Abstract TP227: Emergency Medical Systems Education May Improve Compliance With Pre-Hospital Stroke Triage Protocols

Background: Following the results of randomized clinical trials supporting the use of mechanical thrombectomy (MT) with tPA for large vessel occlusion (LVO) stroke, our state Stroke Task Force convened to 1) update legislation to recognize differences between Primary Stroke Centers (PSCs) and Comprehensive Stroke Centers (CSCs) and (2) update EMS protocols to triage direct transport of suspected LVO patients to CSCs. Objectives: Develop an assessment and single-session training curriculum to assess EMS knowledge before and knowledge gained after training on Los Angeles Motor Scale (LAMS) score, its use to correctly triage patients as CSC-appropriate, and our state-wide EMS protocol for stroke. We also aim to share our specific approach and its efficacy with others so our work can be disseminated and implemented elsewhere. Methods: We assembled a focus group to develop assessment questions that would mimic real-life conditions EMS personnel operate under. Ten identical pre-post training questions were form...