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2.5. Role of Mobile Stroke Units
COR LOE
Recommendations
1 A
1. In patients with suspected AIS, the use of MSUs over
conventional EMS where available is recommended for the
transport and management of thrombolytic-eligible patients
to ensure the fastest achievable onset-to-treatment time and
improve functional outcomes.
1 A
2. In patients with suspected acute stroke, MSUs must be
equipped to diagnose and treat patients with IVT.
1 B-R
3. In patients with suspected acute stroke, MSU care, including
streamlined protocols and use of neurological expertise,
either in-person or remote telemedicine consultation, is
beneficial for emergent evaluation and treatment of patient
symptoms without safety concerns.
2a B-NR
4. In endovascular thrombectomy-eligible patients, use of
MSUs can be beneficial to identify and triage patients to the
appropriate thrombectomy-capable facility with prehospital
notification of receiving stroke teams.
2.6. Hospital Stroke Capabilities
COR LOE
Recommendation
1 B-NR
1. In hospitals caring for patients with AIS, certification as
a stroke specialty hospital certified by an external health
care credentialing agency that uses national evidence-based
standard criteria is recommended.
