1 / 13

Update from education committee

Update from education committee. Train the trainer—content reviewed from. Telestroke : Use and Benefit in Acute Stroke Treatment “First Tuesdays” Lecture Series. Introduction and Goal of “First Tuesdays” .

mstockton
Download Presentation

Update from education committee

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Update from education committee • Train the trainer—content reviewed from Telestroke: Use and Benefit in Acute Stroke Treatment “First Tuesdays” Lecture Series

  2. Introduction and Goal of “First Tuesdays” • SabreenaSlavin MD – Vascular Neurologist and Neurohospitalist at KU School of Medicine • Craig Bloom RN, BSN, MBA – Senior Clinical Specialist Lytics, Genentech, Inc. • Didactic lecture series as part of the Kansas Initiative for Stroke Survival • Updates in Practice and FAQ’s on Acute Stroke Care • 20 minute didactic, 10 minutes for questions/discussion

  3. What Is Telestroke? https://intouchhealth.com/medical-devices/

  4. Intouch Telehealth Software InTouch Health: Provider Access Software Quick Start Guide

  5. Why Telestroke? Kleindorfer et al, Stroke 2009

  6. Why are rates so low? • Longer times to arrive at ED • Community education in identifying stroke • Lack of experience with tPA • Lack of stat radiology support • Lack of stat neurology support

  7. Does it Work? • Studies have shown that there is no difference between tPA treatment guided via telestroke vs tPA given at stroke centers: • Similar rates of complications including sICH • No differences in mortality or functional independence at 3 months • One study utilizing telestroke vs in-person assessment by same team of neurologists also showed no difference in complications and mortality. Kepplinger et al, Neurology 2016; Fong et al, J Stroke and Cerebrovasc Dis 2015

  8. Anecdotal experience • Telestroke over telephone has been valuable in these cases: • Brainstem/posterior circulation symptoms: • For milder acute vestibular syndrome and severe cases with bilateral symptoms/obtundation • Functional/suspected psychogenic symptoms • Other stroke mimics • Determining disability vs nondisability

  9. Study on telestroke vs telephone: • There was improved decision making for IV tPA in all patients for telestroke over telephone. • More tPA use with telemedicine (29% vs 24%), but did not reach significance. • Telestroke took 8 minutes longer on average than telephone. • No statistical difference in complications or function at 3 months – study was underpowered to detect functional differences. Demaerschalk et al, Telemed and e-Health 2012

  10. Acute Stroke Guidelines 2018 Powers et al, Stroke 2018

  11. If Telestroke Not Available: Use Telephone Powers et al, Stroke 2018

  12. Use Teleradiology Powers et al, Stroke 2018

  13. Questions? • Call for help anytime! • KU BAT phone: 913-588-3727 • KU Triage Line: 913-588-9999 • http://www.kissnetwork.us/ • sslavin2@kumc.edu

More Related