Emergency medical services providers’ perspectives on the use of artificial intelligence in prehospital identification of stroke- a qualitative study in Norway and Sweden
Abstract Background Stroke is a large and increasing health challenge, leading to acquired physical disability and mortality. A rapid diagnostic assessment in the acute phase of a stroke is crucial and highly time dependent. Studies suggest that artificial intelligence (AI) could contribute for prog...
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| Format: | Article |
| Language: | English |
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BMC
2025-07-01
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| Series: | BMC Emergency Medicine |
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| Online Access: | https://doi.org/10.1186/s12873-025-01300-1 |
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| author | Ann-Chatrin Linqvist Leonardsen Camilla Hardeland Andreas Dehre Glenn Larsson |
| author_facet | Ann-Chatrin Linqvist Leonardsen Camilla Hardeland Andreas Dehre Glenn Larsson |
| author_sort | Ann-Chatrin Linqvist Leonardsen |
| collection | DOAJ |
| description | Abstract Background Stroke is a large and increasing health challenge, leading to acquired physical disability and mortality. A rapid diagnostic assessment in the acute phase of a stroke is crucial and highly time dependent. Studies suggest that artificial intelligence (AI) could contribute for prognostication, prediction and resource optimization in suspected stroke cases in prehospital emergency care. The objective of the current study was to explore Emergency Medical Services providers’ perspectives on using AI in the prehospital assessment of patients with a suspected stroke diagnosis. Methods A qualitative study design following stroke case simulation with an AI-based diagnostic tool was used. One focus group and ten dyadic interviews were conducted comprising 24 participants from three ambulance stations in Norway and Sweden respectively. Data were analyzed following Braun and Clarke’s steps for thematic analysis. Results Three themes were identified, namely (1) Another tool in the toolkit, (2) Trust is essential, and (3) The devil is in the details. The participants underlined that the AI-based tool was just an addition to their usual assessment, including symptoms, anamnesis, and vital parameters, as well as their own ‘clinical eye’. Moreover, trust was needed from various stakeholders for the tool to have a function in the patient pathway. Finally, size and weight, as well as the ability to differentiate between hemorrhagic and thrombotic stroke were central aspects for the tool to be feasible. Conclusion Emergency Medical Services providers mainly rely on their own clinical eye, combining symptoms, anamnesis and measurement of vital parameters when assessing suspected stroke patients. AI-based tools may be used as support in the decision-making process, however this depends on the establishment of trust in the tool across EMS providers, neurologists and other health professionals. |
| format | Article |
| id | doaj-art-14e9355b4e894010bba5084d12f568d3 |
| institution | Kabale University |
| issn | 1471-227X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Emergency Medicine |
| spelling | doaj-art-14e9355b4e894010bba5084d12f568d32025-08-20T03:45:52ZengBMCBMC Emergency Medicine1471-227X2025-07-012511910.1186/s12873-025-01300-1Emergency medical services providers’ perspectives on the use of artificial intelligence in prehospital identification of stroke- a qualitative study in Norway and SwedenAnn-Chatrin Linqvist Leonardsen0Camilla Hardeland1Andreas Dehre2Glenn Larsson3Østfold University College/Østfold Hospital TrustØstfold University CollegePICTA, Prehospital Innovation ArenaPICTA, Prehospital Innovation ArenaAbstract Background Stroke is a large and increasing health challenge, leading to acquired physical disability and mortality. A rapid diagnostic assessment in the acute phase of a stroke is crucial and highly time dependent. Studies suggest that artificial intelligence (AI) could contribute for prognostication, prediction and resource optimization in suspected stroke cases in prehospital emergency care. The objective of the current study was to explore Emergency Medical Services providers’ perspectives on using AI in the prehospital assessment of patients with a suspected stroke diagnosis. Methods A qualitative study design following stroke case simulation with an AI-based diagnostic tool was used. One focus group and ten dyadic interviews were conducted comprising 24 participants from three ambulance stations in Norway and Sweden respectively. Data were analyzed following Braun and Clarke’s steps for thematic analysis. Results Three themes were identified, namely (1) Another tool in the toolkit, (2) Trust is essential, and (3) The devil is in the details. The participants underlined that the AI-based tool was just an addition to their usual assessment, including symptoms, anamnesis, and vital parameters, as well as their own ‘clinical eye’. Moreover, trust was needed from various stakeholders for the tool to have a function in the patient pathway. Finally, size and weight, as well as the ability to differentiate between hemorrhagic and thrombotic stroke were central aspects for the tool to be feasible. Conclusion Emergency Medical Services providers mainly rely on their own clinical eye, combining symptoms, anamnesis and measurement of vital parameters when assessing suspected stroke patients. AI-based tools may be used as support in the decision-making process, however this depends on the establishment of trust in the tool across EMS providers, neurologists and other health professionals.https://doi.org/10.1186/s12873-025-01300-1AmbulanceArtificial intelligenceEmergency medical servicesEmergency medicineFeasibilityParamedic |
| spellingShingle | Ann-Chatrin Linqvist Leonardsen Camilla Hardeland Andreas Dehre Glenn Larsson Emergency medical services providers’ perspectives on the use of artificial intelligence in prehospital identification of stroke- a qualitative study in Norway and Sweden BMC Emergency Medicine Ambulance Artificial intelligence Emergency medical services Emergency medicine Feasibility Paramedic |
| title | Emergency medical services providers’ perspectives on the use of artificial intelligence in prehospital identification of stroke- a qualitative study in Norway and Sweden |
| title_full | Emergency medical services providers’ perspectives on the use of artificial intelligence in prehospital identification of stroke- a qualitative study in Norway and Sweden |
| title_fullStr | Emergency medical services providers’ perspectives on the use of artificial intelligence in prehospital identification of stroke- a qualitative study in Norway and Sweden |
| title_full_unstemmed | Emergency medical services providers’ perspectives on the use of artificial intelligence in prehospital identification of stroke- a qualitative study in Norway and Sweden |
| title_short | Emergency medical services providers’ perspectives on the use of artificial intelligence in prehospital identification of stroke- a qualitative study in Norway and Sweden |
| title_sort | emergency medical services providers perspectives on the use of artificial intelligence in prehospital identification of stroke a qualitative study in norway and sweden |
| topic | Ambulance Artificial intelligence Emergency medical services Emergency medicine Feasibility Paramedic |
| url | https://doi.org/10.1186/s12873-025-01300-1 |
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