Stroke Telemedicine Mayo Clinic Proceedings

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Presentation transcript:

Stroke Telemedicine Mayo Clinic Proceedings Bart M. Demaerschalk, MD, MSc, FRCP(C), Madeline L. Miley, BSc (candidate), Terri-Ellen J. Kiernan, MSN, FNP-BC, CCRN, CNRN, Bentley J. Bobrow, MD, Doren A. Corday, BS, Kay E. Wellik, MLS, AHIP, Maria I. Aguilar, MD, Timothy J. Ingall, MD, PhD, David W. Dodick, MD, FRCP(C), Karina Brazdys, RN, BSN, Tiffany C. Koch, BPsych, Michael P. Ward, DO, Phillip C. Richemont, MD Mayo Clinic Proceedings Volume 84, Issue 1, Pages 53-64 (January 2009) DOI: 10.4065/84.1.53 Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 1 A spoke hospital emergency physician at a mock patient's bedside is assisting the hub hospital stroke neurologist with the examination. Mayo Clinic Proceedings 2009 84, 53-64DOI: (10.4065/84.1.53) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 2 A hub hospital stroke neurologist and research coordinator are conducting a 2-way audiovisual telestroke consultation with the spoke hospital. Mayo Clinic Proceedings 2009 84, 53-64DOI: (10.4065/84.1.53) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 3 The BF Technologies (San Diego, CA) Stroke Team Remote Evaluation Using a Digital Observation Camera used for the Stroke Telemedicine for Arizona Rural Residents study. Mayo Clinic Proceedings 2009 84, 53-64DOI: (10.4065/84.1.53) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 4 The Stroke Telemedicine for Arizona Rural Residents network map outlining hub and spoke (current and potential) hospitals. Mayo Clinic Proceedings 2009 84, 53-64DOI: (10.4065/84.1.53) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 5 Map of current North American and European telestroke networks. REACH = Remote Evaluation of Acute Ischemic Stroke; RUN-Stroke = Emergency Neurology Network-Stroke; STARR = Stroke Telemedicine for Arizona Rural Residents; STENO = Stroke Network of University of Erlangen; STRokE DOC = Stroke Team Remote Evaluation Using a Digital Observation Camera; TEMPiS = Telemedic Project for Integrative Stroke Care; TESS = Telemedicine in Stroke in Swabia. Mayo Clinic Proceedings 2009 84, 53-64DOI: (10.4065/84.1.53) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions