Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Interventional Neuroradiology, Monash Health, Monash University, Clayton, Victoria, Australia.
J Neurointerv Surg. 2019 Nov;11(11):1085-1090. doi: 10.1136/neurintsurg-2019-014902. Epub 2019 Jun 14.
With the benefit of mechanical thrombectomy firmly established, the focus has shifted to improved delivery of care. Reducing time from symptom onset to reperfusion is a primary goal. Technology promises tremendous opportunities in the prehospital space to achieve this goal.
This review explores existing, fledgling, and potential future technologies for application in the prehospital space.
The opportunity for technology to improve stroke care resides in the detection, evaluation, triage, and transport of patients to an appropriate healthcare facility. Most prehospital technology remains in the early stages of design and implementation.
The major challenges to tackle for future improvement in prehospital stroke care are that of public awareness, emergency medical service detection, and triage, and improved systems of stroke care. Thoughtfully applied technology will transform all these areas.
随着机械取栓的益处得到充分证实,人们的关注点已经转移到如何改善护理。减少从症状发作到再灌注的时间是主要目标。技术为实现这一目标提供了在院前空间的巨大机会。
本综述探讨了现有、初现端倪和潜在的未来技术在院前空间的应用。
技术有机会改善卒中护理,在于对患者的检测、评估、分诊和转送至合适的医疗机构。大多数院前技术仍处于设计和实施的早期阶段。
未来改善院前卒中护理需要解决的主要挑战是公众意识、急救医疗服务检测和分诊,以及改进的卒中护理系统。经过深思熟虑的应用,技术将改变所有这些领域。