MAPSTSTROKE Clinical Trial
MAP-STROKE Study Overview
In cases of acute ischemic stroke, every minute counts. That’s why the MAP-STROKE Study is creating an algorithm designed to help determine the most appropriate hospital for patients showing signs of stroke. The goal of this tool is to eventually guide paramedics in choosing the best destination based on patient characteristic to achieve better long-term recovery outcomes.
How the MAP-STROKE App Works
When EMS providers suspect a stroke, they can open the MAP-STROKE app on a mobile device and enter key patient information such as:
- Time last known well
- Neurologic findings (including RACE scale components)
- Vital signs and blood glucose
- Geographic location of the patient
The app then uses these inputs along with real-time data (travel time, hospital stroke-care capabilities, and regional stroke protocols) to generate a recommended destination. The recommendation aims to balance speed to treatment and appropriateness of care.
By supporting this decision process, MAP-STROKE helps reduce the risk of delays from unnecessary transfers and improves the chances that patients reach definitive care faster.
Links for downloading the MAP-STROKE app
App Store: MAP-STROKE on the App Store
Google Play: MAP-STROKE - Apps on Google Play
Testing and Evaluation
The current stage of the MAP-STROKE study focuses on usability and pilot testing in non-patient care settings. EMS personnel are invited to test the app using simulated patient cases designed to mimic real-world stroke presentations.
These simulated scenarios (such as those for Edward Gonzales, Marilyn Johnson, and Vivian Kim) allow paramedics to practice entering data, experience the app’s workflow, and provide feedback on clarity, accuracy, and ease of use.
Participating agencies, including MEDIC, Keokuk County EMS, and Los Angeles County EMS, complete an application usability survey after testing to guide refinements in design and function.