• UCLA Health
  • myUCLAhealth
  • School of Medicine
U Magazine

U Magazine

U Magazine
  • Home
  • Current Issue
  • Centennial Campaign for UCLA Issue
  • Browse U Magazine
  • Letters to the Editor
  • Subscribe
  • Contact
  • UCLA Health
  • myUCLAhealth
  • School of Medicine

U Magazine

Browse U Magazine

  1. Home
  2. Browse U Magazine
Share this
The Cutting Edge

Mobile Stroke Unit: Hospital on Wheels


Dr. May Nour (top) is medical director of the UCLA Arline and Henry Gluck Stroke Rescue Program, which sponsors the new UCLA Health Mobile Stroke Unit (bottom). Photos: UCLA Health

Roughly every 40 seconds, someone in the United States has a stroke, and almost every four minutes, one of those people dies. Against that backdrop, UCLA Health has launched the first mobile stroke unit on the West Coast, enabling rapid delivery of brain-saving medications to stroke patients who might otherwise face debilitating delays in treatment.

As part of the first phase of a pilot program, the specialized ambulance unit and highly trained personnel began responding in September to select 911 calls in Santa Monica in coordination with the Santa Monica Fire Department. With support from the Los Angeles County Board of Supervisors, the unit's range will expand to other parts of Los Angeles County, possibly including Compton, Carson, Long Beach and Westwood. Ultimately, program organizers hope, the unit will operate in other areas of the county and may be the first of a fleet of four-to-nine units serving the entire county.

“Rapid response is critical, because the sooner a stroke is treated, the better the patient's outcome,” says May Nour, MD (RES '13, FEL '14, '15), PhD, medical director of the UCLA Arline and Henry Gluck Stroke Rescue Program. “We know from research at UCLA that in a typical stroke, every minute that goes by without treatment, 2 million brain cells die.”

A mobile stroke unit is a unique type of ambulance equipped with a mobile computed tomography scanner (CT), which allows doctors to diagnose and treat strokes in the field with appropriate medications. The unit includes a mobile blood-testing laboratory, as well as a neurologist, criticial care nurse, CT technologist and paramedic.

“With the UCLA Health Mobile Stroke Unit, we are bringing the hospital to the patient instead of the patient to the hospital in order to save as much brain as possible,” says Jeffrey Saver, MD, director of the UCLA Comprehensive Stroke Center.

The UCLA unit is the first of its kind to operate in California. It will be the West Coast anchor of the first national demonstration project to gather data on the degree of improved patient outcomes and cost-effectiveness with accelerated field treatment. Positive results from the study could enable the federal Centers for Medicare and Medicaid Services and other insurers to reimburse emergency medical service and hospital systems for mobile stroke clinical activities.

Top: The UCLA Health Mobile Stroke Unit brings the hospital to the patient, allowing doctors to make a diagnosis quickly. Bottom Left: The ambulance includes a CT scanner to conduct head and neck scans before the patient arrives at the hospital. Bottom Right: Dr. May Nour reviews brain images.

“To be able to take care of stroke patients in the very first minutes after onset, when there is the most brain to save, is our ultimate goal,” Dr. Nour says. “Recovery and quality of life for stroke survivors is of utmost importance. By providing treatment in the most efficient timing, we offer patients the greatest possibility of improved clinical recovery.”

In the initial phase of the pilot program, a neurologist specializing in stroke treatment will be riding in the unit. As the program develops, however, a neurologist will oversee care more efficiently via a live video and voice connection from Ronald Reagan UCLA Medical Center. “Definitive treatments for acute stroke can only be started after a head CT scan is done and shows the type of stroke the patient is having,” Dr. Nour says.

This past summer, the Los Angeles County Board of Supervisors voted to provide additional funding of nearly $1.5 million to enable the state-of-the-art vehicle to operate every week, instead of the original plan to operate every other week, and to extend the life of the pilot program from 18 to 30 months. The additional funding also will increase the geographic reach of those served by the unit and enhance the quality of data gathered through the project.

“Minutes matter when it comes to treating strokes,” says Supervisor Janice Hahn, who wrote the motion for funding. “With a mobile stroke unit operating in L.A. County, doctors will be able to diagnose and treat stroke patients faster than ever before — making it more likely that they not only survive, but also go on to live longer, healthier lives.”

To learn more about the UCLA Health Mobile Stroke Unit, go to:
uclahealth.org/mobile-stroke


Previous
Partners in Care
Next
Sip Black Tea to Drop Pounds


YOU ARE VIEWING

Winter 2018

Winter 2018
Printable PDF
IN THIS ISSUE
  • Partners in Care
  • Mobile Stroke Unit: Hospital on Wheels
  • Sip Black Tea to Drop Pounds
  • As Re-hospitalizations Go Down, Mortality Goes Up
  • Modified Herpes Virus Shows Promise for Treating Advanced Melanoma
  • Weak Burst of Electricity Can Help to Improve Memory
  • Heart's Pumping Function Doesn't Indicate Heart Failure Survival Rates
  • Biomarkers Could Reveal Undetected Concussions
  • Researchers Create Molecule that Could 'Kick and Kill' HIV
  • Study Blames Mental Lapses on Sleep-deprived Brain Cells
  • Behavioral Therapy Increases Connectivity in Brains of People with OCD
  • New Direction in Hand Transplantation
  • UCLA Vine Street Clinic
  • Tailor Made
  • Ilana and the Stowaway
  • Heartfelt
  • Awards/Honors
  • In Memoriam
  • Department of Surgery Celebrates Inaugural Paul I. Terasaki Chair in Surgery
  • Out of Africa, Into Iraq
  • Rides, Games and Laughter on the Pier
  • UCLA Health System Board Meeting Features Stroke Care
  • UCLA Launches New Mobile Stroke Unit
  • UCLA Operation Mend Marks a 10-year Milestone
  • Celebrating 60 Years of Excellence in Cardiovascular Research
  • The Spectacular Sounds of Autism
  • Family’s Bravery Leads to Generosity
  • A Legacy for Loved Ones
  • Gifts
  • In Memoriam
  • ‘I Have Been on Both Sides’
Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest
UCLA Health hospitals ranked best hospitals by U.S. News & World Report
  • UCLA Health
  • Find a Doctor
  • School of Medicine
  • School of Nursing
  • UCLA Campus
  • Directory
  • Newsroom
  • Subscribe
  • Patient Stories
  • Giving
  • Careers
  • Volunteer
  • International Services
  • Privacy Practices
  • Nondiscrimination
  • Billing
  • Health Plans
  • Emergency
  • Report Broken Links
  • Terms of Use
  • 1-310-825-2631
  • Maps & Directions
  • Contact Us
  • Your Feedback
  • Report Misconduct
  • Get Social
  • Sitemap
Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest

Sign in to myUCLAhealth