ABSTRACT NUMBER: ESOC2026A2439 USE OF POINT-OF-CARE AND INTERVENTIONAL ULTRASOUND MODULES DEVELOPED FOR HYBRID MOBILE STROKE UNITS

Abstract Background and aims Hybrid mobile stroke units (h-MSU) are specialised ambulances despatched to patients with conditions extended beyond stroke including other neurological emergencies. They are equipped with a mobile CT scanner as well as with ultrasounds, x-ray, ECG, EEG, complex point-of-care laboratory equipment and can provide advanced neurointensive care including intravenous thrombolysis in pre-hospital settings. Czech MSU team and World Organisation of Neurosonology POCUS FoCUS (point-of-care and focused cardiac ultrasound) working group developed multimodule POCUS programme that can be used in many healthcare settings. One of the modules is MSU-POCUS that combines cardiac, medical, neuro, vascular and interventional modalities. Methods Five POCUS modules were combined: The MSU-POCUS was used during the “Challenging geographical condition: How Hybrid-Mobile Stroke Units can contribute to appropriate treatment times” trial in Czechia in the Zlin-Valmez region from October to December 2023. Results H-MSU was dispatched to a total of 54 calls, treated 46, six of them received intravenous thrombolysis (with median arrival to needle time of 30 minutes, 17 – 36 minutes) and one patient was transferred to the CSC following CTA detected LVO. MSU-POCUS was performed in nine patients: FoCUS (2), lungs (2), urinary tract (1), carotid (5), peripheral line (4). Conclusions MSU-POCUS used in h-MSU’s in pre-hospital emergency care settings is a feasible, safe, rapid and efficient tool adding multiple useful modalities to standard care. Conflict of interest Radim Licenik: nothing to disclose