Wednesday, April 23, 2014

The Superman Of Stroke First Responders

The battle with stroke goes mobile with improved communication and CT Scanner Technology...

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Specialized Stroke Ambulance Features CereTom Portable CT Scanner to Reduce Time to Treatment

NeuroLogica and MEYTEC from Germany have developed a specialized stroke ambulance, called VIMED STEMO, that carries a portable CT scanner and a point-of-care laboratory for nearly-instant diagnosis and initiation of treatment in stroke patients. It employs MEYTEC’s telemedicine solutions and NeuroLogica’s portable CT scanner, CereTom.
The VIMED STEMO integrates a fully-functioning pre-clinical stroke care suite, comparable to those found in specialized stroke hospitals. The onboard CereTom is a 8-slice CT scanner that allows for multimodal imaging with CT angiography and CT perfusion in combination with a rapid scan time. Imaging and other data can be transmitted over encrypted 3G, 4G and satellite connections to emergency rooms or trauma centers.

In addition to being well-equipped, the ambulance also carries the best medical team you could get delivered to your door when you might be suffering from a stroke, including a paramedic, a stroke physician and a neuroradiologist. All together, this enables hyper-acute stroke care, including thrombolytic treatment as soon as possible, well before arrival at a hospital. No word on how much this all costs per trip.
Of course, the question remains whether this hyperacute care translates in better patient outcomes, but the companies have already conducted a randomized trial that provides some clues. They randomized 100 patients to either the stroke ambulance or usual emergency care. Unsurprisingly, pre-hospital stroke treatment greatly reduced the median time from alarm to therapy decision (35 versus 76 min) with similar gains in times from alarm to end of CT, and alarm to end of laboratory analysis, and to intravenous thrombolysis for eligible ischaemic stroke patients.
There was no substantial difference in neurological outcome between the groups, however the current study was not powered to detect such a difference and follow-up was relatively short. It does show that pre-hospital stroke diagnosis and treatment is feasible and may reduce time-to-treatment to a level that was previously unreachable. The VIMED STEMO is currently embedded in the emergency service system of Berlin.
More info: Project STEMO…

Tuesday, April 8, 2014

Do You Get Excited When You Find A New Tool?

My relationship with StrokeLink has run hot and cold since we have first met. Over the past few years we have exchanged emails and discussions about why their first app was only available on Apple and geared more toward health care professionals rather than persons who have been affected by stroke.

My hope is that this latest app offering by StrokeLink has been directed a little more toward the many, many stroke warriors who are faced with the long road to recovery after stroke. Survivors, family members, caregivers, friends and health care professionals. Why not give it a try and let me know what you think.

I get excited every time I find a new tool that may offer help with the challenges of long term stroke recovery.

I hope you get excited too and I would love it if you would share your finds with us by posting a comment (and/or a link) to this blog... Thanks!

My Stroke Passport is now available on the App Store!
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My Stroke Passport:
The Journey Starts here.

Introducing our Newest App for Stroke Survivors & their Circle of Care

My Stroke Passport is a mobile toolkit of comprehensive resources for stroke survivors and their caregivers throughout the care journey. Gain a better understanding of your care team, prevent a secondary stroke and learn coping strategies to living with the effects of stroke. This is the stroke survivors passport to recovery!

My Stroke Passport contains:
- 434 essential, high quality resources and links
- 100% aphasia-friendly and audio-enabled
Available for download now on the iPhone, iPad and iPod Touch!
Android Coming Soon.
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