What is the REMAC transport directive for an acute stroke patient if onset was less than 3 hours ago?

In the case of an acute stroke patient with symptoms that began less than three hours ago, the appropriate transport directive is to take the patient to a comprehensive stroke center. Comprehensive stroke centers are specially equipped to provide advanced care for stroke patients, including access to specialized treatments and interventions that can significantly improve outcomes. The early administration of therapies, such as thrombolytic agents, is critical in the management of acute ischemic strokes, and these treatments are typically available at comprehensive stroke centers.

These facilities have the necessary staff, resources, and technology to assess and manage complex stroke cases quickly and effectively. Time is of the essence in stroke management, and ensuring that the patient receives care at an appropriate facility within the critical time window is paramount.

In contrast, a general hospital might not have the specialized resources or staff necessary to handle acute stroke cases as efficiently as a comprehensive stroke center. Trauma centers focus primarily on surgical interventions for traumatic injuries, while burn centers specialize in treating severe burn injuries, neither of which are suited for the acute management of stroke. Thus, the directive to transport an acute stroke patient to a comprehensive stroke center is aligned with best practices for achieving optimal patient outcomes.