Telemedicine for acute neurological disease - gpt 2014

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Telemedicine for acute neurological disease - gpt 2014

  1. 1. To Boldly Go Where No One Has Beamed Before Matthews Gwynn, MD AcuteCare Telemedicine
  2. 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. 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. 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. 5. Connect through remote presence
  6. 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. 7. Georgia Alabama Tennesse e South Carolina Florida Arizona Pendin g * * * In partnership with Eagle Physician Group ** *

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