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VAN Assessment Tool in the Treatment of Acute Ischemic Stroke

W

Washington Regional Medical Center

Status

Completed

Conditions

Acute Ischemic Stroke

Treatments

Other: VAN Stroke Scale

Study type

Observational

Funder types

Other

Identifiers

Details and patient eligibility

About

To investigate the reliability of VAN tool as administered by Emergency Medical Services personnel to predict presence of a large vessel occlusion in setting of cerebral ischemic infarction

Full description

The investigators propose to perform a 6-month pilot study in Northwest Arkansas in collaboration of two EMS providers; Central EMS and AirEvac. These local providers operate in the WRMC catchment area and transport over 90% of patients with a suspected stroke to WRMC comprehensive stroke center. Thus no changes to their standard operations would be implemented. The aim of this pilot study would be to test the accuracy of VAN-screening in the area in patients treated at WRMC - thus only patients who are brought to WRMC as per current protocol would be included in the study.

The investigators would train Central EMS and AirEvac personnel to perform the V.A.N screen, over a 2-month period (estimated June-July 2020) in several sessions at the Central EMS training center at 800 S. School Ave. in Fayetteville. This training would be performed by study investigators, assisted by medical students, residents, and advanced practice nurses (APNs). The training would consist of a training video, hands-on instruction, and sample scenarios.The investigators would survey all training participants to gather feedback on the format, delivery, and understanding of the training material. The PowerPoint presentation planned for the training session, as well as the post-training quiz, are attached as Appendices to this application. The investigators would expect a rate of 80% correct answers in the post-training quiz. All questions and scenarios would be discussed with all trainees after the quiz, and re-takes would be allowed.

Enrollment

300 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients treated for stroke at WRMC who are transported to the hospital by Central EMS or AirEvac

Exclusion criteria

  • Stroke patients who arrive directly to the hospital (without the use of EMS services)

Trial design

300 participants in 2 patient groups

Van Positive
Description:
Large Vessel Occlusion Positive
Treatment:
Other: VAN Stroke Scale
Van Negative
Description:
Large Vessel Occlusion Negative
Treatment:
Other: VAN Stroke Scale

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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