TELEMEDICINE AND RESEARCH. THE TELEICTUS PROJECT IN THE HOSPITAL St JOHN OF GOD´S OF ALJARAFE....
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Transcript of TELEMEDICINE AND RESEARCH. THE TELEICTUS PROJECT IN THE HOSPITAL St JOHN OF GOD´S OF ALJARAFE....
TELEMEDICINE AND RESEARCH.
THE TELEICTUS PROJECT IN THE HOSPITAL St JOHN OF GOD
´S OF ALJARAFE.
Antonio Fernández Moyano MD. PhD.Internal Medicine Service ChiefHospital St John of God´s to Aljarafe.Betica Province
Systemic thrombolysis is the only therapy proven to be effective for ischemic stroke.
Intravenous rtPA (alteplase) is recommended for selected patients who meet the following three conditions:
-< 80 years old
-within 4,5 hours of onset of symptoms, and
-NIHSS scale between 4-20 points
“thrombolytic therapy should only be given if the diagnosis is established by a physician who has expertise in the diagnosis of stroke, and a computed tomography (CT) of the brain isassessed by physicians who have expertise in reading this imaging study”.
2003
European Stroke Initiative. CerebrovascDis. 2004;17(suppl 2):30–46.
Much of the population live in geographically remote
from major medical centers, and the permanent
presence of a neurologist expert in each of the
regional hospitals is unfeasible.
2006
Telemedical support offers a novel and
pragmatic way to extend the benefits of
systemic thrombolysis to rural areas.
rtPA administration can be conducted in
regional hospitals with similar
treatment quality
Stroke 2006, 37:1822-1827:
Thrombolysis may be initiated at an outlying hospital (spoke) under the supervision of a vascular neurologist at the designated Regional stroke centre (Hub) via telephone or telemedicine (“telestroke”)
Stroke. 2010;41:e18-e24.
An organized protocol for the emergency
evaluation of patients with suspected stroke.
Designation of an acute stroke team that includes
physicians, nurses, and laboratory/radiology
personnel.
Stroke. 2010;41:e18-e24.
Our program has developed a computer system to aid decision making in the clinical assessment of doctors and nurses,