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ESOC 2022 | Should NIHSS replace prehospital stroke scales?

Helge Fagerheim Bugge, MD, PhD Candidate and Mona Guterud, MSc, Paramedic, PhD Candidate, Oslo University Hospital, Oslo, Norway & Norwegian Air Ambulance Foundation, share their thoughts on the need to implement the NIH stroke scale (NIHSS) in prehospital settings. Many stroke scales have been derived for pre-hospital identification of large vessel occlusion that can be performed quickly using readily available information. These include RACE, G-FAST, and CG-FAST. However, the performance of these scores does not match the NIHSS, which is universally used in in-hospital settings. Dr Fagerheim Bugge discusses why the NIHSS should be used in prehospital settings to get the most accurate diagnosis, prevent the need for translation of prehospital scale to NIHSS on hospital arrival, and to maximize the identification of smaller strokes. This interview took place at the ESOC 2022 congress in Lyon, France.