About
I am a researcher in prehospital emergency care, with a particular focus on the management of suspected stroke, clinical assessment tools, and quality improvement in the early phases of the emergency chain. With a professional background as a paramedic and a PhD from the University of Oslo, I have developed a strong interest in how ambulance clinicians identify and interpret neurological symptoms in real-world situations. I have studied how assessment tools function in practice and how communication and decision-making processes shape patient pathways in the acute phase. My research has contributed to studies on technology‑supported neurological assessment and improved information transfer between ambulances and hospitals. The overarching aim of my research is to improve the quality of prehospital stroke management.
I lead the Prestroke QI project, which develops prehospital quality indicators for stroke care. In addition, I am responsible for research projects on prehospital stroke management, including studies on video‑supported communication between emergency medical dispatch, ambulance services, and hospitals, and research on decision-support tools that help balance time‑critical demands with accurate patient prioritisation. These projects reflect my broader interest in how systems and technology can support better decision-making in the field. I also have supervision experience at master’s and PhD level through my involvement in several research projects and collaborations. At OsloMet, I teach and supervise students in the bachelor programme in paramedicine, motivated by contributing to both the knowledge base and the professional development within a field of great importance for patient safety.
Field of study
Competence building Cerebral stroke EMT Ambulance services
Research groups
Publications and research
Scientific publications
Bugge, Helge Fagerheim;
Guterud, Mona
; Larsen, Karianne; Toft, Mathias;
Hov, Maren Ranhoff
; Sandset, Else Charlotte
(2025).
Presenting symptoms and diagnostic accuracy of prehospital stroke scales for patients with suspected mild minor stroke.
European Stroke Journal.
https://doi.org/10.1177/23969873251360592
Christensen, Emma; Bugge, Helge Fagerheim; Hagemo, Jostein Skjalg; Larsen, Karianne;
Harring, Astrid Karina V.
; Gleditsch, Jostein; Ibsen, Jørgen;
Guterud, Mona
; Sandset, Else Charlotte;
Hov, Maren Ranhoff
(2024).
Prehospital stroke diagnostics using three different simulation methods: A pragmatic pilot study.
European Stroke Journal.
Vol. 9.
https://doi.org/10.1177/23969873241252564
Guterud, Mona
; Hardeland, Camilla; Bugge, Helge Fagerheim; Sandset, Else Charlotte;
Svendsen, Edel Jannecke
;
Hov, Maren Ranhoff
(2024).
Experiences from a cluster-randomized trial (ParaNASPP) exploring triage and diagnostic accuracy in paramedic-suspected stroke: a qualitative interview study.
European Journal of Neurology.
Vol. 31.
https://doi.org/10.1111/ene.16252
Harring, Astrid Karina V.
; Røislien, Jo; Larsen, Karianne;
Guterud, Mona
; Bugge, Helge Fagerheim; Sandset, Else Charlotte; Kristensen, Dorte Vesterager;
Hov, Maren Ranhoff
(2023).
Gamification of the National Institutes of Health Stroke Scale (NIHSS) for simulation training—a feasibility study.
Advances in Simulation.
Vol. 8.
https://doi.org/10.1186/s41077-023-00245-4
Guterud, Mona
; Bugge, Helge Fagerheim; Røislien, Jo; Kramer-Johansen, Jo; Toft, Mathias; Ihle-Hansen, Hege Beathe; Bache, Kristi Cecilie Grønvold; Larsen, Karianne; Braarud, Anne-Cathrine; Sandset, Else Charlotte;
Hov, Maren Ranhoff
(2023).
Prehospital screening of acute stroke with the National Institutes of Health Stroke Scale (ParaNASPP): a stepped-wedge, cluster-randomised controlled trial.
Lancet Neurology.
Vol. 22.
https://doi.org/10.1016/S1474-4422(23)00237-5
Bugge, Helge Fagerheim;
Guterud, Mona
; Røislien, Jo; Larsen, Karianne; Ihle-Hansen, Hege; Toft, Mathias;
Hov, Maren Ranhoff
; Sandset, Else Charlotte
(2022).
National Institutes of Health Stroke Scale scores obtained using a mobile application compared to the conventional paper form: A randomised controlled validation study.
BMJ Innovations.
Vol. 9.
https://doi.org/10.1136/bmjinnov-2022-000968