Air-Mobile Stroke Unit for access to stroke treatment in rural regions

Walter, S, Zhao, H, Easton, D, Bil, C, Sauer, J, Liu, Y, Lesmeister, M, Grunwald, I, Donnan, G, Davis, S and Fassbender, K 2018, 'Air-Mobile Stroke Unit for access to stroke treatment in rural regions', International Journal of Stroke, vol. 13, no. 6, pp. 568-575.


Document type: Journal Article
Collection: Journal Articles

Title Air-Mobile Stroke Unit for access to stroke treatment in rural regions
Author(s) Walter, S
Zhao, H
Easton, D
Bil, C
Sauer, J
Liu, Y
Lesmeister, M
Grunwald, I
Donnan, G
Davis, S
Fassbender, K
Year 2018
Journal name International Journal of Stroke
Volume number 13
Issue number 6
Start page 568
End page 575
Total pages 8
Publisher Sage
Abstract Background: In recent years, important progress has been made in effective stroke treatment, however, patients living in rural and remote areas have nil or very limited access to timely reperfusion therapies. Aims: Novel systems of care to overcome the detrimental treatment gap for stroke patients living in rural and remote regions need to be developed. Summary of review: A possible solution to the treatment disparity between stroke patients living in metropolitan and rural areas may involve the use of specially designed aircrafts equipped with the ability to diagnose and treat acute stroke at remote emergency sites. We describe technical solutions for an Air-Mobile Stroke Unit (Air-MSU) concept, where an aircraft is customized with the ability to perform multimodal computed tomography, in addition to onboard laboratory equipment and telemedicine connection. The Air-MSU is envisioned not only to allow intravenous thrombolysis in the field but also to allow prehospital triage to a comprehensive stroke center through use of contrast intracerebral vascular imaging. Several options for the Air-MSU approach are described, and issues regarding the potential medical benefit, optimal operating environment, technical realization, and integration in pre-existing solutions (e.g., flying doctor service) are addressed. Conclusion: The Air-MSU may represent a novel tool to reduce treatment disparity for stroke patients in rural and remote areas. However, this approach requires further implementation research to determine the overall benefit to these communities.
Subject Health and Community Services
Keyword(s) flying doctor
intra-arterial treatment
mobile stroke unit
rural
Stroke
thrombolysis
triage
DOI - identifier 10.1177/1747493018784450
Copyright notice © 2018 World Stroke Organization
ISSN 1747-4930
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