Telestroke, stroke workflow, EMS stroke, neurology, GD eBridge

For STROKE patients, Every second counts. 

Improve stroke treatment and management with telehealth for EMS, hospitals and MIH/CP

Stroke patients are at risk of losing 2 million brain cells per minute.

To reduce death and disability caused by stroke, streamlined care must be available 24/7.

Shave time off your stroke program with the GD e-Bridge Stroke Mobile Telemedicine module.

 

Download the STROKE TELEHEALTH FLYER

Download the STROKE TELEHEALTH INFOGRAPHIC

Have your stroke teams work the way they need to!

With timely intervention from first medical contact, GD e-Bridge Stroke Module has the features, metrics and configurability needed to better prepare for efficient around-the-clock stroke care coverage, regardless of location – allowing for efficient Telestroke processes by healthcare teams.

A Configurable Workflow for all Delivery Models.

Stroke Treatment Times

What is Telestroke

In hospitals with limited local resources and/or limited access to neurological expertise, telestroke allows neurologists from outside a regional area to evaluate a potential stroke patient virtually, through live video conferencing, in order to determine the appropriate course of treatment. With guidance from stroke experts through telestroke, hospitals with stroke care capacity but without around-the-clock stroke care coverage are able to administer clot-dissolving medicines (like the thrombolytic tPA), and patients do not have to be transferred to another medical center. Telestroke:

♣ reduces the likelihood of misdiagnosis at a hospital without a stroke department
♣ increases rapidity of thrombolysis treatment and allows a remote neurologist to oversee many aspects of a stroke patient’s care before they enter the hospital
♣ provides an opportunity to extend the reach of endovascular therapy evaluation
♣ can facilitate prompt transfer, overcoming time delays that are a major barrier to endovascular therapy, by allowing preparation for the endovascular case to occur while the patient is in transit

 

Value Found with a Stroke Telemedicine Workflow

Key Relative Statistics: 28–46% improvement in door-to-needle therapy, causing clot-dissolving drugs administered 19 minutes sooner with increased remote tPA usage by 25% 50%+ decrease in patient transfer from a primary to a comprehensive stroke center, resulting in decreased costs, ER availability, and time savings. Definitive stroke care should occur in less than 60 minutes

 

Stroke care should begin to occur in less than 60 minutes. A U.S. National Institutes of Health (NIH) study of 2,500 patients found that with telemedicine for stroke treatment:
♣ the timely use of clot-dissolving drugs increased by 75%
♣ diagnostic imaging tests were given 12 minutes sooner
♣ clot-dissolving drugs were administered 11 minutes sooner
♣ tPA administration increased by 55% in rural areas

 

Steps to Improving Door-to-Needle Times

  • Allow EMS to notify the hospital in advance of patient arrival
  • Establish rapid triage protocol and immediately notify stroke team
  • Set up a single-call activation system which allows a central operator to page the entire stroke team at once
  • Make a stroke toolkit available for each patient, containing clinical decision support, stroke-specific order sets, hospital-specific algorithms, and more
  • Initiate rapid acquisition of brain imaging and laboratory testing
  • Ensure rapid access to intravenous tPA, and use dosing charts and standardized order sets to facilitate timely administration and minimize dosing errors
  • Develop an interdisciplinary, collaborative stroke team
  • Provide stroke team with prompt data feedback on the hospital's door-to-needle times, performance on stroke quality measures, and more

 

telestroke and neurology care

Don't let  fixed protocols restrict you. Enable your stroke teams to work the way they need to.

It all starts by taking the first step!  Let's have a conversation.





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