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A scoping review of pre-hospital technology to assist ambulance personnel with patient diagnosis or stratification during the emergency assessment of suspected stroke

Hannah A Lumley, Darren Flynn, Lisa Shaw, Graham McClelland, Gary A Ford, Phil M White, Christopher I Price
2020 BMC Emergency Medicine  
Telemedicine systems were deemed acceptable by clinicians.  ...  (telemedicine) used by ambulance personnel during the assessment of suspected stroke.  ...  Acknowledgements We are grateful to Alex Inskip (Newcastle University) for assistance with designing the search strategy.  ... 
doi:10.1186/s12873-020-00323-0 pmid:32336270 fatcat:5d7ccjfnm5bazoy7mozwhs56fm

Remote Evaluation of the Patient With Acute Stroke

Bart M. Demaerschalk
2017 Continuum. Lifelong Learning in Neurology  
This article describes advances related to the successful remote evaluation of the patient with acute stroke.  ...  Telestroke is a connected care approach that brings expert stroke care to remote, neurologically underserved urban or rural locations.  ...  This article presents the rationale and evidence supporting the use of telemedicine for the remote evaluation of patients with acute stroke and discusses the practical aspects of a telemedicine evaluation  ... 
doi:10.1212/con.0000000000000433 pmid:28157754 fatcat:jugc4aaz2rf6dkd4ys66z7xzs4

Stroke Telemedicine

Bart M. Demaerschalk, Madeline L. Miley, Terri-Ellen J. Kiernan, Bentley J. Bobrow, Doren A. Corday, Kay E. Wellik, Maria I. Aguilar, Timothy J. Ingall, David W. Dodick, Karina Brazdys, Tiffany C. Koch, Michael P. Ward (+1 others)
2009 Mayo Clinic proceedings  
center; STARR = Stroke Telemedicine for Arizona Rural Residents; STRokE DOC = Stroke Team Remote Evaluation Using a Digital Observation Camera; TIME = The Initial Mayo Clinic Experience; tPA = tissue  ...  This review describes the technology that makes stroke telemedicine possible, the members that should be included in a telestroke team, the hub-and-spoke characteristics of a telestroke network, and the  ...  In the current era of technology, an ideal telestroke system should involve a 2-way AV connection for assessment and diagnosis of patients with stroke.  ... 
doi:10.4065/84.1.53 pmid:19121244 pmcid:PMC2664571 fatcat:amwlthpo4zeizcuhvykiz7ylju

American Telemedicine Association: Telestroke Guidelines

Bart M. Demaerschalk, Jill Berg, Brian W. Chong, Hartmut Gross, Karin Nystrom, Opeolu Adeoye, Lee Schwamm, Lawrence Wechsler, Sallie Whitchurch
2017 Telemedicine journal and e-health  
These guidelines apply specifically to telestroke services and they do not prescribe or recommend overall clinical protocols for stroke patient care.  ...  The following telestroke guidelines were developed to assist practitioners in providing assessment, diagnosis, management, and/or remote consultative support to patients exhibiting symptoms and signs consistent  ...  For those organizations that utilize telestroke services for inpatients with suspected acute stroke syndromes, the same oversight should be applied.  ... 
doi:10.1089/tmj.2017.0006 pmid:28384077 pmcid:PMC5802246 fatcat:yo6e4vnudnbspn23xj34oirysy

Telemedicine Quality and Outcomes in Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association

Lawrence R. Wechsler, Bart M. Demaerschalk, Lee H. Schwamm, Opeolu M. Adeoye, Heinrich J. Audebert, Christopher V. Fanale, David C. Hess, Jennifer J. Majersik, Karin V. Nystrom, Mathew J. Reeves, Wayne D. Rosamond, Jeffrey A. Switzer
2016 Stroke  
Results-Models of telestroke and the role of telestroke in stroke systems of care are reviewed.  ...  e3 T elestroke is one of the most successful applications of telemedicine, bringing the experience of stroke experts to hospitals lacking appropriate stroke expertise.  ...  Telestroke and the NIHSS Most telestroke networks use the NIHSS for remote stroke assessment.  ... 
doi:10.1161/str.0000000000000114 pmid:27811332 fatcat:kw6pyl2mgnatnhlcl74cc6ruou

Telestroke Ambulances in Prehospital Stroke Management: Concept and Pilot Feasibility Study

T. G. Liman, B. Winter, C. Waldschmidt, N. Zerbe, P. Hufnagl, H. J. Audebert, M. Endres
2012 Stroke  
Telemedicineequipped ambulances may improve time management and identify patients with stroke eligible for thrombolysis by an early prehospital stroke diagnosis.  ...  Conclusion-Prehospital telestroke examination was not at an acceptable level for clinical use, at least on the basis of the used technology.  ...  The research leading to these results has received funding from the "Zukunftsfonds Berlin," the Federal Ministry of Education  ... 
doi:10.1161/strokeaha.112.657270 pmid:22693132 fatcat:cx3znhvazfbpzlxghzjdubcisy

Telemedicine in pre-hospital care: a review of telemedicine applications in the pre-hospital environment

Ahjoku Amadi-Obi, Peadar Gilligan, Niall Owens, Cathal O'Donnell
2014 International Journal of Emergency Medicine  
It improved the pre-hospital diagnosis of stroke and myocardial infarction and enhanced the supervision of delivery of tissue thromboplasminogen activator in acute ischaemic stroke.  ...  The right person in the right place and at the right time is not always possible; telemedicine offers the potential to give audio and visual access to the appropriate clinician for patients.  ...  Acknowledgements This work is funded by the European Union through the LiveCity project.  ... 
doi:10.1186/s12245-014-0029-0 pmid:25635190 pmcid:PMC4306051 fatcat:ecpjso4rifdpnm3tvykltw5qqi

Future Neurohospitalist

William David Freeman, Kevin M. Barrett, Kenneth A. Vatz, Bart M. Demaerschalk
2012 The Neurohospitalist  
Teleneurology is a branch of telemedicine that consults and practices through remote neurological evaluation. Telestroke is defined as remote stroke evaluation.  ...  We describe the benefits and drawbacks of teleneurology/telestroke, as well as other practical aspects for the teleneurohospitalist.  ...  Funding The authors received no financial support for the research, authorship, and/or publication of this article.  ... 
doi:10.1177/1941874412450714 pmid:23983878 pmcid:PMC3726112 fatcat:biey4t2jhfayjjdcu2maghv7qa


Steven R. Levine, Mark Gorman
1999 Stroke  
Telemedicine for stroke, "Telestroke," uses state-of-the-art video telecommunications that may be a potential solution and may maximize the number of patients given effective acute stroke treatment across  ...  Prehospital use of telemedicine for stroke is already being piloted, linking patients in the ambulance to the emergency department.  ...  Mansbach, MD, for critically reviewing earlier manuscript drafts and Lalaine Castillo and Shirley Sian for their assistance in manuscript preparation.  ... 
doi:10.1161/01.str.30.2.464 pmid:9933289 fatcat:pnmndj3qfjb3jise2s7esjvnui

Telestroke—the promise and the challenge. Part two—expansion and horizons

F Akbik, J A Hirsch, R V Chandra, D Frei, A B Patel, J D Rabinov, N Rost, L H Schwamm, T M Leslie-Mazwi
2016 Journal of NeuroInterventional Surgery  
Telestroke, the use of telemedicine for stroke, aims to surmount this hurdle by distributing stroke expertise more effectively, through video consultation with and examination of patients in locations  ...  This is the second of a two part review, and is focused on the challenges telestroke faces for wider adoption.  ...  In the domains of primary and secondary prevention in stroke systems of care, telestroke connectivity could be used to provide neurovascular expertise for stroke prevention in otherwise underserved communities  ... 
doi:10.1136/neurintsurg-2016-012340 pmid:26984867 fatcat:3qfamzxiavhdhkq32zodxikke4

Recommendations for the Implementation of Telemedicine Within Stroke Systems of Care: A Policy Statement From the American Heart Association

L. H. Schwamm, H. J. Audebert, P. Amarenco, N. R. Chumbler, M. R. Frankel, M. G. George, P. B. Gorelick, K. B. Horton, M. Kaste, D. T. Lackland, S. R. Levine, B. C. Meyer (+4 others)
2009 Stroke  
the voting stock or share of the entity, or owns $10 000 or more of the fair market value of the entity.  ...  A relationship is considered to be ЉsignificantЉ if (1) the person receives $10 000 or more during any 12-month period, or 5% or more of the person's gross income; or (2) the person owns 5% or more of  ...  of telemedicine for stroke (telestroke).  ... 
doi:10.1161/strokeaha.109.192361 pmid:19423851 fatcat:yx4pvit2qngtde2em2gjc63ypy

A Review of the Evidence for the Use of Telemedicine Within Stroke Systems of Care: A Scientific Statement From the American Heart Association/American Stroke Association

L. H. Schwamm, R. G. Holloway, P. Amarenco, H. J. Audebert, T. Bakas, N. R. Chumbler, R. Handschu, E. C. Jauch, W. A. Knight, S. R. Levine, M. Mayberg, B. C. Meyer (+3 others)
2009 Stroke  
The aim of this new statement is to provide a comprehensive and evidence-based review of the scientific data evaluating the use of telemedicine for stroke care delivery and to provide consensus recommendations  ...  Evidence-based recommendations are included for the use of telemedicine in general neurological assessment and primary prevention of stroke; notification and response of emergency medical services; acute  ...  . 17 EMS Telemedicine for Stroke The only 2-way ambulance-based telemedicine system for stroke assessment reported in the literature is the integrated telecommunications system (TeleBAT) developed by  ... 
doi:10.1161/strokeaha.109.192360 pmid:19423852 fatcat:qm2xp7pasjebpctmkdwh2im6uy

Telemedicine in Stroke: Potentials, Limitations and Ongoing Issues [chapter]

Thierry Moulin, Jacques Joubert, Jean-Luc Chopard, Lynette B., Elisabeth Medeiros de Bustos
2011 Advances in Telemedicine: Applications in Various Medical Disciplines and Geographical Regions  
Telestroke for overall stroke management and education (patients and professionals) The Recommendations for the Establishment of Stroke Systems of Care by the ASA task force state that: "A stroke system  ...  Telestroke for acute stroke management Thrombolysis of acute ischaemic stroke The Recommendations for the Establishment of Stroke Systems of Care by the American Stroke Association (ASA) task force state  ... 
doi:10.5772/14906 fatcat:fwtghwg4ovcy5kqqyb3so7lyse

The use of telemedicine in the management of acute stroke

Mark N. Rubin, Bart M. Demaerschalk
2014 Neurosurgical Focus  
quality of care for stroke patients. 44 Telestroke Technology The term "telestroke" has been defined as "live, audiovideo telecommunication applied to care of acute stroke." 7 Historically, telestroke  ...  Of particular interest is the role of prehospital telestroke for diagnosis of a large-artery stroke syndrome in patients who might benefit from early triage to endovascular reperfusion therapy.  ... 
doi:10.3171/2013.11.focus13428 pmid:24380481 fatcat:f7aboyybpfesdgh4ghphfipzpe

Obstacles and Solutions in the Implementation of Telestroke: Billing, Licensing, and Legislation

M. C. Aita, K. Nguyen, R. Bacon, K. M. Capuzzi
2013 Stroke  
In its 2009 Scientific Statement, which reviewed evidence for the use of telemedicine within Stroke Systems of Care, the American Heart Association/American Stroke Association "recommended that a stroke  ...  for stroke patients treated with tPA at telestroke network hospitals were similar to mortality rates for stroke patients treated with tPA at the stroke centers: 11.2% versus 11.5% at 3 months (P=0.55)  ... 
doi:10.1161/strokeaha.113.001889 pmid:24029633 fatcat:d3eic7ycnzfynodsnbpq7owi7u
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