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A telemedicine-enabled ambulance-based mobile stroke treatment unit (MSTU) was developed by an academic medical center and emergency medical services (EMS) in Cleveland to improve alarm-to-treatment time for patients experiencing acute ischemic stroke. The MSTU was outfitted with a mobile computed tomography (CT) scanner and point-of-care laboratory equipment and was staffed by a registered nurse, a paramedic, an emergency medicine technician, a CT technologist, and a vascular neurologist via telemedicine.
Researchers compared data for the first 100 patients evaluated in the MSTU and a control cohort of 53 patients brought directly by EMS to the tertiary facility or affiliated hospitals for evaluation and treatment of stroke over a 1-year pe…