If the RACE score is 5 or higher and BgL is 60-400, what should you do?

If the RACE score is 5 or higher and BgL is 60-400, what should you do?

• A. Tele to receiving facility
• B. Vascular Access
• C. Cardiac Monitor/12 Lead
• D. Rapid transport to NIR capable facility

Answer: (D)

When a prehospital assessment yields a RACE score of 5 or higher, it strongly suggests a large vessel occlusion stroke, where rapid access to endovascular therapy can make a major difference in outcome. If blood glucose is within 60–400 mg/dL, you don’t need to delay for glucose management, so the priority is speed to definitive care. The optimal action is rapid transport to a facility capable of neuro-interventional radiology, where imaging and potential thrombectomy can be performed without delay. Pre-arrival notification to activate the stroke/neuroradiology team is helpful to streamline care upon arrival.

When a prehospital assessment yields a RACE score of 5 or higher, it strongly suggests a large vessel occlusion stroke, where rapid access to endovascular therapy can make a major difference in outcome. If blood glucose is within 60–400 mg/dL, you don’t need to delay for glucose management, so the priority is speed to definitive care. The optimal action is rapid transport to a facility capable of neuro-interventional radiology, where imaging and potential thrombectomy can be performed without delay. Pre-arrival notification to activate the stroke/neuroradiology team is helpful to streamline care upon arrival.