| Date | Link topreviousversion | Description of change |
|---|
| 11/11/13 | pdf | Added quote from MO Statutes on transporting TCD stroke. |
| 12/20/13 | | Added comment that TCD only applies when onset of symptoms less than 4 hours ago. |
| 01/29/14 | | Coordinated protocol with CMH policies. |
| 12/12/14 | pdf | Removed Blood Draw. Removed pending list of stroke centers. |
| 03/30/15 | | Added stroke destination determination flowchart. |
| 03/31/15 | | Added NIH Stroke Scale. |
| 04/14/15 | | Moved Cincinatti and NIH stroke scales to EMR secion. |
| 02/03/16 | pdf | Added EMD section for MPDS medical direction. |
| 07/23/16 | pdf | Moved obtaining family contact, transport info, and weighing pt to EMT section. |
| 08/02/16 | | Corrected typo in the title from Cardiovascular Accident to Cerebrovascular Accident. |
| 07/01/17 | pdf | Fixed typo from cardiovascular accident to cerebrovascular accident. |
| 08/24/17 | | Added comment to walk the patient to the cot. Added comment to contact receiving facility if flying. Added comment to get accurate weight. |
| 09/22/17 | | Lowerd glucose treatment threshold from 70 to 60. Added comment the target scene time is 10 minutes. Added comment to avoid multiple IV attempts. Added comment to not treat hypertension. |
| 11/19/17 | pdf | Added comment to obtain temperature, if able and 18ga in L AC is preferred IV access. |
| 03/05/18 | pdf | Per Mercy Stroke Center, added comments to repeat neuro assessment every 15 minhave two IVs. |
| 07/31/19 | pdf | Clarified CMH ActivationAlert levels of 4.524 hours. Increased EMD therapeutic window to 24 hours. |
| 11/27/19 | pdf | Added tPA drip transfer instructions based on MercyCox requests. |
| 04/16/20 | | Added content (without substantive modification) from old Section 4-051 - CMH EMS Stroke Assessment Tool. |
| 04/16/20 | | Added content (without substantive modification) from old Section 4-052 - NIH Stroke Scale Images. |
| 04/16/20 | | Added content (without substantive modification) from old Section 4-053 - Stroke Destination Matrix. |
| 04/16/20 | pdf | Added content (without substantive modification) from old Protocol 4-050 - Cerebrovascular Accident (CVA)Stroke. |
| 02/18/21 | pdf | Changed 2-880-01 to 2-880-24. |
| 02/18/21 | | Changed 2-880-02 to 2-880-72. |
| 02/18/21 | | Added statement and link to 2-880-48 EMS information form |
| 06/06/21 | pdf | Moved to emsprotocols.online |
| 02/28/22 | | Updated link to tPA. |
| 03/16/23 | pdf | Clarified RN and medic roles. Added CP. |
| 03/17/23 | | Updated links to NS. |
| 03/19/23 | | Changed links for LR. |
| 05/26/23 | pdf | Added link to 4-291. |
