Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 15 - Emergency Response Network
Chapter 193 - Stroke Protocols
Section I-19301 - LERN Destination Protocol: Stroke
Current through Register Vol. 50, No. 9, September 20, 2024
A. On November 21, 2013, the Louisiana Emergency Response Network Board [R.S. 40:2842(1) and (3)] adopted and promulgated "LERN Destination Protocol: STROKE," as follows.
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Compromise Of: * Airway * Breathing * Circulation |
[RIGHTWARDS ARROW] |
Closest ED |
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NO [DOWNWARDS ARROW] |
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* All other patients with suspected stroke Patients with seizure with focal deficit, extended window (4-8 hrs from onset), and patients with unknown onset may benefit from evaluation at Level I or II hospital with on-site stroke expertise. |
[RIGHTWARDS ARROW] |
Transport to LERN Stroke Level I, II, or III |
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NO [DOWNWARDS ARROW] |
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Terminally Ill or Palliative Care Patient |
[RIGHTWARDS ARROW] |
Transport to LERN Stroke Level I, II, III, or IV |
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Guiding principles: * Time is the critical variable in acute stroke care. * Protocols that include pre -hospital notification while en route by EMS should be used for patients with suspected acute stroke to facilitate primary destination efficiency. * Treatment with intravenous tPA is the only FDA approved acute therapy for stroke. * EMS should identify the geographically closest facility capable of providing tPA treatment. * Transfer patient to the nearest hospital equipped to provide tPA treatment. * Secondary transfer to facilities equipped to provide tertiary care and interventional treatments should not prevent administration of tPA to appropriate patients. |
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B. This protocol was published at LR 40:189-190 (January 20, 2014).
AUTHORITY NOTE: Promulgated in accordance with R.S. 9:2798.5 and R.S. 40:2846(A).
