---
title: "Neurological Documentation in Prehospital Care: Training and Experience Tied to Completeness"
id: "pubmed-42920291"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42920291"
content_type: "clinical_feed_article"
specialty: "Neurology"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42920291/"
doi: "10.12659/MSM.953922"
published_at: "2026-10-24T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Neurological Documentation in Prehospital Care: Training and Experience Tied to Completeness
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42920291
- **Specialty:** [Neurology](https://medichelpline.com/clinical-feed/neurology.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42920291/)
- **DOI:** [10.12659/MSM.953922](https://doi.org/10.12659%2FMSM.953922)
- **Published At:** 2026-10-24T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- Cross-sectional survey of 348 **paramedics** in southeastern Poland assessed self-reported completeness of **neurological documentation** using a 7–35 composite score based on frequency of recording seven examination elements. - The cohort reported a mean completeness score of 24.57, indicating a moderate level of documentation across the sampled EMS providers. - Basic parameters were recorded most often; for example, **level of consciousness** was documented frequently by 81.0% of respondents. - Detailed or dynamic components were documented less consistently; only 9.2% of respondents reported consistently documenting temporal neurological changes. - The largest self-reported gaps involved recording temporal changes and detailed focal neurological findings, according to the study team. - Participation in **neurological training** was associated with higher mean completeness scores (26.20 vs 23.24; P<0.001), investigators reported. - Professional experience correlated positively with documentation completeness (ρ=0.359; P<0.001), indicating more experienced paramedics reported more complete records. - Data were collected between June 2025 and March 2026 via a structured electronic questionnaire; the source did not report additional methodological specifics beyond those described in the abstract. - Authors proposed that implementation of standardized documentation protocols and targeted education could improve consistency of prehospital neurological records.
## Clinical Analysis & Structured Key Points
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Affiliations Expand ### Affiliations * 1 Collegium Medicum, WSB University, Dąbrowa Górnicza, Poland. * 2 Department of Neurology, New Medical Techniques Specialist Hospital of St. Family in Rudna Mała, Rudna Mała, Poland. * PMID: **42920291** * DOI: [ 10.12659/MSM.953922 ](https://doi.org/10.12659/msm.953922) Item in Clipboard # Self-Reported Completeness of Neurological Documentation in Prehospital Emergency Care: Associations With Neurological Training and Professional Experience Damian Strojny et al. Med Sci Monit. 2026. Show details Display options Display options Format Abstract PubMed PMID Med Sci Monit Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Med+Sci+Monit%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Med+Sci+Monit%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42920291/) . 2026 Oct 24:32:e953922. doi: 10.12659/MSM.953922. ### Authors [Damian Strojny](https://pubmed.ncbi.nlm.nih.gov/?term=Strojny+D&cauthor_id=42920291)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42920291/#short-view-affiliation-1 "Collegium Medicum, WSB University, Dąbrowa Górnicza, Poland.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42920291/#short-view-affiliation-2 "Department of Neurology, New Medical Techniques Specialist Hospital of St. Family in Rudna Mała, Rudna Mała, Poland."), [Karol Szwej](https://pubmed.ncbi.nlm.nih.gov/?term=Szwej+K&cauthor_id=42920291)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42920291/#short-view-affiliation-1 "Collegium Medicum, WSB University, Dąbrowa Górnicza, Poland."), [Damian Marut](https://pubmed.ncbi.nlm.nih.gov/?term=Marut+D&cauthor_id=42920291)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42920291/#short-view-affiliation-1 "Collegium Medicum, WSB University, Dąbrowa Górnicza, Poland."), [Kamil Skubis](https://pubmed.ncbi.nlm.nih.gov/?term=Skubis+K&cauthor_id=42920291)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42920291/#short-view-affiliation-1 "Collegium Medicum, WSB University, Dąbrowa Górnicza, Poland."), [Beniamin Oskar Grabarek](https://pubmed.ncbi.nlm.nih.gov/?term=Grabarek+BO&cauthor_id=42920291)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42920291/#short-view-affiliation-1 "Collegium Medicum, WSB University, Dąbrowa Górnicza, Poland.") ### Affiliations * 1 Collegium Medicum, WSB University, Dąbrowa Górnicza, Poland. * 2 Department of Neurology, New Medical Techniques Specialist Hospital of St. Family in Rudna Mała, Rudna Mała, Poland. * PMID: **42920291** * DOI: [ 10.12659/MSM.953922 ](https://doi.org/10.12659/msm.953922) Item in Clipboard Cite Display options Display options Format Abstract PubMed PMID Linked Discoveries ## Abstract BACKGROUND Neurological assessment is a critical component of prehospital emergency care, particularly in time-sensitive conditions including stroke and traumatic brain injury. Neurological documentation practices in this setting remain insufficiently characterized. This study aimed to evaluate self-reported completeness of neurological documentation among paramedics, then examine its associations with neurological training and professional experience. MATERIAL AND METHODS A cross-sectional study was conducted between June 2025 and March 2026 among 348 paramedics working in emergency medical services in southeastern Poland. Data were collected using a structured electronic questionnaire. Self-reported documentation completeness was assessed using a composite score based on the reported frequency of documenting 7 neurological examination elements rated on a 5-point Likert scale (range: 7-35). RESULTS Overall self-reported documentation completeness was moderate (mean score: 24.57). Respondents frequently reported documenting basic neurological parameters (eg, level of consciousness: 81.0%); more detailed components were reported less consistently. Only 9.2% of respondents reported consistently documenting temporal neurological changes. The greatest self-reported deficiencies involved documentation of temporal neurological changes and detailed focal neurological findings. Participation in neurological training was associated with higher completeness scores (26.20 vs 23.24; P<0.001). Self-reported documentation completeness was positively correlated with professional experience (ρ=0.359; P<0.001). CONCLUSIONS Self-reported neurological documentation completeness among paramedics was moderate and selective; self-reported rates were lowest for dynamic and detailed focal neurological components. Participation in neurological training and greater professional experience were associated with higher self-reported documentation completeness scores. These findings suggest that standardized documentation protocols and targeted educational interventions contribute to more consistent neurological documentation practices in prehospital settings. 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