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Thirteen (57%) of the patients were interfacility transfers as opposed to direct HEMS transport from the field. HEMS transport for AIS patients plays a crucial role in delivering the best evidence-based care. However, a significant percent of patients did not meet criteria for its optimal utilization, most commonly due to expired treatment windows. Furthermore, low flight value transfers were initiated in spite of physician evaluation 50% of the time. These results represent a unique opportunity to coordinate education and build effe
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