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Evidence-based Algorithms and Scales for Acute Stroke Diagnosis have been introduced by the ESO EAST Project volunteers at the Emergency Medicine Center in Bishkek

The ESO (European Organization for Stroke) has offices in Eastern Europe and Central Asia (EAST). The ESO Kyrgyzstan is a volunteer initiative that has existed since 2015 and aims to introduce the proven methods for stroke diagnosis and treatment into practice.

The document "Framework and road action map for creation of health care systems for heart attack and stroke in Kyrgyzstan" was developed over and two years with participation of the Working Group of leading experts in cardiology and neurology, and under the guidance of the WHO Regional Office and ESO expert Dr. Francesca Romana Pezzelli; the document was published in 2018.

The roadmap provides milestones for development of prehospital, hospital and post- hospital care for acute stroke and acute coronary syndrome. According to the Development Plan for the next 1-3 years, patients with a suspected stroke should be immediately evaluated at the first contact at the prehospital stage, using the approved screening tool, for example, the international FAST test. In Kyrgyzstan, the Kyrgyz- language version of the “FAST” algorithm was developed by the ESO EAST volunteers in Kyrgyzstan, current students and residents of the KSMA named after Akhunbaeva, under the leadership of Lutsenko Inna, neurologist, distance learning specialist at the KSMA, ESO EAST Project Focal Point in Kyrgyzstan.

Since November 2019, as the first stage of the “Roadmap for stroke and Acute Coronary Syndrome” implementation, the project was launched for training doctors and paramedics of the Center for Emergency Medicine (EMC) on the methods of early recognition of stroke, as well as an evidence-based scale for the severity of acute stroke/NIHSS. The trainings were carried out by the Focal Point Lutsenko Inna, volunteer doctor Shapovalova Anna and were monitored by the Clinical Work Deputy Director Oksana Suglobova. 29 doctors and 55 paramedics participated in 11 trainings. The main focus of implementation in the EMC is FAST analogues, fast prehospital diagnosis of stroke and transient attack, correct objective assessment of the patient's condition (NIHSS scale), correct prescription for arterial hypertension, emergency transportation and hospitalization in the emergency neurological department.