The RACECAT trial aims to evaluate the hypothesis that direct transfer to an Endovascular Stroke Center, compared to transfer to the closest Local Stroke Center, offers a better outcome in the distribution of the modified Rankin Scale scores at 90 days in acute ischemic stroke patients with clinically suspected Large Vessel Occlusion identified by Emergency… Read More


Pre-hospital triage of patients with suspiction of cerebral large vessel occlusion is the first step to implement rapid and direct transfer protocols to comprehensive stroke centeres where the patients can recieve endovascular therapy.   Several international recomendations have been published about triage and transfer algorithms of patients with a suspiction of large vessel occlusion: European… Read More


Internacional experiences related with the implementation of the RACE scale UPMC – RACE score QI project ( video / pdf ) South Carolina – Stroke RACE ( pdf ) Florida – RACE ( video1 / video2 ) Toledo, Ohio – Article: “Stroke care: initial data from a county-based bypass protocol for patients with acute stroke”   Related articles using the RACE scale Zhao et al… Read More


The RACE scale was implemented in September 2014 in the Stroke Code protocol in Catalonia after an online trainning program for EMS technicians, phisicans and nurses. Since then, the RACE scale has been evaluated progressively in a higher number of patients, achieving at present 90% of the patients with activation of the Stroke Code by EMS. The… Read More


The RACE scale was validated prospectively in the field by trained medical emergency technicians in 357 consecutive patients transferred by EMS. Neurologist at the receptor Stroke Center evaluated stroke severity (NIHSS scale) and Large Vessel Occlusion (intracranial carotid, proximal middle cerebral artery, tandem occlusion or basilar occlusion).   The RACE scale showed a strong correlation… Read More