Section 1: Dispatch and EMS Screening
Eligible patients are those who present with potentially disabling, acute neurological symptoms suggestive of an acute stroke within 6.0 hours of symptom onset. EVT may be considered for select patients for whom treatment can be initiated within an extended 6 to 24-hour window from stroke symptom onset who meet clinical and imaging criteria.
The Ontario Paramedic Prompt Card for Acute Stroke Protocol has been approved by the Ontario Base Hospital Medical Advisory Committee to extend the time of onset for stroke symptoms to arrival at a Stroke Centre from 4.5 hours to 6 hours.
Protocols / Tools
Presentations / Videos
LAMS Training for EMS Providers (Updated March 2023)
Generic Version of LAMS Self-Training Education Module
This document is a generic version of the slide deck (videos removed due to size) used in the LAMS self-training. Providers can insert them into their local training materials and augment as needed.
Websites
Canadian Stroke Best Practices - Stroke Recognition and Response Recommendations
Canadian Stroke Best Practices - EMS Management of Acute Stroke Patients