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I believe that this technology is an asset to health care and the community. The MSU decreased delays in care of stroke victims regardless if the event is ischemic or hemorrhagic. This would result in decreased CVA related deaths and residual deficits. Research is also in progress in implementing this mobile technology in patients requiring endovascular interventions in the cath lab.

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                                Reference

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Smith, B. D. (2016). Two Years In With the Nation's First

Mobile Stroke Unit. EMS World, 45(8   ), 33.

https://  www.emsworld.com/.../two-years-in-with-the-nations-first-mobile-stroke-unit

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The only MSU in the Houston area only travels an eight-mile radius from the medical center. The average cost to equip each unit is approximate $ 1 million dollars plus the staffing expense.

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This technology tremendously decreases delay in treatment of patients suffering from ischemic strokes by allowing diagnostic testing and tPA to be initiated within the crucial 4.5 hour window. It also prevents patient whom have endured a hemorrhagic event from being transported to a facility that does not have a neurosurgeon on staff.

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In 2014, the first mobile stroke unit or MSU in the United States was created by the University of Texas Health Science Center's McGovern Medical School (Smith, 2015). The specialized ambulance is also referred to as a stroke emergency mobile unit or STEMO is embedded within the Houston 9-1-1 system and based out the UT Health Medical Center (Smith, 2015). The unit responds to a call that is a suspected stroke within an eight-mile radius. Strokes or cerebral vascular accidents (CVAs) are a leading cause death and permanent disability in the United States (Smith, 2015). The ability to provide rapid intervention is key in achieving positive outcomes in stroke patients. This technology enables the patient to receive important, in some cases life saving, diagnostic testing, and treatment without delays. The MSU or STEMO is equipped with a CT scanner and point-of-care laboratory. The staff initially included a neurologist, but now consists of two off-duty HFD paramedics, a neurology trained critical care nurse, and a CT technician (Smith, 2015). Once on the scene, the specially trained nurse wears a headset and carries a telemedicine camera to allow neurologist to assist in assessing the patient and determine if they meet stroke protocol. Once the scan is performed and transmitted to the receiving physician, a decision is made to give the order to administer tPA if the patient has a negative (for hemorrhage) scan and is still symptomatic. This innovation links to health care informatics because it utilizes telemedicine and brings life-saving diagnostic technology directly to the patient, therefore decreasing delays in treatment and increasing positive patient outcomes.