Performance of CT Angiography on a Mobile Stroke Treatment Unit: Implications for Triage

@article{John2016PerformanceOC,
  title={Performance of CT Angiography on a Mobile Stroke Treatment Unit: Implications for Triage},
  author={Seby John and Sarah Stock and Thomas J. Masaryk and Andrew M. Bauer and R. Cerejo and Ken Uchino and Stacey Winners and Peter Rasmussen and Muhammad Shazam Hussain},
  journal={Journal of Neuroimaging},
  year={2016},
  volume={26}
}
BACKGROUND There is a strong inverse relationship between outcome in patients with acute ischemic stroke from emergent large vessel occlusion (ELVO), and time to reperfusion from intra-arterial therapy. [] Key MethodRESULTS MSTU was dispatched for reported new onset of right hemiparesis in a patient. Teleneurological assessment detected findings consistent with a severe left middle cerebral artery (MCA) syndrome. Noncontrast CT head revealed left lenticulostriate hypoattenuation.
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Current clinical and technological approaches to patient selection are reviewed and implementation in the context of jurisdictional features are discussed and important caveats in prehospital diagnosis are discussed.
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This chapter provides an overview of common CT- and MRI-based angiographic, parenchymal, and perfusion imaging techniques, and their roles in patient selection in acute ischemic stroke trials.
Prehospital Stroke Management Optimized by Use of Clinical Scoring vs Mobile Stroke Unit for Triage of Patients With Stroke: A Randomized Clinical Trial.
TLDR
Whereas prehospital management optimized by LAMS allows accurate triage decisions for approximately 70% of patients, MSU-based management enables accurate triages for 100% and both approaches are potentially valuable in triaging stroke patients.
Expanding the treatment window for ischemic stroke through the application of novel system-based technology.
TLDR
Advancements in modern technology have enabled the use of mobile stroke units, telestroke networks, mobile neuroendovascular teams, and smartphone applications that shorten the time window to treatment and, thus, make patients more amenable to ET.
Mandatory Neuroendovascular Evolution: Meeting the New Demands
TLDR
Abbreviated pre-hospital stroke scales can be used to guide EMS personnel in quickly deciding if a patient is undergoing a stroke, and the expanded window of endovascular treatment for acute ischemic stroke patients to within 24 h from symptom onset brings patient screening and triaging to greater importance.
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