Deans' stroke musings: UCLA Trials Ambulance Equipped with CT Scanner for Rapid Stroke Treatment

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, October 28, 2017

UCLA Trials Ambulance Equipped with CT Scanner for Rapid Stroke Treatment

WHY?
And yet they still don't know how fast is fast enough to get 100% recovery. Without that knowledge they don't even know what improvements need to be done. I would suggest getting rid of the neurologist and scanner and get to these fast diagnosis tools. But we have NO stroke leadership leading the drive to these better solutions.

Hats off to Helmet of Hope - stroke diagnosis in 30 seconds

Microwave Imaging for Brain Stroke Detection and Monitoring using High Performance Computing in 94 seconds

New Device Quickly Assesses Brain Bleeding in Head Injuries - 5-10 minutes

The old school thinking here:

https://www.medgadget.com/2017/10/ucla-trials-ambulance-equipped-ct-scanner-rapid-stroke-treatment.html

October 27th, 2017

Editors Critical Care, Emergency Medicine, Medicine, Neurology, Public Health, Radiology

According to the AHA (American Heart Association), when it comes to stroke, it’s all about acting FAST (face, arms, speech, time). And while comprehensive stroke centers have gotten pretty good at triaging and imaging and treating patients, the time it takes for the ambulance to transport the patient to the hospital eats up precious minutes.
The University of California, Los Angeles will now be trialing an ambulance equipped with everything a typical ambulance has, but also a CT scanner and CT tech to operate it, a blood lab, a neurologist, critical care nurse, and a paramedic. The technology is not exactly new, and CT equipped ambulances have already been tried in other places. The goal here is to see if stroke patients have better outcomes when served via the new Mobile Stroke Unit compared to traditional ambulance, and whether there may be a cost savings to society by avoiding costly post-stroke therapy and rehab in these patients. Answers to these questions will help determine whether there will be a wider adoption of such ambulances, and if the relevant public health authorities will be willing to pay for them.
The imaging is provided by a CereTom mobile CT scanner made by NeuroLogica, now a part of Samsung. The 8-slice scanner is made just for imaging the head, and is small enough to rig up inside a large enough ambulance. The neurologist inside the ambulance will guide the process and analyze scans. In the future, though, it is expected that the doctor won’t have to come along, but will connect via two way video and voice connection to communicate with everyone in the ambulance. The scans will also be immediately transferred to the doc’s computer for quick assessment.