January 18, 2021

Early Adopter of Mobile Stroke Care Shares Operational Insights (Podcast)

Learnings on cost-effectiveness, working with municipalities and more

“Even 15 minutes can be the difference in a patient’s ability to walk after a stroke,” says Andrew Russman, DO, Medical Director of the Comprehensive Stroke Center and Mobile Stroke Treatment Unit in Cleveland Clinic’s Cerebrovascular Center. “And the time savings significantly reduces hospital mortality after acute ischemic stroke.”


Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

Cleveland Clinic’s mobile stroke unit was one of the first in the U.S., launched in 2014. As an early adopter, Dr. Russman shares insights on mobile stroke care in the newest episode of Cleveland Clinic’s Neuro Pathways podcast. Topics he discusses include:

  • Collaborating with municipalities and identifying a mobile stroke unit’s coverage area
  • Cost effectiveness of providing a mobile stroke unit
  • How patients with intracerebral hemorrhage are managed on the mobile unit

Click the podcast player above to listen to the episode now, or read on for a short edited excerpt. Check out more Neuro Pathways episodes at clevelandclinic.org/neuropodcast or wherever you get your podcasts.

Excerpt from the podcast

Dr. Russman: The Mobile Stroke Treatment Unit has a dedicated team that includes a critical care nurse, paramedic, emergency medical technician, CT technologist and, through a two-way audio-visual connection, a vascular neurologist. This team is essential to the operation of the unit, and it works with local emergency medical services (EMS) and the local EMS dispatch system.


When a patient calls 911, the dispatcher identifies that the patient is having stroke symptoms. Then they dispatch both the Mobile Stroke Treatment Unit and the local EMS unit to the patient’s location. The first responders (the local EMS unit) go into the home, identify the patient and the stroke symptoms, and then wave in members of the mobile stroke unit waiting at the patient’s doorstep. At that point, the patient is taken from the home and loaded onto the mobile stroke unit.

The first thing we do is work on getting IV access. We also obtain a noncontrast CT scan of the brain and complete a neurologic assessment using the National Institutes of Health Stroke Scale. A clinical decision is made after viewing the CT imaging, seeing the clinical exam and determining whether the patient is a candidate for thrombolysis (with IV tissue plasminogen activator) or has a potential large-vessel occlusion.

Our plan is to take the patient to a facility within their existing system of care, but it needs to be a hospital with the right capability. Patients with large blood vessel occlusions are taken to facilities able to perform endovascular therapy and retrieve the clot.


A lot of collaboration is involved. We work with local EMS and fire departments. We work with teams in emergency departments, and we work together within our own team to optimize these processes, share information with our partners and continue to improve our performance to provide the best clinical outcome for patients.

Related Articles

February 19, 2024
Central Sensitization Syndromes in Pediatric Patients (Podcast)

How functional restoration can help children with these conditions marked by unexplained pain with stigmatized symptoms

February 5, 2024
Diagnosis and Management of Neuromyelitis Optica Spectrum Disorder (Podcast)

Despite advancements, care for this rare autoimmune disease is too complex to go it alone

January 16, 2024
Managing Neurological Disorders in Pregnancy (Podcast)

A discussion of special care considerations before, during and after pregnancy

January 2, 2024
Harnessing the Power of Neuroengineering and AI to Improve Epilepsy Surgery (Podcast)

Data-driven methods may improve seizure localization and refine surgical decision-making

December 15, 2023
Palliative Care for Parkinson’s Disease (Podcast)

When and how a multidisciplinary palliative care clinic can fill unmet needs for this population

December 5, 2023
Diagnosis and Management of Mitochondrial Diseases (Podcast)

Guidance on what should prompt a workup, current and emerging treatment options, and more

November 2, 2023
Neuropsychiatric Challenges Facing Patients With Huntington’s Disease (Podcast)

Behavioral and cognitive symptoms often present early and may go unnoticed

October 17, 2023
A Primer on Pediatric Sleep Disorders (Podcast)

Advice for diagnosing and managing sleep disturbances in children