CereTom 脑卒中单元彩页Mobile Stroke Unit - IPM.pdfVIP

Mobile Stroke Ambulance Stroke • Stroke is the number 2 cause of death in the world • 6.7 million stroke deaths per year (17 million strokes total) • The problem are not the people who die, but those that are disabled and live. • The most common type of stroke (ischemic (blockage)) is treatable with early with tissue plasminogen activator (tPA). • Current tPA administration is 5% in the U.S. • With early intervention this number could reach 30-50% Germany: STEMO (Stroke Emergency Mobile) • May 1, 2011 through January 31, 2013 • 3213 on STEMO treatment, 2969 Control • Alarm-to-treatment time was shorter by 25 min during control weeks Source: JAMA APRIL23/30, 2014 Argentina October 2014 Prof. Pedro Lylyk, MD Buenos Aires, Argentina Mobile Stroke Ambulance MSU: General US Process • Patient calls 911 • Local ambulance and MSU are dispatched • Local ambulance team performs visual assessment • MSU co-manages, leaves if patient does not have stroke • “Point-of-Care” testing • CT is performed/transmitted (telestroke) • Diagnosis • Treatment initiated • MSU will triage/transport to appropriate hospital Mobile Stroke Ambulance UT Health Cleveland Clinic James C. Grotta, MD Peter Rasmussen, MD May 2014 July 2014 University of Texas Health May 2014 UT Health: Frazer, Inc. • Core ambulance runs from $120,000 to $200,000 depending primarily on chassis • Additional $35,000 to $45,000 for custom items • CereTom runs approximately $390,000 • Approximately $630,000 total • ~ 6 mo. lead time