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Where stroke patients are taken in Moscow

With a stroke the hospital is chosen neither by the patient nor by the crew but by the routing system: the patient goes to the nearest regional stroke centre with round-the-clock CT, thrombolysis and neurosurgery. Moscow has more than twenty; the first 4.5 hours decide whether the person will speak and walk again.

What to do right now

  1. The 4.5-hour window

    Thrombolysis — dissolving the clot — is possible only within 4.5 hours of symptom onset; mechanical clot removal up to 6–24 hours in selected cases. Hence the rule: do not wait and do not choose.

  2. Moscow stroke centres

    Sklifosovsky, City Hospital 1 (Pirogov), City Hospitals 15, 31, 52, 67, Botkin, Yudin, Inozemtsev, 13, 29, 36, 68 and others, distributed across the city.

  3. How the hospital is decided

    The admissions coordination centre issues an order to the nearest centre for the call address, taking load into account — not necessarily the one in your district.

  4. What happens at admission

    A head CT within the first 20 minutes, a decision on thrombolysis, then the stroke intensive care unit. Relatives will be asked to wait — that is normal.

  5. Rehabilitation and transfer

    After the acute period, two to three weeks, the patient can be transferred to a rehabilitation centre or a private clinic; we move patients with medical escort.

Call an ambulance if

  • Drooping face, weakness in an arm or leg, disturbed speech — call at once
  • Sudden, unprecedented headache — possible haemorrhage
  • Sudden vertigo with loss of coordination, double vision, loss of part of the visual field
  • Symptoms that resolved within minutes — a transient attack also requires admission: one in three is followed by a stroke within days

What not to do

  • Do not give blood-pressure pills "to lower it before the ambulance" — a sharp drop is dangerous in stroke
  • Do not drive the patient yourself if a crew is available: the crew warns the stroke centre in advance
  • Do not ask for "the best hospital" — the nearest centre with a CT scanner matters more
  • Do not give food or drink — swallowing is often impaired

What the crew does

  • Stroke scale assessment, time of onset, blood sugar, ECG, blood pressure
  • Dispatch order to the nearest stroke centre and advance notification of the admissions team
  • Transport with monitoring, oxygen and correct head positioning
  • Handover to the neurologist with the exact time of onset, which determines treatment

This page is for information and does not replace a medical examination. If the condition worsens, call the crew: +7 (985) 887-82-52.

This page in Russian: Russian version.

Questions

Can we choose the stroke centre?

Not in an emergency — only the nearest. Privately, after stabilisation, for rehabilitation or continued treatment; we transport to the clinic of your choice with escort.

How much does admission with a stroke by a private crew cost in Moscow?

Call-out 6,000 ₽ for a standard crew or 15,000 ₽ for an ICU crew, transport 6,000 ₽ per each started 30 minutes inside the MKAD; evacuation by dispatch order from 15,000 ₽ by level. Treatment in the centre under insurance is free.

What if the stroke happens at a country house 100 km away?

Call 103 locally — the nearest regional stroke centre. Transfer to Moscow comes after stabilisation, by ICU ambulance; we do this regularly.

See also

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