Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 15 - Emergency Response Network
Chapter 193 - Stroke Protocols
Section I-19303 - LERN Destination Protocol: Stroke
Current through Register Vol. 50, No. 9, September 20, 2024
A. On April 21, 2017, the Louisiana Emergency Response Network Board [R.S. 40:2842(1) and (3)] adopted and promulgated "LERN Designation Protocol: Stroke", amending and replacing the previous "LERN Designation Protocol: Stroke" adopted on November 21, 2013 and set out in Section 19301, as follows.
LERN Destination Protocol: Stroke LERN Call Center: (866) 320-8293
The following protocol applies to patients with suspected stroke:
* The LSN < 6hrs should include patients without a definite time of LSN, but who could reasonably be assumed to be within 6 hrs of onset, including patients who wake-up with stroke symptoms.
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Guiding Principles: |
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* Time is the critical variable in acute stroke care |
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* Protocols that include pre-hospital notification while en route by EMS should be used for patients with suspected acute stroke to facilitate initial destination efficiency. |
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* Treatment with intravenous tPA is the only FDA approved medication therapy for hyperacute stroke. |
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* EMS should identify the geographically closest hospital capable of providing tPA treatment. |
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* Transfer patient to the nearest hospital equipped to provide tPA treatment. |
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* Secondary transfer to facilities equipped to provide tertiary care and interventional treatm ents should not prevent administration of tPA to appropriate patients. |
AUTHORITY NOTE: Promulgated in accordance with R.S. 9:2798.5 and R.S. 40:2846(A).
