Innovations in Prehospital Stroke Management Utilizing Mobile Stroke Units.

  title={Innovations in Prehospital Stroke Management Utilizing Mobile Stroke Units.},
  author={Anne W. Alexandrov and Andrei V. Alexandrov},
  journal={CONTINUUM: Lifelong Learning in Neurology},
Using a representative case, this article discusses prehospital innovations for patients with acute large vessel occlusion ischemic stroke, including mobile stroke unit care supported by advanced field imaging. 
8 Citations

Impact of mobile stroke units

Current research, therefore, focuses on safety, long-term medical benefit, best setting and cost-efficiency as crucial determinants for the sustainability of this novel strategy of acute stroke management.

Telemedicine-enabled ambulances and mobile stroke units for prehospital stroke management

While both the mobile stroke unit and mini-mobile stroke unit model are valid approaches to improve stroke care, the authors aim to compare these models based on costs, scalability, integration, and interoperability in order to guide prehospital leaders to find the best solutions.

The Sky's the Limit: Expanding Nursing's Contribution to Acute Stroke Science.

  • A. Alexandrov
  • Medicine
    American journal of critical care : an official publication, American Association of Critical-Care Nurses
  • 2022
This work is focused on exploration of methods to improve intracranial blood flow in patients with hyperacute ischemic stroke who have viable, yet vulnerable, brain tissue to prevent worsening or enable improvement of stroke symptoms.

The Mobile Stroke Unit Nurse: An International Exploration of Their Scope of Practice, Education, and Training

  • S. CooteE. Mackey S. Middleton
  • Medicine
    The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
  • 2022
ABSTRACT BACKGROUND: Mobile stroke units (MSUs) are ambulance-based prehospital stroke care services. Through immediate roadside assessment and onboard brain imaging, MSUs provide faster stroke

Update on Treatment of Acute Ischemic Stroke.

Timely successful reperfusion is the most effective treatment for patients with acute ischemic stroke and recent evidence supports the expansion of the time window for reperfusions treatment in carefully selected patients.

High-resolution CT with arch/neck/head CT angiography on a mobile stroke unit

MSU use of advanced imaging including multiphasic head/neck CTA is feasible, offers high LVO yield and enables full emergency department (ED) bypass and enabling full ED bypass.

A Proposed Brain-, Spine-, and Mental- Health Screening Methodology (NEUROSCREEN) for Healthcare Systems: Position of the Society for Brain Mapping and Therapeutics.

The Society for Brain Mapping and Therapeutics proposes the Brain, Spine and Mental Health Screening (NEUROSCREEN) as a multi-faceted approach that employs smartphone guided cognitive assessments and quantitative electroencephalography (qEEG) as inexpensive and effective screening tools to facilitate objective diagnosis, monitor disease progression, and guide personalized treatment interventions.

NEURONURSE_210062 61..67

Bivard, is Associate Professor, Faculty of Medicine, try and Health Sciences, Department of Medicine, The rsity of Melbourne, Melbourne, Australia (ORCID: / Michael



Improved Prehospital Triage of Patients With Stroke in a Specialized Stroke Ambulance: Results of the Pre-Hospital Acute Neurological Therapy and Optimization of Medical Care in Stroke Study

The triage of patients with cerebrovascular events to specialized hospitals can be improved bySTEMO ambulances, and there was a slight trend toward higher rates of patients discharged home in neurological patients when cared by STEMO.

Telemedicine in Prehospital Stroke Evaluation and Thrombolysis: Taking Stroke Treatment to the Doorstep.

An MSTU using telemedicine is feasible, with a low rate of technical failure, and may provide an avenue for reducing the high cost of such systems.

Effect of the use of ambulance-based thrombolysis on time to thrombolysis in acute ischemic stroke: a randomized clinical trial.

To determine the effect of prehospital thrombolysis for acute ischemic stroke administered in specialized ambulances on delay in thROMbolytic administration, throm bolysis rate, post-thromBolysis intracerebral hemorrhage, and 7-day mortality.

Effects of golden hour thrombolysis: a Prehospital Acute Neurological Treatment and Optimization of Medical Care in Stroke (PHANTOM-S) substudy.

The use of STEMO increases the percentage of patients receiving thrombolysis within the golden hour, which entails no risk to the patients' safety and is associated with better short-term outcomes.

Effect of the use of ambulance-based thrombolysis on time to thrombolysis in acute ischemic stroke: a randomized clinical trial.

Compared with usual care, the use of ambulance-based thrombolysis resulted in decreased time to treatment without an increase in adverse events.

Emergency Department Door-to-Puncture Time Since 2014.

DTPT decreased at a faster rate for EMS compared with MSU-managed patients, improving by about an hour from 2014 to 2018, and there is substantial room for improvement in all groups.

"Mobile stroke unit" for hyperacute stroke treatment.

Experimental studies show that within minutes after vascular obstruction, cell death occurs in the core of the focal ischemic brain tissue, and in the region around this core (penumbra), cells exhibit a compromised metabolism but might be rescued by adequate therapies.

Reducing in-hospital delay to 20 minutes in stroke thrombolysis

Efficacy of thrombolytic therapy for ischemic stroke decreases with time elapsed from symptom onset, and with multiple concurrent strategies it is possible to cut the median in-hospital delay to 20 minutes.

The PRE-hospital Stroke Treatment Organization

  • H. AudebertK. Fassbender J. Grotta
  • Medicine, Political Science
    International journal of stroke : official journal of the International Stroke Society
  • 2017
The evidence supporting pre-hospital stroke treatment, progress to date, practical issues such as application in various environments and staffing, planned research initiatives, and organizational structure are described.