• LamTimothy Jia RongTJRYong Loo Lin School of Medicine, National University of Singapore, Singapore., Zhenghong Liu, Benjamin Yong-Qiang Tan, Yih Ying Ng, Colin Kaihui Tan, Xiang Yi Wong, Narayanaswamy Venketasubramanian, Leonard Leong Litt Yeo, HoAndrew Fu WahAFWDepartment of Emergency Medicine, Singapore General Hospital, Singapore.Pre-Hospital and Emergency Research Centre, Duke-National University of Singapore Medical School, Singapore., and OngMarcus Eng HockMEHDepartment of Emergency Medicine, Singapore General Hospital, Singapore.Pre-Hospital and Emergency Research Centre, Duke-National University of Singapore Medical School, Singapore..
• Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
• Singapore Med J. 2024 Mar 6.

AbstractDue to the narrow window of opportunity for stroke therapeutics to be employed, effectiveness of stroke care systems is predicated on the efficiency of prehospital stroke systems. A robust prehospital stroke system of care that provides a rapid and well-coordinated response maximises favourable poststroke outcomes, but achieving this presents a unique set of challenges dependent on demographic and geographical circumstances. Set in the context of a highly urbanised first-world nation with a rising burden of stroke, Singapore's prehospital stroke system has evolved to reflect the environment in which it operates. This review aims to characterise the current state of prehospital stroke care in Singapore, covering prehospital aspects of the stroke survival chain from symptom onset till arrival at the emergency department. We identify areas for improvement and innovation, as well as provide insights into the possible future of prehospital stroke care in Singapore.Copyright © 2024 Copyright: © 2024 Singapore Medical Journal.

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