S2:E33 - "Evolving your Stroke System of Care - An interview with Edward Jauch, MD, MS, FAHA FACEP and Dr. Steve McGraw, D.O." Recorded May 3, 2021

EMS on AIR Podcast

In this episode, we welcome Dr. Edward Jauch, the Chief of System Research, at the Mission Research Institute/Mission Health System. Dr. Jauch served as the Chair of Stroke Council for the American Heart Association/American Stroke Association and was the primary author for the 2013 Acute Ischemic Stroke guidelines. He is a co-author of the flagship American Heart Association / American Stroke Association (AHA/ASA) guidelines for telemedicine use in stroke, primary prevention of stroke, prehospital care of stroke, and stroke systems of care, as well as over 20 other AHA guidelines and scientific statements. Collectively Dr. Jauch’s efforts have focused on improving access to care, increasing the quality of acute stroke care, and educating both the public and healthcare professionals on developing integrated stroke systems for care for all patients.
Most recently, Ed was the primary author of the 2021 Recommendations for Regional Stroke Destination Plans in Rural, Suburban, and Urban Communities from the Prehospital Stroke System of Care Consensus Conference, which is the focus of today’s episode. This consensus paper provides local and regional EMS agencies and stroke advisory committees with guiding principles and recommendations for how to integrate the elements of a stroke system of care in three key regional settings: urban, suburban and rural settings. It also takes into account the differences in resources, hospital certifications, geography, and population density. Additionally, it seeks to inform or update EMS about new models and systems of acute ischemic stroke care, especially mechanical thrombectomy for large vessel occlusion stroke, and how they affect their stroke systems of care.
In an effort to maximize the power of the recommendations, the AHA/ASA produced a very cool and very useful website full of resources and information directly related to helping EMS develop and or fortify their stroke systems of care. I highly recommend you visit www.Stroke.org/stroketransportplans and use it to consider evolving the stroke system of care in your community.
During this episode, Dr. Jauch helps us appreciate what is at stake for stroke patients. Then, we discuss how EMS can best serve their stroke system and strengthen the stroke chain of survival. From there, we get into the details of the intent and key recommendations from the consensus paper. Finally, Dr. Jauch gives his recommendations regarding how EMS systems should use the contents of this paper to improve their Stroke Systems of Care.
Please keep emailing your questions, comments, feedback and episode ideas to the EMS on AIR Podcast team by email at [e-mail]. Visit EMSonAIR.com for the latest information, podcast episodes and other details. Follow us on Instagram @EMSOnAIR.
Recommended resources referenced in the episode:
www.Stroke.org/stroketransportplans
Contact the episode participants:
Geoff Lassers, Paramedic I/C, AAS
Host, EMS on AIR Podcast
[e-mail]
Steve McGraw, D.O.
Co-host and Co-Medical Director, EMS on AIR Podcast
EMS Medical Director, Oakland County Medical Control Authority
[e-mail]
Edward C. Jauch, MD, MS, FAHA FACEP
Chief of System Research
Mission Research Institute / Mission Health System
[e-mail]

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