PT  - JOURNAL ARTICLE
AU  - Alexander G Chartrain
AU  - Christopher Paul Kellner
AU  - J Mocco
TI  - Pre-hospital detection of acute ischemic stroke secondary to emergent large vessel occlusion: lessons learned from electrocardiogram and acute myocardial infarction
AID  - 10.1136/neurintsurg-2017-013428
DP  - 2018 Jun 01
TA  - Journal of NeuroInterventional Surgery
PG  - 549--553
VI  - 10
IP  - 6
4099  - http://jnis.bmj.com/content/10/6/549.short
4100  - http://jnis.bmj.com/content/10/6/549.full
SO  - J NeuroIntervent Surg2018 Jun 01; 10
AB  - Currently, there is no device capable of detecting acute ischemic stroke (AIS) secondary to emergent large vessel occlusion (ELVO) in the pre-hospital setting. The inability to reliably identify patients that would benefit from primary treatment with endovascular thrombectomy remains an important limitation to optimizing emergency medical services (EMS) triage models and time-to-treatment. Several clinical grading scales that rely solely on clinical examination have been proposed and have demonstrated only moderate predictive ability for ELVO. Consequently, a technology capable of detecting ELVO in the pre-hospital setting would be of great benefit. An analogous scenario existed decades ago, in which pre-hospital detection of acute myocardial infarction (AMI) was unreliable until the emergence of the 12-lead ECG and its adoption by EMS providers. This review details the implementation of pre-hospital ECG (PHECG) for the detection of AMI and explores how early experience with PHECG may be applied to ELVO detection devices, once they become available.