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Mobile Stroke Units—the Changing Face of Emergency Medicine Stroke Management

  • Charles R. WiraIIIEmail author
  • Ani Aydin
Neurologic Emergencies (J Miller, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Neurologic Emergencies

Abstract

Purpose of Review

To provide a summary of mobile stroke unit (MSU) utilization within Emergency Medicine stroke systems.

Recent Findings

MSUs have been deployed around the world into prehospital stroke systems demonstrating the ability to differentiate stroke subtypes and to initiate thrombolysis in eligible patients with shorter symptom onset to treatment times than conventional systems. MSU technology may enable the administration of other standard interventions or future experimental agents in the hyperacute time window. It is conceivable that MSU technology may be extended to other disease states in resource-limited areas without immediate access to an emergency department.

Summary

MSUs can identify key stroke subtypes and offer promising reductions in treatment times for the time-sensitive condition of acute ischemic stroke. Further research is necessary to guide optimal utilization within stroke systems.

Keywords

Acute ischemic stroke Mobile stroke unit Emergency medical services Prehospital stroke treatment Thrombolysis Stroke emergency mobile 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2020

Authors and Affiliations

  1. 1.Department of Emergency MedicineYale School of MedicineNew HavenUSA
  2. 2.Department of Neurology, Division of Vascular NeurologyYale School of MedicineNew HavenUSA

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