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

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

### Chapter 18 — Designated Acute Stroke Ready Center

#### Regulation .06 Transfer of Acute Stroke Patient.

*COMAR 30.08.18.06*

The facility shall:

A. Transfer the clinically appropriate acute stroke patient after initial treatment and stabilization to the appropriate MIEMSS designated primary stroke center, primary stroke center with endovascular capability, or comprehensive stroke center; and

B. Maintain an agreement or agreements with a commercial ambulance service to:

  (1) Transfer stroke patients as clinically necessary;

  (2) Ensure the appropriate delivery of care during transport; and

  (3) Limit utilization of local emergency medical services (EMS) resources unless by pre-existing agreement.