Giuseppe Micieli, Pietro Cortelli, Massimo Del Sette, Rocco Quatrale, Anna Cavallini, Maria Luisa Zedde, Carla Zanferrari, Arturo de Falco, Maria Guarino, Giovanni Cossu, Shalom Haggiag, Francesca Romana Pezzella, Alessandro Porreca, Francesca Pistoia, Vincenzo Andreone, Bruno Giometto, Claudio Gasperini, Elisa Giorli, Andrea Salmaggi, Simona Lattanzi, Carmelo Roberto Labate, Giuseppe Rinaldi, Maurizio Melis, Emanuele Caggia, Gino Volpi, Paolo Passadore, Francesco Corea, Giovanni Maria Franco
I n the context of an adequate health care organization, the figure of the neurologist as an emergency operator (in the emergency room-ER-and/or in a dedicated outpatient clinic) is crucial for an effective functional connection with the territory (and therefore with general practitioners), a reduction in inappropriate ER accesses, specific diagnostic and therapeutic approaches to neurological emergencies in the ER and a reduction in nonspecific or even unnecessary instrumental investigations. In this position paper of the Italian Association of Emergency Neurology (ANEU: Associazione Neurologia dell'Emergenza Urgenza), these issues are addressed, and two important organizational solutions are proposed: 1) The Neuro Fast Track, as an outpatient organization approach strongly linked to general practitioners and non-neurological specialists and dedicated to cases with deferrable urgency (to be assessed within 72 h) 2) The identification of an emergency neurologist, who is engaged in ER assessments as a consultant and involved in the management of the semi-intensive care unit of the emergency neurology and the stroke unit according to an appropriate rotation, as well as in consultations for patients with neurological emergencies in inpatient wards The possibility of computerizing the screening of patients with deferrable urgency in the Neuro Fast Track is described...
June 29, 2023: Neurological Sciences