Medical Direction

Acute Stroke Guidelines

New law requires EMS agencies to submit stroke protocols to the Division of EMS by March 20, 2022

Ohio Senate Bill 21 requires the medical director or cooperating physician advisory board of each EMS organization to consult with one or more local hospitals to establish written protocols for the assessment, treatment, and transport of stroke patients to hospitals.

Each protocol must be submitted to the EMFTS Board, the Department of Health, and the regional director or regional advisory board appointed under ORC 4765.05 by March 20, 2022.

Submitting Protocols to the Division of EMS:

  • Must be in PDF format
  • Must include agency name, agency number, agency medical director’s name, and only the agency stroke protocols
  • Email to EMSStrokeProtocol@dps.ohio.gov.

 

EMS agencies are required to submit stroke protocols to the Division of EMS by March 20, 2022, and then annually thereafter. This spreadsheet contains a regularly updated listing of links to protocols submitted to the Division for public download.

Governor Mike DeWine signed Senate Bill 21 into law on June 22, 2021, amending Ohio Revised Code 4765.401. The legislation focused on emergency medical services and required the EMFTS Board to develop guidelines for the assessment, triage, and transport of stroke patients to hospitals by EMS personnel. During the development of these guidelines, the EMFTS Board was directed to consult with a diverse group of hospital leaders around Ohio, including those that represent large health systems, hospitals not affiliated with a large health system, and hospitals located in rural communities as well as comprehensive stroke centers, primary stroke centers, and acute stroke ready hospitals recognized as such by the Ohio Department of Health.

Senate Bill 21 requires the medical director or cooperating physician advisory board of each EMS organization to consult with one or more local hospitals to establish written protocols for the assessment, treatment, and transport of stroke patients to hospitals. In order to comply with this law, a copy of each protocol must also be submitted to the EMFTS Board, the Department of Health, and the regional director or regional advisory board appointed under ORC 4765.05 by March 20, 2022.

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