Mobile stroke units for prehospital thrombolysis, triage, and beyond: benefits and challenges

This review of prehospital stroke treatment and the data emanating from mobile stroke unit (MSU) studies shows that diagnostic clarification in the ambulance allows not only prehospital thrombolysis, comprehensive pre-notification, and correct triage to the most appropriate target hospital, but novel options that might also include cause-specific adjustment of physiological parameters, reversal of anticoagulant effects, and prehospital management of other cerebral emergencies.