The development of emergency medical services and especially neurosurgical emergencies during recent decades has necessitated the development of novel tools. Although the gadgets that the neurosurgeon uses today in emergencies give him important help in diagnosis and treatment, we still need new technology, which has rapidly developed. This review presents the latest diagnostic tools, which offer precious help in everyday emergency neurosurgery practice. New ultrasound devices make the diagnosis of haematomas easier. In stroke, the introduction of noninvasive new gadgets aims to provide better treatment to the patient. Finally, the entire development of computed tomography and progress in radiology have resulted in innovative CT scans and angiographic devices that advance the diagnosis, treatment, and outcome of the patent. The pressure on physicians to be quick and effective and to avoid any misjudgement of the patient has been transferred to the technology, with the emphasis on developing new systems that will provide our patients with a better outcome and quality of life. 1. Introduction When an emergency care system matures, the scope of emergency medicine (EM) expands. Most emergency department care is provided by specially trained physicians. There is a mature academic professional organization that can advance the field, which can now sustain fellowships and subspecialization, national databases, and peer reviewed journals. Emergency medical services systems are developed and run on city, regional, and even national levels. Internationally, two different systems have been developed for the delivery of emergency medical care. The first is the Anglo-American model that is familiar within the United States and the other is the Franco-German model. The Anglo-American model provides prehospital care. Paramedic and emergency medical technicians extend the role of the physician, caring for, stabilizing, and transporting the patient. On the other hand, in the Franco-German model, care is brought to the patient. Emergency systems used to provide out-of-hospital urgent care and to screen the patients to decide who needs to be transferred. The physician and the technology are sent to the scene in the hope of providing an immediate high level of care when most needed. Management systems are currently in place for process improvement, quality assurance, and cost controls. Countries that can be described as having mature emergency care systems include Australia, Canada, the United Kingdom, Germany, Switzerland, and the United States [1]. 2. The Necessity of
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