Acute Cerebrovascular Conditions · Subarachnoid Haemorrhage

SJTREM – Prehospital CT for Diagnosing SAH

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.

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