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Updated: Jan 23, 2026

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
Technological innovation for prehospital stroke triage: ripe for disruption
Juan Carlos Martinez-Gutierrez1, Ronil V Chandra2, Joshua A Hirsch3
1Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Background:
With the benefit of mechanical thrombectomy firmly established, the focus has shifted to improved delivery of care. Reducing time from symptom onset to reperfusion is a primary goal. Technology promises tremendous opportunities in the prehospital space to achieve this goal.
Methods:
This review explores existing, fledgling, and potential future technologies for application in the prehospital space.
Results:
The opportunity for technology to improve stroke care resides in the detection, evaluation, triage, and transport of patients to an appropriate healthcare facility. Most prehospital technology remains in the early stages of design and implementation.
Conclusion:
The major challenges to tackle for future improvement in prehospital stroke care are that of public awareness, emergency medical service detection, and triage, and improved systems of stroke care. Thoughtfully applied technology will transform all these areas.
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