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Papers of the Week


BMJ Neurol Open



Practical utility of the ACT-FAST triage algorithm from a primary stroke centre perspective.


Tan S, Stephens K, Gao L, Tan E, Frost T, Choi PMC
BMJ Neurol Open. 2022; 4(2):e000325.
PMID: 36110929.


Rapid reperfusion in ischaemic stroke with emergent large vessel occlusion (ELVO) reduces morbidity and mortality. Limited distribution of endovascular clot retrieval (ECR) capable comprehensive stroke centres (CSCs) necessitates development of pre-hospital models of care to provide equitable and economical access to reperfusion therapy. We examine the time metrics of the traditional secondary transfer strategy in comparison to the direct bypass strategy and the potential utility of the ACT-FAST prehospital triage algorithm on a large volume Melbourne primary stroke centre (PSC).