For a patient scoring 3 points or less on the GFAST scale, where should they be transported?

When a patient scores 3 points or less on the GFAST scale, it indicates a level of concern for a potential stroke. The appropriate course of action is to transport the patient to the closest stroke center, whether it is a comprehensive or primary stroke center. This decision is grounded in the urgency of delivering care promptly in the event of a stroke diagnosis.

The rationale for choosing the closest stroke center is based on the principle of minimizing time to treatment. Access to specialized care is critical for the management of stroke patients, as immediate interventions can significantly improve outcomes. By transporting the patient to the nearest designated stroke center, medical teams can initiate necessary diagnostic and therapeutic procedures without unnecessary delays.

In comparison, transporting only to a comprehensive stroke center may not be feasible if a primary stroke center is nearer, resulting in longer wait times before the patient receives potentially life-saving intervention. Choosing a hospital based on patient preference or the shortest wait time may not always align with the urgency required in a stroke case and could compromise timely care. Therefore, the closest stroke center serves as the best option to ensure rapid access to the necessary medical resources and expertise.