The latest in medical technology, a Mobile Stroke Unit (MSU), is an ambulance that, in addition to standard ambulance equipment, contains a CT scanner, laboratory and telemedicine capabilities. With this advance technology, high end multi-modal imaging at the emergency site becomes possible. By telemedicine data from CT scans and real-time videos of patients can be transferred to the clinic (importing the images to the picture archiving and communication system of the hospital). Stroke-specific laboratory tests (platelet, erythrocyte, and leukocyte counts, hemoglobin, hematocrit, INR, PTT, γ-GT, p-amylase, creatinine, glucose, and many more) can immediately be performed by the onboard point-of-care laboratory.
Previous studies document a wide range of novel medical options:
- Thrombolysis at the emergency site
- Diagnosis-based triage decisions with regard to the target hospital, e.g., a more distant hospital with endovascular treatment options versus a closer hospital without specialized options
- Prehospital clarification of the need to transfer the patient to a hospital with neurosurgical expertise (e.g., patients with hemorrhagic stroke and traumatic brain injury)
- Etiology-specific prehospital treatment of blood pressure that is different in ischemic or hemorrhagic stroke
- Prehospital antagonism of the effects of warfarin and novel anticoagulants