Stroke Telemedicine

Demaerschalk, Bart M.; Miley, Madeline L.; Kiernan, Terri-Ellen J.; Bobrow, Bentley J.; Corday, Doren A.; Wellik, Kay E.; Aguilar, Maria I.; Ingall, Timothy J.; Dodick, David W.; Brazdys, Karina; Koch, Tiffany C.; Ward, Michael P.; Richemont, Phillip C.
January 2009
Mayo Clinic Proceedings;Jan2009, Vol. 84 Issue 1, p53
Academic Journal
Stroke telemedicine Is a consultative modality that facilitates care of patients with acute stroke at underserviced hospitals by specialists at stroke centers. The design and Implementation of a hub-and-spoke telostroke network are complex. 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 format of a typical consultation. Common obstacles to the practice of telestroke medicine are explored, such as medicolegal, economic, and market Issues. An example of a state-based telestroke network is thoroughly described, and established International telestroke networks are presented and compared. The opportunities for future advances in telestroke practice, research, and education are considered.


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