# COMAR Title 30 — Maryland Institute for Emergency Medical Services Systems (MIEMSS)

## Subtitle 08 — Designation of Trauma and Specialty Referral Centers

### Chapter 11 — Designated Primary Stroke Center Standards

#### Regulation .09 Neuroimaging Services.

*COMAR 30.08.11.09*

A. The hospital shall have the ability 24 hours a day, within 20 minutes of the patient’s arrival, to complete:

  (1) All of the following:

    (a) Brain computed tomography;

    (b) CT Angiography; and

    (c) CT Perfusion; or

  (2) Magnetic resonance imaging.

B. The hospital shall have the ability 24 hours a day to have the neuroimages referred to in this regulation interpreted within 20 minutes of their completion by a physician experienced in interpreting computed tomographic studies.

C. The hospital shall have the ability 24 hours a day to have the neuroimages referred to in this regulation interpreted within 30 minutes of their completion by a physician experienced in interpreting:

  (1) CT angiography;

  (2) CT Perfussion; and

  (3) Magnetic resonance imaging studies.

D. The hospital shall:

  (1) Have the ability to upload emergent imaging scans into CRISP (Chesapeake Regional Information System for our Patients), which will facilitate sharing of emergent imaging with the receiving center; and

  (2) Have the imaging ability to rapidly identify core (nonviable) infarct versus (potentially salvageable) penumbra.