Shortening time to stroke treatment using ambulance telemedicine: TeleBAT

LaMonte, Marian P.; Xiao, Yan; Hu, Peter; Gagliano, David; Bahouth, Mona N.; Gunawardane, Ruwani; Mackenzie, Colin F.; Gaasch, Wade R.; Cullen, James

doi:10.1016/j.jstrokecerebrovasdis.2004.03.004

Cited by 91 publications

(62 citation statements)

References 7 publications

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“…Up to now, evaluation of video transmission from an ambulance-located telemedicine system has been reported in one project, the mobile telemedicine for the Brain Attack Team (TeleBAT). 9,10 Furthermore, several studies provide evidence that remote assessment of stroke severity such as National Institutes of Heath Stroke Scales (NIHSSs) is feasible and reliable in the interhospital setting. 11,12 However, data on prehospital real-time stroke severity assessment by a hospital-based stroke physician in patients during ambulance transport in a moving vehicle are limited.…”

mentioning

confidence: 99%

Telestroke Ambulances in Prehospital Stroke Management

Liman

Winter

Waldschmidt

et al. 2012

Stroke

101

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Background and Purpose-Pre-and intrahospital time delays are major concerns in acute stroke care. Telemedicineequipped ambulances may improve time management and identify patients with stroke eligible for thrombolysis by an early prehospital stroke diagnosis. The aims of this study were (1) to develop a telestroke ambulance prototype; (2) to test the reliability of stroke severity assessment; and (3) to evaluate its feasibility in the prehospital emergency setting. Methods-Mobil, real-time audio-video streaming telemedicine devices were implemented into advanced life support ambulances. Feasibility of telestroke ambulances and reliability of the National Institutes of Health Stroke Scale assessment were tested using current wireless cellular communication technology (third generation) in a prehospital stroke scenario. Two stroke actors were trained in simulation of differing right and left middle cerebral artery stroke syndromes. National Institutes of Health Stroke Scale assessment was performed by a hospital-based stroke physician by telemedicine, by an emergency physician guided by telemedicine, and "a posteriori" on the basis of video documentation. Results-In

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mentioning

confidence: 99%

Telestroke Ambulances in Prehospital Stroke Management

Liman

Winter

Waldschmidt

et al. 2012

Stroke

101

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“…In more isolated or rural settings, these options may not be as readily available, and a degree of screening may therefore be useful. Pilot studies have been carried out which have employed telestroke technology as a method of screening eligible patients and, in particular, assessing stroke severity (LaMonte et al 2004). This is obviously a useful employment in remote areas, such as the Australian Outback, particularly for clinic nurses when vast distances are involved.…”

Section: Pre-hospital Diagnosis and Evaluation Of Suitability For Thrmentioning

confidence: 99%

Telemedicine in Stroke: Potentials, Limitations and Ongoing Issues

Moulin¹,

Joubert²,

Chopard³

et al. 2011

Advances in Telemedicine: Applications in Various Medical Disciplines and Geographical Regions

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“…Testing of a mobile rtPA system to administer pre-hospital is currently being explored in stroke (LaMonte, Xiao et al 2004) while pre-hospital thrombolysis is already being delivered by ambulance staff in cardiac services (Scottish Executive 2005a). Therefore, investing in stroke thrombolytic (rtPA) education and diagnosis for HCPs is critical as it remains the most promising, available medical intervention for acute ischaemic stroke despite its limitations (Sandercock, Berge et al 2002).…”

Section: New Technologies and Innovation In Healthcare Educationmentioning

confidence: 99%