학술논문

Prehospital stroke care in Singapore.
Document Type
Academic Journal
Author
Lam TJR; Yong Loo Lin School of Medicine, National University of Singapore, Singapore.; Liu Z; Department of Emergency Medicine, Singapore General Hospital, Singapore.; Tan BY; Division of Neurology, Department of Medicine, National University Hospital, Singapore.; Ng YY; Department of Preventive and Population Medicine, Tan Tock Seng Hospital, Singapore.; Ministry of Home Affairs, Singapore Civil Defence Force, Singapore.; Tan CK; Emergency Medical Services Department, Singapore Civil Defence Force, Singapore.; Wong XY; Emergency Medical Services Department, Singapore Civil Defence Force, Singapore.; Venketasubramanian N; Raffles Neuroscience Centre, Raffles Hospital, Singapore.; Yeo LLL; Division of Neurology, Department of Medicine, National University Hospital, Singapore.; Ho AFW; Department of Emergency Medicine, Singapore General Hospital, Singapore.; Pre-Hospital and Emergency Research Centre, Duke-National University of Singapore Medical School, Singapore.; Ong MEH; Department of Emergency Medicine, Singapore General Hospital, Singapore.; Pre-Hospital and Emergency Research Centre, Duke-National University of Singapore Medical School, Singapore.
Source
Publisher: Wolters Kluwer - Medknow Country of Publication: India NLM ID: 0404516 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2737-5935 (Electronic) Linking ISSN: 00375675 NLM ISO Abbreviation: Singapore Med J Subsets: MEDLINE
Subject
Language
English
Abstract
Abstract: Due to the narrow window of opportunity for stroke therapeutics to be employed, effectiveness of stroke care systems is predicated on the efficiency of prehospital stroke systems. A robust prehospital stroke system of care that provides a rapid and well-coordinated response maximises favourable poststroke outcomes, but achieving this presents a unique set of challenges dependent on demographic and geographical circumstances. Set in the context of a highly urbanised first-world nation with a rising burden of stroke, Singapore's prehospital stroke system has evolved to reflect the environment in which it operates. This review aims to characterise the current state of prehospital stroke care in Singapore, covering prehospital aspects of the stroke survival chain from symptom onset till arrival at the emergency department. We identify areas for improvement and innovation, as well as provide insights into the possible future of prehospital stroke care in Singapore.
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