Journal article
Helicopter transportation in the era of thrombectomy: The next frontier for acute stroke treatment and research
European stroke journal, Vol.1(3), pp.171-179
09/2016
DOI: 10.1177/2396987316658994
PMCID: PMC6301237
PMID: 31008278
Abstract
Many patients suffer a stroke at a significant distance from a specialized center capable of delivering endovascular therapy. As a result, they require rapid transport by helicopter emergency medical services, sometimes while receiving a recombinant tissue plasminogen activator infusion (drip and ship). Despite its critical role in the new era of reperfusion, helicopter emergency medical services remains a poorly evaluated aspect of stroke care.
Comprehensive narrative review of all published articles of helicopter emergency medical services related to acute stroke care in the inter-hospital and pre-hospital settings, including technical aspects and physical environment implications.
Helicopter emergency medical services transports are conducted during a critical early time period when specific interventions and ancillary care practices may have a significant influence on outcomes. We have limited knowledge of the potential impact of the unusual physical factors generated by the helicopter on the ischemic brain, which affects our ability to establish rational guidelines for ancillary care and the delivery of specific interventions.
Unlike the pre-hospital and hospital settings where stroke interventions are delivered, the inter-hospital helicopter emergency medical services transfer setting remains a "black box" for acute stroke care and research. This gap is particularly relevant for many patients living in rural areas, or in congested urban areas, that depend on helicopter emergency medical services for rapid access to a tertiary stroke center.
Addressing the helicopter emergency medical services stroke gap in clinical trials and acute care delivery would homogenize capabilities through all care settings, thus minimizing potential disparities in research access and outcomes based on geographical location.
Details
- Title: Subtitle
- Helicopter transportation in the era of thrombectomy: The next frontier for acute stroke treatment and research
- Creators
- Enrique C Leira - Department of Neurology, Carver College of Medicine, University of Iowa, Iowa City, IA, USAJoshua D Stilley - Department of Emergency Medicine-AirCare, University of Iowa Hospitals and Clinics, Iowa City, IA, USAThomas Schnell - Department of Mechanical and Industrial Engineering, College of Engineering, University of Iowa, Iowa City, IA, USAHeinrich J Audebert - Center for Stroke Research, Charité Universitätsmedizin Berlin, Berlin, GermanyHarold P Adams Jr - Department of Neurology, Carver College of Medicine, University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- European stroke journal, Vol.1(3), pp.171-179
- Publisher
- England
- DOI
- 10.1177/2396987316658994
- PMID
- 31008278
- PMCID
- PMC6301237
- ISSN
- 2396-9873
- eISSN
- 2396-9881
- Language
- English
- Date published
- 09/2016
- Academic Unit
- Neurology; Electrical and Computer Engineering; Occupational and Environmental Health; Epidemiology; Emergency Medicine; Iowa Neuroscience Institute; Industrial and Systems Engineering; Public Policy Center (Archive); Neurosurgery
- Record Identifier
- 9984020989602771
Metrics
12 Record Views