke', 'larger stroke syndromes'] @entity438 :: ('MESH:D002532', 'Disease') :: ['cerebral aneurysm'] @entity1269 :: ('MESH:D010291', 'Disease') :: ['hemiparesis'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity385 :: ('MESH:D002544', 'Disease') :: ['ischemic stroke']
@entity1269 :: (MESH:D010291,Disease) :: ['hemiparesis']
