mobile stroke unit; STroke Emergency MObile (STEMO)

^[1]^[2]^[3]

Introduction

Procefure:

ambulance outfitted with computed tomography, laboratory capabilities, staff capable of administering tPA, & physicians available by remote access

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%)

↑ ^1.0 ^1.1 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: https://www.ncbi.nlm.nih.gov/pubmed/34496173 https://www.nejm.org/doi/10.1056/NEJMoa2103879
↑ ^2.0 ^2.1 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: https://www.ncbi.nlm.nih.gov/pubmed/33821920 PMCID: PMC7856548 Free PMC article. https://jamanetwork.com/journals/jama/fullarticle/2775714
↑ ^3.0 ^3.1 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 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24756512 <Internet> http://jama.jamanetwork.com/article.aspx?articleid=1861800