How TeleStroke Works

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Swedish TeleStroke Program

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Using video conferencing technology, the TeleStroke process is similar to communicating via a Web cam. The ER team can see the stroke team and the stroke team can see the patient and ER team. Both teams use one set of protocols to perform the evaluation and begin treatment.

Step 1: EMS personnel begin assessing the stroke patient during the trip to the hospital.

Step 2: After the patient arrives at the emergency department, ER personnel quickly perform diagnostic tests and an initial assessment.

Step 3: The ER physician or Swedish neurologist (who has received a call from the emergency department) initiates a secure video conference using computer monitors located in both the emergency department and at Swedish.

Step 4: A Swedish neurologist conducts a virtual real-time neurological exam in collaboration with the ER physician. Via video, the neurologist can talk to the patient and watch him move, and the patient talk to the neurologist. The neurologist also reviews brain images as part of the consultation.

Step 5: Together the ER physician and Swedish neurologist decide on the best treatment. If appropriate, the ER physician administers a thrombolytic. Patients often remain in their local hospitals. In some cases, patients are transferred to a specialized care center, such as Swedish.