Rapid Response with Mike and Josh: Optimizing EMS Stroke Recognition and Transportation Decisions

In this episode of EMS World’s Rapid Response with Mike and Josh, neurointerventional surgeon Dr. Brijesh Mehta explains how EMS decisions shape stroke care before a patient reaches the hospital. He discusses recognizing a possible large vessel occlusion, using stroke severity scales, and choosing a destination based on local stroke center capabilities. Mehta also explains mechanical thrombectomy, why a detailed prehospital alert helps hospital teams prepare, and how primary, thrombectomy-capable, and comprehensive stroke centers differ. The conversation closes with an effort to expand and standardize stroke education for EMS providers.