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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

Isabella Rossi by Isabella Rossi
July 30, 2025
in Norway
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
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Emergency medical services (EMS) providers play a crucial role in the rapid identification and treatment of strokes, where every minute counts. Now, a groundbreaking qualitative study conducted in Norway and Sweden sheds light on how these frontline responders perceive the use of artificial intelligence (AI) in enhancing prehospital stroke diagnosis. Published in BMC Emergency Medicine, the research explores EMS professionals’ insights into AI-driven tools, revealing both optimism and concerns about integrating advanced technology into emergency care. As AI increasingly promises to transform healthcare delivery, understanding the perspectives of those on the front lines offers valuable guidance for its future implementation in stroke emergencies.

Table of Contents

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  • Emergency Medical Services Providers Weigh Benefits and Challenges of AI in Early Stroke Detection
  • Integrating Artificial Intelligence into Prehospital Care Requires Training and Protocol Adjustments
  • Experts Call for Collaborative Development to Ensure Ethical and Effective AI Use in Emergency Medicine
  • To Conclude

Emergency Medical Services Providers Weigh Benefits and Challenges of AI in Early Stroke Detection

Emergency medical services (EMS) providers in Norway and Sweden are increasingly recognizing the potential of artificial intelligence (AI) to transform early stroke detection in prehospital settings. According to recent qualitative research, many frontline responders appreciate AI’s ability to enhance diagnostic precision, enabling faster and more informed decision-making during critical windows for intervention. Participants emphasized that AI-supported tools could complement conventional assessments, reduce human error, and potentially improve patient outcomes by streamlining communication with stroke centers.

Despite these promising benefits, EMS providers also voiced concerns surrounding operational challenges and ethical implications. Key issues identified include:

  • Technology reliability: Trust in AI’s accuracy remains conditional on consistent performance under diverse field conditions.
  • Training demands: Integrating AI requires additional education to ensure all personnel can effectively interpret and act on AI-generated data.
  • Data privacy: Safeguarding patient information within AI applications is a critical priority.

These reservations underscore the necessity for balanced implementation strategies that incorporate EMS feedback, ensuring AI tools serve as practical aids rather than sources of complexity or cognitive overload.

AspectPerceived BenefitPrimary Concern
Diagnostic AccuracyEnhanced early stroke recognitionFalse positives/negatives risk
Workflow IntegrationStreamlined communicationIncreased complexity of protocols
User TrainingImproved skill setsResource and time constraints

Integrating Artificial Intelligence into Prehospital Care Requires Training and Protocol Adjustments

Emergency medical services (EMS) providers emphasize that successful incorporation of artificial intelligence (AI) into prehospital stroke identification hinges on comprehensive training programs paired with thoughtful protocol revisions. Providers voiced a need for hands-on AI familiarization, ensuring confidence in interpreting AI-generated alerts and integrating them into real-time decision-making. This approach not only facilitates smoother workflows but also addresses concerns surrounding AI reliability and potential overreliance.

Adjusting existing protocols is equally critical, with EMS personnel advocating for clear guidelines that delineate AI’s role within stroke triage processes. Stakeholders propose a collaborative framework involving continuous feedback loops between frontline responders and AI developers, fostering iterative improvements. Key focus areas include:

  • Standardized training modules tailored to varying experience levels
  • Scenario-based simulations integrating AI alerts with clinical assessments
  • Protocol adaptations to accommodate AI-driven diagnostic support
  • Regular performance evaluations to monitor AI impact on patient outcomes

Experts Call for Collaborative Development to Ensure Ethical and Effective AI Use in Emergency Medicine

Healthcare professionals specializing in emergency medical services emphasize that the successful integration of artificial intelligence (AI) in prehospital stroke identification hinges on collaborative development between technology experts, frontline responders, and policymakers. Experts argue that to safeguard patient well-being and preserve the ethical integrity of care, AI tools must be designed with a deep understanding of real-world emergency scenarios and the complex decision-making processes EMS providers face. This multidisciplinary approach not only enhances algorithm accuracy but also fosters trust and usability among those reliant on AI guidance during critical, time-sensitive situations.

Several key priorities have been identified to ensure AI’s effective deployment in prehospital stroke care:

  • Transparency: Clear explanation of AI decision pathways to empower EMS personnel and support informed clinical judgments.
  • Ongoing Training: Continuous education programs tailored to equip responders with the skills necessary to effectively use AI tools.
  • Ethical Oversight: Robust frameworks to monitor biases, safeguard patient privacy, and uphold standards of medical ethics.
  • Feedback Mechanisms: Systems to capture EMS feedback for iterative improvement of AI algorithms and technology integration.
Stakeholder GroupPrimary Concern
EMS ProvidersUsability & Real-time Support
AI DevelopersAlgorithm Accuracy & Adaptability
EthicistsBias Prevention & Patient Rights
Policy MakersRegulation & Patient Safety

To Conclude

As artificial intelligence continues to advance, its potential to transform emergency medical services is becoming increasingly clear. This qualitative study offers valuable insights into how EMS providers in Norway and Sweden perceive AI’s role in the critical early identification of stroke patients. While enthusiasm for AI’s promise is evident, the findings also highlight challenges related to trust, training, and integration within existing workflows. As healthcare systems explore the adoption of AI tools, understanding frontline perspectives will be key to developing solutions that enhance patient outcomes without compromising the human element at the heart of emergency care.

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