Grady Memorial in ATL has had one since 2018 and has the ability to administer clot busters with remote neurologist orders. It was an awesome addition to the fleet.
FYI. I’m one of those Research techies, too. With three Doctorates (Nursing, Epidemiology, Public Health) plus “playtime” per diem as SCTU Critical Care Transport Nurse and Flight Nurse. Grady Memorial in Atlanta has had Mobile Stroke Unit since 25 June 2018. University of Colorado Health in Colorado Spring has had one since Valentine’s Day 2024. Good videos. Keep them coming.
@@sterlingodeaghaidh5086Why? Same way that time is muscle for an AMI, time is brain for CVA. Getting tenecteplase (TNK) in early reduces Rehab time by 200% with 28% decrease in disability at 90 days. That’s from my Spouse who was Asst VP & Nurse Administrator for Brain & Spinal Cord Center at Jefferson in Philadelphia.
@@PfizerRN_NavyReserveCaptain oh no its not the ct thats the issue, its UC health. From a health care level they are amazing and its great they got this. However from a beaurocratic aspect they have put rural EMS agencies in a bind lately. Agencies like mine rely on U.C health, rather relied, on them for C.E training and medical direction. Recently they have decided to stop that, recently they decided to no longer keep track of C.E hours as well as put the possibility of instructors coming to our areas to do trainings at risk while simultaneously LOOSING our CE hours we have acrued over the year, I had about 15-20 hours prior but I'm down to 8 because they never handed their records over to us. Our medical director who is an amazing guy, but he quit U.C health due to their new CEO and other reasons, this is on top of recent things on the state level (switching to state licensing bringing requirements that more rural agencies cant meet, the government deeming EMS non essential, etc...) its been hard for us. I am glad we have the resource out here, but its just one good thing in a grim outlook.
Ok so this is absolutely badass but also I don’t know if it will last due to cost/benefit analysis. I’m a former paramedic and long time army vet and from an operational perspective it just doesn’t seem that feasible or practical to keep it running. I completely understand the concept but the number of types of situations where this is necessary are relatively few and far between compared to a relatively high cost to keep it around. Like even in the military sometimes we have very specialized capabilities and in the rare cases they are in the right place at the right time it’s great, but even they tend to fade away with time for the same reason. Is this the first to respond to a call that sounds like it may be a stroke? Or does the standard EMS go first? Who decides when to dispatch it? What do they do when idle? What’s the door to door time of a ground ambulance? Air ambulance? Maybe that many Cincinnati residents are having strokes I mean Skyline Chili is great and full of cholesterol.
I wish I would have known you were at UC .... they are the best of the best. Watched the helicopter take off 100s of days. My Dad, Mom and I have spent many a day there over the past 20+ years.
Fun fact EMS, fire, and police vehicles fall under a different EPA category which allows them to run even when a normal commercial vehicle would cause derates etc. They have different parameters that are only allowed on this type of equipment that fall within this field for obvious reasons.
Military vehicles rollin coal. Big placard inside of the motor compartment that reads “Exempt from blah blah blah” Still though the DPF/DEF systems aren’t that bad but you got run the vehicles long enough at operating temperature and let the regeneration cycles work.
How many strokes happen annually in a 10-15 minute response area to outfit an ambulance with a CT? It's not like someone having a stroke who's 20-30+ minutes away is waiting on a specialized unit. I do love the concept and got to see one in person at a fire expo, and they're really cool to check out.
As a critical care/ER nurse and NREMT-P since 1987 it isn't the radius to an ER but the distance to a certified stroke center, coupled with the time factor of how long did the patient wait before calling for an ambulance. Many studies show that most of the time patients have before permanent damage is caused is used up because they waited to call 911. Therefore bringing definitive care to them saves brain. Plus not every hospital is qualified to treat a stroke properly, just like not every hospital is a trauma center or a burn center. Pre-hospital care is bringing the right resources to the right patient and then transporting that patient to the proper facility (even if it isn't the facility closest or the one they desire) if it will involve a better outcome.
What? You mean god forbid the crew “forgot” to fill it up? They wouldnt dare forget the diesel to begin with… there is no additional hassle, time, skill involved other than the exact same as adding diesel… and a tank full runs for thousands of km not a few
Hi there, I have a memory problem. I was wondering if you need my help to fix my brain. I am still dreaming about Jennifer Driggers. I haven’t see her for three decades now. I have go back in time. I can’t stop dreaming about Jennifer Driggers. I love her so much. Do I need an MRI? I have brain problems. I still can’t lose my mind about her. So I need your help.
Sure it does. Same way that time is muscle for an AMI, time is brain for CVA. Getting tenecteplase (TNK) in early reduces Rehab time by 200% with 28% decrease in disability at 90 days. That’s from my Spouse who was Asst VP & Nurse Administrator for Brain & Spinal Cord Center at Jefferson in Philadelphia.
I have to disagree I have used MSU1 for a couple of critical head bleeds and strokes the gave TPA on scene within minutes of arrival and saved the patients instead of going all the way to UC taking 20 minutes before hitting the ER any taking more time to scan and getting medication to the patient
As someone who life was saved by a stroke ambulance in Alberta Canada, they are without a doubt worth every penny. I do feel sorry for areas who do not have access to this technology.
