Asking paramedics to do finger-to-nose tests may improve stroke care

The results of a small trial are intriguing but need to be scaled up, authors say

Adding the finger-to-nose test to standard screening may better help paramedics to recognise posterior circulation ischaemic stroke, results from a small study suggest. 


US researchers gave instruction on the finger-to-nose test to all 146 paramedics at a single emergency-medical-services agency. 

Paramedics at two other agencies without such training acted as controls.
Over the course of 21 months, 51 posterior circulation stroke patients were transported by the finger-to-nose agency and 88 by the control agencies.