Memphis Mobile Stroke Unit Saves Lives

A year after a mobile stroke unit hit the streets of Memphis, officials say it is saving lives by cutting the time it takes to treat stroke patients. The University of Tennessee Health Science Center began using the 14-ton ambulance last year as part of a three-year controlled study. The unit has a CT scanner that can X-ray images of the brain, and is equipped to provide early fluids to stroke patients and dye blood vessels to determine the type of stroke the patient has had. "The emergency room on average takes 40 to 50 minutes to do the things we do in 13 to 14 minutes," said Dr.Andrei Alexandrov, UTHSC neurology professor, chairman of the neurology department and medical director of the stroke unit team. "From the very first day it was very clear that this was winning technology." To date, the mobile stroke unit has transported 171 patients and has administered 35 treatments of alteplase, or tPA, a clot-busting medicine. "The unit that we have is so sophisticated that for the short duration of the patient's experience on the unit, it is the equivalent of an emergency room in a primary stroke center," said Alexandrov. Launched last April, the mobile stroke unit is in use 12 hours a day for seven days, every other week. "On the weeks that we're not running the unit, we monitor stroke calls in the city," said Joseph Rike, director of the mobile stroke unit. If there were patients that would have been treated by the stroke unit, the mobi...
Source: JEMS Special Topics - Category: Emergency Medicine Authors: Tags: News Mobile Integrated Healthcare Source Type: news

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CONCLUSIONS: The current meta-analysis provides cumulative evidence from 6710 individuals with TIA that the presence of motor symptoms increases the odds of a positive DWI by two-folds. These findings transform the clinical perception into evidence-based knowledge that motor impairments elevate the risk for brain tissue damage. Unilateral motor impairments in a cerebrovascular event should increase a physician's suspicion of detecting brain infarctions. These findings may influence the clinical management of TIA by generating faster response to motor impairments in TIA and accelerating referral to specialized stroke clinic...
Source: Restorative Neurology and Neuroscience - Category: Neurology Tags: Restor Neurol Neurosci Source Type: research
Conditions:   Fatigue;   Stroke, Acute;   Transient Ischemic Attack Interventions:   Other: Clinical Assessment;   Procedure: MRI scan Sponsors:   Danish Research Centre for Magnetic Resonance;   Bispebjerg Hospital Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
(CNN) — Need an excellent reason to add a dog to your life? How about living longer? “Our analysis found having a dog is actually protective against dying of any cause,” said Mount Sinai endocrinologist Dr. Caroline Kramer, lead author of a new systematic review of nearly 70 years of global research published Tuesday in “Circulation,” a journal of the American Heart Association. The review of the health benefits of man’s best friend analyzed research involving nearly 4 million people in the United States, Canada, Scandinavia, New Zealand, Australia and the United Kingdom. “Dog owne...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Featured Health News Offbeat Syndicated CBSN Boston CNN Dogs Source Type: news
The NEURAL (NEURoscience of Adult Language) Research Lab at Indiana University Bloomington is seeking a postdoctoral fellow to begin in spring or summer 2020, working with Dr. Brielle Stark. The position is open for an initial 1-year, with an option to renew dependent on performance and funding.Research in the lab focuses on understanding brain-behavior relationships in neurogenic communication disorders, largely post-stroke aphasia. We are most interested in understanding processes related to language production. We have a Siemens Prisma 3T MRI scanner and an EEG suite as part of our Imaging Research Facility, which ...
Source: Talking Brains - Category: Neuroscience Authors: Source Type: blogs
Conclusions: RhPro-UK had an obvious therapeutic effect on ischemic stroke caused by thrombosis, and could be started within 4.5 h TTW with less side effects of cerebral hemorrhage than that of UK. PMID: 31584350 [PubMed - as supplied by publisher]
Source: Neurological Research - Category: Neurology Tags: Neurol Res Source Type: research
Conclusions: Different combinations of aspects facilitated and hindered whether or not participation changed. To support people with stroke in their endeavour to retain or recapture participation, social support is important to consider in relation to transportation, activities and places outside the home. PMID: 31564178 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Occupational Therapy - Category: Occupational Health Tags: Scand J Occup Ther Source Type: research
Background: Around 9–15% of ischemic strokes are related to internal carotid artery (ICA)-stenosis ≥50%. However, the extent to which ICA-stenosis
Source: Frontiers in Neurology - Category: Neurology Source Type: research
This study was conducted in the Department of Neurology, Government Medical College, Kota, Rajasthan, India from January 2016 to August 2016. 120 consecutive patients presenting with acute ICH were studied. Data collected included demographics, clinical parameters, cranial Computed Tomography(CT) findings and ICH score on presentation. Primary outcome was defined as mortality/morbidity during hospitalisation, on discharge, 30 days and 60 days follow-up. Modified Rankin score (mRS) was used to assess the outcome. Statistical analysis used: SPSS 19 statistical software. Results: Of the total 120 patients with Acute I...
Source: Journal of the Association of Physicians of India - Category: General Medicine Tags: J Assoc Physicians India Source Type: research
Authors: Inoue T, Suematsu Y Abstract Background: In atrial fibrillation (AF) patients, the left atrial appendage (LAA) is the major source of thrombi. We assessed the hypothesis that poor contrast enhancement in the LAA during the early phase of cardiac computed tomography (CT) predicts a high risk of thrombus formation, leading to cardiogenic stroke. Methods: We studied 147 consecutive patients with chronic AF who underwent cardiac CT. Three different patterns of medium contrast enhancement in the LAA were used to categorize the stroke risk: poor, intermediate, and good enhancement pattern. Results: The C...
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
We report a 59-year-old man with previous history for myocardial infarction, referred to emergency room with an acute dense right-side hemiplegia, positive Hoover sign, asymmetrical Babinski responses and intermittent ability to move his arm in some specific reflex actions despite plegia. Since brain computed tomography scan was unremarkable we could not be sure whether his symptoms were organic or functional until a diffusion weighted imaging of magnetic resonance imaging elucidated the situation. To our knowledge, there is only one case report in the literature prior to ours, presenting a supplementary motor area stroke ...
Source: Journal of Neurology - Category: Neurology Source Type: research
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