Hoelscher, Thilo and Dunford, James V. and Schlachetzki, Felix and Boy, Sandra and Hemmen, Thomas and Meyer, Brett C. and Serra, John and Powers, Jeff and Voie, Arne (2013) Prehospital stroke diagnosis and treatment in ambulances and helicopters-a concept paper. AMERICAN JOURNAL OF EMERGENCY MEDICINE, 31 (4). pp. 743-747. ISSN 0735-6757, 1532-8171
Full text not available from this repository. (Request a copy)Abstract
Stroke is the second common cause of death and the primary cause of early invalidity worldwide. Different from other diseases is the time sensitivity related to stroke. In case of an ischemic event occluding a brain artery, 2000000 neurons die every minute. Stroke diagnosis and treatment should be initiated at the earliest time point possible, preferably at the site or during patient transport. Portable ultrasound has been used for prehospital diagnosis for applications other than stroke, and its acceptance as a valuable diagnostic tool "in the field" is growing. The intrahospital use of transcranial ultrasound for stroke diagnosis has been described extensively in the literature. Beyond its diagnostic use, first clinical trials as well as numerous preclinical work demonstrate that ultrasound can be used to accelerate clot lysis (sonothrombolysis) in presence as well as in absence of tissue plasminogen activator. Hence, the use of transcranial ultrasound for diagnosis and possibly treatment of stroke bares the potential to add to current stroke care paradigms significantly. The purpose of this concept article is to describe the opportunities presented by recent advances in transcranial ultrasound to diagnose and potentially treat large vessel embolic stroke in the prehospital environment. (C) 2013 Published by Elsevier Inc.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TISSUE-PLASMINOGEN ACTIVATOR; COLOR-CODED SONOGRAPHY; ISCHEMIC-STROKE; TRANSCRANIAL ULTRASOUND; FOCUSED ASSESSMENT; CARE; THROMBOLYSIS; TELEMEDICINE; THERAPY; SONOTHROMBOLYSIS; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Neurologie |
| Depositing User: | Petra Gürster |
| Date Deposited: | 28 May 2020 06:45 |
| Last Modified: | 28 May 2020 06:45 |
| URI: | https://pred.uni-regensburg.de/id/eprint/16920 |
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