Your SlideShare is downloading. ×
  • Like
Telemedicine for acute neurological disease - gpt 2014
Upcoming SlideShare
Loading in...5

Thanks for flagging this SlideShare!

Oops! An error has occurred.


Now you can save presentations on your phone or tablet

Available for both IPhone and Android

Text the download link to your phone

Standard text messaging rates apply

Telemedicine for acute neurological disease - gpt 2014



Published in Health & Medicine
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads


Total Views
On SlideShare
From Embeds
Number of Embeds



Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

    No notes for slide


  • 1. To Boldly Go Where No One Has Beamed Before Matthews Gwynn, MD AcuteCare Telemedicine
  • 2. • 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
  • 3. • 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
  • 4. • 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
  • 5. Connect through remote presence
  • 6. • 57 yo man developed lower extremity numbness and weakness 2 days before presentation to local ER in Tennessee. Upper extremities, bowel and bladder normal. • URI 2 weeks beforehand • NE showed hyporeflexia with assistance from PA on site • BLE 4/5 weakness, especially proximally • Diminished light touch and pain sensation from T12 on trunk down • Able stand only with assistance
  • 7. Georgia Alabama Tennesse e South Carolina Florida Arizona Pendin g * * * In partnership with Eagle Physician Group ** *