,,iv #aai? ,,congress #b;d ,session ,h4 ,,res4 #abhg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #ad1 #bjbf,mr4 ,latim] 7= himself & ,mrs4 ,d+ell7 submitt$ ! foll[+ resolution2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,,resolution ,recogniz+ /roke z a national heal? crisis requir+ imm$iate1 coord9at$ ,f$]al action1 & = o!r purposes4 ,:]eas /roke is ! fif? lead+ cause ( dea? & a lead+ cause ( disability 9 ! ,unit$ ,/ates2 ,:]eas l>ge vessel occlusion 7,,lvo7 /rokes acc\nt = approximately #ae to #cj p]c5t ( all /rokes & are associat$ ) ! mo/ sev]e outcomes2 ,:]eas me*anical ?rombectomy 7,,mt7 is a highly effective1 evid5ce-bas$ proc$ure t significantly r$uces dea? & long-t]m disability 9 eligible ,,lvo /roke pati5ts1 :ile be+ co/ effective2 ,:]eas despite ! prov5 efficacy ( ,,mt1 only #c to #g p]c5t ( all eligible is*emic /roke pati5ts 9 ! ,unit$ ,/ates curr5tly receive ?is treatm5t2 ,:]eas treatm5t delays are associat$ ) gaps 9 prehospital sy/ems1 includ+ insuffici5t em]g5cy m$ical s]vices 7,,ems7 recognition ( ,,lvo /rokes1 an abs5ce ( /&>diz$ triage protocols1 & limit$ inve/m5t 9 ,,ems & public education2 ,:]eas a rec5t ,society ( ,vascul> & ,int]v5tional ,neurology survey f\nd t j #ae p]c5t ( ,,ems m$ical directors provide /roke education biannually & only #cc p]c5t ( ,,ems m$ical directors use ! ,am]ican ,/roke ,association ,,ems curriculum2 ,:]eas "t is critical 9 acute /roke c>e1 & = e m9ute ( treatm5t delay1 ne>ly #b1jjj1jjj neurons are at risk ( p]man5t damage2 ,:]eas curr5t ,,ems r\t+ practices (t5 transport pati5ts to ! ne>e/ hospital reg>dless ( ! ?rombectomy capability ( ! hospital1 result+ 9 h>mful delays f int]hospital transf]s2 ,:]eas ! guidel9es ( ! ,am]ican ,he>t ,association & ! ,am]ican ,/roke ,association recomm5d ,,ems transport ( suspect$ ,,lvo pati5ts directly to ?rombectomy-capable c5t]s )9 a #fj-m9ute transport w9d[ :5ev] possible2 ,:]eas public recognition ( /roke symptoms rema9s l[1 & only #aj ,/ates require cont9u+ /roke education = ,,ems provid]s2 ,:]eas /roke is project$ to become ! lead+ cause ( disability worldwide & rema9 a lead+ cause ( disability 9 ! ,unit$ ,/ates by #bjcj1 und]scor+ ! urg5t ne$ = proactive national lead]%ip2 & ,:]eas ! ,society ( ,vascul> & ,int]v5tional ,neurology's ,mission ,?rombectomy has designat$ ,may #ae z ,_w ,/roke ,?rombectomy ,day to support ,mission ,?rombectomy's campaign to br+ aw>5ess to ! b5efits ( /roke treatm5t int]v5tion & ! ne$ = access to su* treatm5ts3 ,n[1 !re=e1 be x ,t ! ,h\se ( ,repres5tatives-- 7#a7 recognizes /roke z a national heal? crisis requir+ imm$iate1 coord9at$ ,f$]al action2 7#b7 supports ! developm5t & implem5tation ( a /&>diz$ em]g5cy m$ical s]vices 7,,ems7 tra9+ curriculum = /roke & l>ge vessel occlusion 7,,lvo7 recognition2 7#c7 urges ,/ates & regional ,,ems sy/ems to adopt & en=ce r\t+ protocols prioritiz+ direct transport ( suspect$ ,,lvo /roke pati5ts to ?rombectomy-capable c5t]s :5 )9 recomm5d$ transport times2 7#d7 enc\rages increas$ ,f$]al & ,/ate inve/m5t 9 public /roke education campaigns to promote timely #i-a-a activation2 7#e7 calls = transp>5cy 9 /roke c5t] capabilities & outcomes to aid ,,ems r\t+ decisions2 7#f7 affirms ! ne$ = equitable access to me*anical ?rombectomy & compreh5sive /roke c>e = all ,am]icans1 reg>dless ( geographic location2 & 7#g7 supports ! goals & ideals ( a ,_w ,/roke ,?rombectomy ,day4