Recently published in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine by Hov et al. This article relays two case reports on successful diagnosis of SAH in a prehospital setting using a mobile CT unit. As the article reveals, this could entail significantly shortened time to meaningful intervention at a neurosurgical center, especially in a rural setting. Often these patients arrive at a tertiary care facility via community hospitals, delaying definitive care.
Conversely, it also means patients with occlusive stroke in whom a cerebral bleed has been ruled out can more safely and promptly be given thrombolytics prehospitally. A very interesting read that should promote a wider discussion on bringing diagnostic tools closer to the patient.