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Howard G. Smith MD, AM on Instagram: "Blood Test Pinpoints Stoke Type In Ambulance A handheld device carried in ambulances can rapidly determine whether a stroke is caused by a blocked brain blood vessel or by one that is bleeding. German neurologists have just reported this advance at this year’s International Stroke Conference. The device determines blood levels of glial fibrillary acidic protein or GFAP for short. Using it to test 353 suspected stroke victims, the researchers found that those with high GFAP levels were most likely to have hemorrhagic or bleeding strokes while those with low GFAP levels below 30 pg/ml had ischemic strokes due to clotted or blocked blood vessels. Knowing this information earlier permits a prompt initiation of appropriate therapy: clot dissolvers or clot removal for ischemic strokes or stringent blood pressure control for hemorrhagic strokes. This could drastically change pre-hospital care for strokes…….someday soon. https://newsroom.heart.org/news/blood-test-may-detect-stroke-type-before-hospital-arrival-allowing-faster-treatment #stroke #gfap #hemorrhagic #ischemic #ambulance #prehospital"

0 likes, 0 comments - drhowardsmithreports on February 21, 2025: "Blood Test Pinpoints Stoke Type In Ambulance A handheld device carried in ambulances can rapidly determine whether a stroke is caused by a blocked brain blood vessel or by one that is bleeding. German neurologists have just reported this advance at this year’s International Stroke Conference. The device determines blood levels of glial fibrillary acidic protein or GFAP for short. Using it to test 353 suspected stroke victims, the researchers found that those with high GFAP levels were most likely to have hemorrhagic or bleeding strokes while those with low GFAP levels below 30 pg/ml had ischemic strokes due to clotted or blocked blood vessels. Knowing this information earlier permits a prompt initiation of appropriate therapy: clot dissolvers or clot removal for ischemic strokes or stringent blood pressure control for hemorrhagic strokes. This could drastically change pre-hospital care for strokes…….someday soon. https://newsroom.heart.org/news/blood-test-may-detect-stroke-type-before-hospital-arrival-allowing-faster-treatment #stroke #gfap #hemorrhagic #ischemic #ambulance #prehospital".

Matrix - Open Source Messaging - Pre-Hospital Care Apps

Paramedics and net zero: There is much more we can do to decarbonise our fleet

Paramedics can reduce the emissions of their fleet by adapting their clinical practice, writes Alexander Diffley Although the role of a paramedic is increasingly diverse, most of this profession will have had some experience of being on the road in a dual crewed ambulance. As this is a common work setting, this seems like a good place to start when thinking about how paramedics can support a net zero healthcare service. It would be foolish not to discuss the carbon emissions from ambulances. These are large, diesel guzzling vehicles attributing to 87 kilotonnes of carbon dioxide equivalent each year in the United Kingdom. That’s the equivalent of 730 000 journeys from Cornwall to Glasgow1 and they are often not driven with fuel economy in mind. Various NHS ambulance trusts have done scoping work regarding electric or hydrogen powered ambulances, with several trusts trialling some vehicles.2 In 2021 at the 26th United Nation’s climate change conference (COP26), one of the world’s first zero emission ambulances was showcased.1 The decision about what fleet ambulance crews …