Ebinger M, Kunz Am Wendt M et al Effects of golden hour thrombolysis: a prehospital acute neurological treatment and optimizatyion of medical care in stroke (Phantom S ) Study. JAMA Neurol 2015; 72: 25-30 with accompaning editorial
German study with stroke emergency mobile units, ie ambulances with CT scanner, POC lab, and telemedicine connection. It also is staffed with a neurologist.
Rates of thrombolysis in golden hour 22 v. 32 % with deployment of STEMO, rate of golden hour thrombolysis is higher and were more likely to be discharged home with no increased risks to patient. The future?
Comment-- watch what happens in Germany and try to apply it to the United States
Our ambulances have cited short drive times to OH
