We herein report on the current and future approaches regarding the MC system for strokes in Gifu Prefecture. In regions within the prefecture, where MC systems in the Neurosurgical Department are indeterminate and CPSS is the only assessment available, it is not easy to transport patients to more distant hospitals that can handle these patients, and in this situation requiring more accurate screening with sufficient medical facilities, we are considering the introduction of LAPSS to patient transportation protocols which will be shared within the prefecture. To clarify “endogenous load & go” and “patients requiring stroke special treatment,” we are following the Tokyo Metropolitan Stroke Patient Emergency Transportation System and considering naming the latter patients as “stroke patients in the acute stage,” then reflecting it in the verification system and regarding them as key words, and sharing this information.
