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Aaron Farney

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date: 21 October 2021

Acute ischemic strokes have significant morbidity and mortality, particularly when they involve a large vessel occlusion. This case reviews the prehospital presentation of a patient with a large vessel occlusion stroke, the critical role prehospital personnel have in recognizing a stroke, determining the most appropriate facility, and identifying the most appropriate transport modality. Approaches to managing the unconscious patient’s airway are discussed, with particular attention to the effects intubation may have on intracranial pressure. As large vessel occlusion ischemic strokes have a therapeutic option not previously available, the role of prehospital identification and destination determination is even more critical ,and this case reviews those considerations.

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