Training novice users to assess stroke aetiology in remote settings using transcranial ultrasound: pilot study.

Introduction: Emergency care delivery to patients in remote and rural areas is limited by diagnostic restrictions and long transport times to major centres of care. People with suspected acute stroke living long distances from a hospital are unlikely to receive time-critical reperfusion therapy for these reasons. Basic brain imaging assessing blood flow in the major intracranial arteries could facilitate such care in remote settings.

Diagnostic value of transcranial ultrasonography for selecting subjects with large vessel occlusion: a systematic review.

Introduction: A number of pre-hospital clinical assessment tools have been developed to triage subjects with acute stroke due to large vessel occlusion (LVO) to a specialised endovascular centre, but their false negative rates remain high leading to inappropriate and costly emergency transfers. Transcranial ultrasonography may represent a valuable pre-hospital tool for selecting patients with LVO who could benefit from rapid transfer to a dedicated centre.

Methods: Diagnostic accuracy of transcranial ultrasonography in acute stroke was subjected to systematic review.

Sustaining employment after vocational rehabilitation in acquired brain injury.

Purpose: To explore factors affecting sustaining employment in people with acquired brain injury (ABI).

Method: A multiple case study approach using semi-structured interviews in eight cases (29 individuals). Each case included an individual with ABI, a family member, a job coach and a co-worker (triangulation).