Table 1 Prehospital Imaging-Based Triage of Head Trauma with a Mobile Stroke Unit: First Evidence and Literature Review

Author/Year Level of Evidence/Study Intervention and Control Outcome Measures Results

Design/Participants/ Inclusion Criteria Group

L. Schwindling∗, A. Level I Intervention: The institution manages a program The MSU was dispatched to assess
Ragoschke-Schumm∗, An ambulance equipped with investigating prehospital stroke a 74-year-old woman with
M. Kettner, S. Helwig, Literature review a computed tomography (CT) treatment of patients with suspected head trauma or stroke,
M. Manitz, S. Roumia, scanner, point-of-care neurological emergencies. Then found lying on the floor with a left
N = A74-year-old woman with suspected laboratory, and telemedicine assessed a patient with head frontal laceration. Her Glasgow
M. Lesmeister, I. Q.
capabilities (Mobile Stroke trauma for whom prehospital CT Coma Scale score was 13, apart
Grunwald, K. head trauma or stroke, found lying on the
Unit [MSU]) has been shown scanning and laboratory tests from drowsiness she exhibited no
Fassbender floor with a left frontal laceration. allowed cause-based triage to the neurologic deficit. A CT scan
to enable delivery of
thrombolysis to stroke most appropriate hospital. ruled out intracranial hemorrhage
patients at the emergency site, Examined implications of this case and skull fracture. On the basis of
https://doi.org/10.1111/ thereby significantly for clinical practice in light of a these prehospital diagnostic
jon.12355 decreasing time to treatment. literature review. findings, the patient was taken to
However, the MSU the nearest primary care hospital
frequently assesses patients rather than to a trauma center with
with cerebral disorders other neurosurgery facilities.
than stroke. For some of these
disorders, prehospital CT
scanning may also be
beneficial.

Control:
Image Based Triaging Patient