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Practice

The mobile stroke unit and management of acute stroke in rural settings

Ashfaq Shuaib and Thomas Jeerakathil; for the Alberta Mobile Stroke Unit Investigators
CMAJ July 16, 2018 190 (28) E855-E858; DOI: https://doi.org/10.1503/cmaj.170999
Ashfaq Shuaib
Division of Neurology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.
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Thomas Jeerakathil
Division of Neurology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.
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    Figure 1:

    The mobile stroke unit based at the University of Alberta Hospital in Edmonton (left photo). The ambulance (right photo) is equipped with a computed tomography scanner (grey arrow), “point-of care” laboratory (analyzer model pocH-100i, Sysmex Canada; black arrow) and telemedicine equipment (white arrow).

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    Figure 2:

    The catchment area for the mobile stroke unit in northern Alberta. This is within a 250 km radius of the University of Alberta Hospital (UAH). The legend shows the available hospitals with computed tomography (CT) (i.e., primary stroke centres) and without CT scanners within the region. Reproduced from [Mobile stroke unit triage of patients with a suspected stroke: a novel solution to reducing suspected stroke admissions in busy emergency departments, Shuaib A, et al. BMJ Innovations, Vol. 4, p. 54–9, copyright © 2018]8 with permission from BMJ Publishing Group Ltd.

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    Figure 3:

    Comparison of a set of cranial computed tomography (CT) scans done in the mobile stroke unit (A) and upon arrival at the hospital (B). The cerebral hemorrhage (contusion) is better defined on the conventional hospital CT scanner ( blue arrows). Additional areas of smaller contusions are also identified with the hospital scanner (black arrows).

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Canadian Medical Association Journal: 190 (28)
CMAJ
Vol. 190, Issue 28
16 Jul 2018
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The mobile stroke unit and management of acute stroke in rural settings
Ashfaq Shuaib, Thomas Jeerakathil
CMAJ Jul 2018, 190 (28) E855-E858; DOI: 10.1503/cmaj.170999

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The mobile stroke unit and management of acute stroke in rural settings
Ashfaq Shuaib, Thomas Jeerakathil
CMAJ Jul 2018, 190 (28) E855-E858; DOI: 10.1503/cmaj.170999
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