I personally think mobile stroke units are way too slow as currently setup. You have to get the neurologist out of the picture, because of all the diagnosis failures.
diagnosis failure (27)
Maybe one of these much faster possibilities?
Hats off to Helmet of Hope - stroke diagnosis in 30 seconds February 2017
Microwave Imaging for Brain Stroke Detection and Monitoring using High Performance Computing in 94 seconds March 2017
New Device Quickly Assesses Brain Bleeding in Head Injuries - 5-10 minutes April 2017
The latest here:
UC Health(Cincinnati, OH)h Launches Region’s First Mobile Stroke Unit
Unit brings advanced stroke care directly to those who need it most
CINCINNATI (Monday, Aug. 10, 2020) — UC Health, Greater Cincinnati’s academic healthcare system, has launched the region’s first Mobile Stroke Unit, bringing UC Health’s advanced stroke care directly to those who need it most. The unit’s first day of operation is Tuesday, Aug. 11.
A Mobile Stroke Unit is an ambulance specially designed to evaluate and treat patients with a possible stroke. The unit combines an emergency department (ED) and an ambulance to provide hospital-level care at the scene of the emergency.
“Our goal is to shorten the time(NOT GOOD ENOUGH!) between the onset of stroke-like symptoms and the delivery of clot-busting medication(But you don't know how fast you have to deliver tPA to get 100% recovery , do you? Shooting in the dark, aren't you?). Millions of brain cells die every minute that stroke treatment is delayed, and research shows that mobile stroke units can provide treatment 20 to 30 minutes faster than in an emergency department,” said Joseph Broderick, MD, director of the UC Gardner Neuroscience Institute and Professor of Neurology and Rehabilitation Medicine at the UC College of Medicine.
When a possible stroke is reported to 911, the UC Health Mobile Stroke Unit can be dispatched right alongside the local EMS department. A highly-trained team of four – a UC Health Air Care & Mobile Care paramedic, EMT and a critical care registered nurse, and a UC Health CT technician – staff the unit, and a Greater Cincinnati/Northern Kentucky Stroke Team physician will respond via telemedicine.
This team can quickly assess the patient and provide treatment if necessary. The UC Health Mobile Stroke Unit is equipped with advanced diagnostic technology, including a mobile CT scanner and the clot-busting medication tPA (tissue plasminogen activator). tPA is the only FDA-approved medical treatment for ischemic or thrombotic stroke, and it was developed by the experts at UC Health’s Comprehensive Stroke Center, part of the UC Gardner Neuroscience Institute.
“The UC Health Mobile Stroke Unit is the latest example of how UC
Health continues to innovate in the delivery of stroke care and
emergency medicine, with the goal of saving and improving lives,”
Broderick said.
Currently, the average stroke patient in Greater Cincinnati does not
receive clot-busting medication until about 45 or 60 minutes after
arriving at a hospital, where a CT scan and other pre-treatment
assessments are first performed. By bringing the advanced skills of the
emergency department and the stroke team directly to the patient, the
experts at UC Health hope to reduce that time significantly and improve
patients’ chances for a full recovery.
“The UC Health Mobile Stroke Unit is the first of its kind in Southwest Ohio and is a tremendous resource for our community. We are able to bring the emergency department to the curbside in order to diagnose and treat stroke as quickly and safely as possible,” said Christopher T. Richards, MD, medical director of the mobile stroke unit and Assistant Professor of Emergency Medicine at the UC College of Medicine. “We look forward to working side-by-side with our fifteen partner fire departments to provide excellent acute stroke care.”
The UC Health Mobile Stroke Unit is a partnership between the Department of Emergency Medicine, UC Health Air Care & Mobile Care, and the UC Comprehensive Stroke Center. The center pioneered tPA as well as the F.A.S.T. method for diagnosing stroke, and it serve as the national coordinating center for the National Institutes of Health “StrokeNet” program to advance stroke research.
The UC Health Mobile Stroke Unit is based at the Springfield Township Fire Department located at 9150 Winton Road and will respond in an area of approximately 15 minutes from the fire station. The Hamilton County Communications Center will co-dispatch the mobile stroke unit at the time of the 9-1-1 call as part of the EMS response for any patient with a possible stroke in the service area. The unit will be available between 7 a.m. and 7 p.m. daily, including holidays.
While the Mobile Stroke Unit is provided by UC Health, patients will be transported to the most appropriate hospital, which may or may not be a UC Health hospital.
UC Health is the 21st healthcare system in the U.S. to provide a Mobile Stroke Unit, and its apparatus is the 23rd such unit in the nation. It is the only Mobile Stroke Unit in Greater Cincinnati.
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