Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale

Acute stroke is a time-dependent medical emergency. In acute ischemic stroke, the first objective is to restore brain flow using sistemic thrombolytic treatment and, in patients with large vessel occlusion, by endovascular treatment. In hemorrhagic stroke there are also specific treatments that can improve the clinical outcome. The sooner the initiation of all these therapies the higher the clinical benefit. Thus, the organization of Stroke Code systems coordinated between emergency medical systems and hospitals is crucial to achieve early medical attention and treament. Neurological scales facilitate stroke recognition at both hospital and pre-hospital levels and provide valuable information of stroke severity. The RACE scale is a prehospital scale validated as a tool to identify patients with suspected large vessel occlusion who are potential candidates for endovascular treatment. This course aims to update general knowledge in acute stroke and currently available treatments, to review the protocol of the Stroke Code and, finally, to train in the use of the RACE scale. The target profile of this course is aimed to all health professionals working in the field of emergencies.

• Introduction
• Stroke and treatment options
• THE STROKE CODE
• THE RACE SCALE
• The RACE scale is a prehospital simple and rapid neurological scale to detect acute stroke patients with a high probability of having a large vessel occlusion, candidates to be treated with endovascular techniques in a comprehensive stroke center