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Telemedicine for acute neurological disease - apt 2013
 

Telemedicine for acute neurological disease - apt 2013

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    Telemedicine for acute neurological disease - apt 2013 Telemedicine for acute neurological disease - apt 2013 Presentation Transcript

    • To Boldly Go Where No One Has Beamed Before Matthews Gwynn, MD AcuteCare Telemedicine
    • • • • • • • • The 4th leading cause of death in the United States The #1 cause of adult disability in the United States 795,000 Americans suffer strokes each year 87% of strokes are ischemic, 13% are hemorrhagic 134,000 deaths each year 2,000,000 brain cells die every MINUTE during stroke Women are TWICE as likely to die from stroke than breast cancer • 6,400,000 stroke survivors (2% of U.S.) Connect to Quality 2
    • • Audio/Video telemedicine evaluation of an acute stroke patient leads to better decision-making and safety than telephone only consultations • The NIH Stroke Scale (NIHSS) via telestroke consult is reliable • Neurologists can reliably interpret brain CT images to confirm the diagnosis of acute ischemic stroke and establishing eligibility for IV-tPA • IV-tPA can be administered safely through telemedicine and with outcomes comparable to those observed in patients being treated at tertiary care centers • Telestroke networks have been proven cost effective
    • • 46 yo woman developed dysarthria, right hemiplegia about 8:00 AM • Quickly presented to Dale Medical Center • Teleneurologist responded 2 minutes after receiving call and performed consultation immediately. NIHSS=8