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mobile stroke unit; STroke Emergency MObile (STEMO)

Procefure: - ambulance outfitted with computed tomography, laboratory capabilities, staff capable of administering tPA, & physicians available by remote access Clinical significance: - stroke patients treated in mobile stroke units underwent thrombolysis sooner & had better outcomes than patients treated at hospitals [1,2] - thrombolysis sooner, but outcomes similar [3] - median time from symptom onset to treatment was shorter in mobile stroke units than in hospitals (72 vs 108 minutes) - more patients received tPA within 60 minutes in mobile stroke units than in hospitals (33% vs. 3%)

Related

stroke; cerebrovascular accident (CVA)

General

point of care (POC)

References

  1. Grotta JC, Yamal JM, Parker SA et al. Prospective, multicenter, controlled trial of mobile stroke units. N Engl J Med 2021 Sep 9; 385:971. PMID: 34496173 https://www.nejm.org/doi/10.1056/NEJMoa2103879
  2. Ebinger M, Siegerink B, Kunz A et al. Association between dispatch of mobile stroke units and functional outcomes among patients with acute ischemic stroke in Berlin. JAMA 2021 Feb 2; 325:454. PMID: 33821920 PMCID: PMC7856548 Free PMC article. https://jamanetwork.com/journals/jama/fullarticle/2775714
  3. Ebinger M et al. Effect of the use of ambulance-based thrombolysis on time to thrombolysis in acute ischemic stroke: A randomized clinical trial. JAMA 2014 Apr 23; 311:1622 PMID: 24756512 http://jama.jamanetwork.com/article.aspx?articleid=1861800