1 / 12

TELEMEDICINE AND RESEARCH. THE TELEICTUS PROJECT IN THE HOSPITAL St JOHN OF GOD´S OF ALJARAFE.

TELEMEDICINE AND RESEARCH. THE TELEICTUS PROJECT IN THE HOSPITAL St JOHN OF GOD´S OF ALJARAFE. Antonio Fernández Moyano MD. PhD. Internal Medicine Service Chief. Hospital St John of God´s to Aljarafe. Betica Province.

robin-hooper
Download Presentation

TELEMEDICINE AND RESEARCH. THE TELEICTUS PROJECT IN THE HOSPITAL St JOHN OF GOD´S OF ALJARAFE.

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. TELEMEDICINE AND RESEARCH.THE TELEICTUS PROJECT IN THE HOSPITAL St JOHN OF GOD´S OF ALJARAFE. Antonio Fernández Moyano MD. PhD. Internal Medicine Service Chief Hospital St John of God´s to Aljarafe. Betica Province

  2. Stroke is the second leading cause of death in our country and the first long-term disability.

  3. Systemic thrombolysis is the only therapy proven to be effective for ischemic stroke. Intravenous rtPA (alteplase) is recommended for selected patients who meet the following three conditions: -< 80 years old -within 4,5 hours of onset of symptoms, and -NIHSS scale between 4-20 points

  4. 2003 “thrombolytic therapy should only be given if the diagnosis is established by a physician who has expertise in the diagnosis of stroke, and a computed tomography (CT) of the brain isassessed by physicians who have expertise in reading this imaging study”. European Stroke Initiative. Cerebrovasc Dis. 2004;17(suppl 2):30–46.

  5. Much of the population live in geographically remote • from major medical centers, and the permanent • presence of a neurologist expert in each of the • regional hospitals is unfeasible.

  6. 2006 • Telemedical support offers a novel and • pragmatic way to extend the benefits of • systemic thrombolysis to rural areas. • rtPA administration can be conducted in • regional hospitals with similar • treatment quality Stroke 2006, 37:1822-1827:

  7. Thrombolysis may be initiated at an outlying hospital (spoke) under the supervision of a vascular neurologist at the designated Regional stroke centre (Hub) via telephone or telemedicine (“telestroke”) Stroke. 2010;41:e18-e24.

  8. An organized protocol for the emergency evaluation of patients with suspected stroke. • Designation of an acute stroke team that includes • physicians, nurses, and laboratory/radiology • personnel. Stroke. 2010;41:e18-e24.

  9. Population: 270.000 Spoke: 40 m´ Hub: 80 m´ ALJARAFE

  10. Our program has developed a computer system to aid decision making in the clinical assessment of doctors and nurses,

  11. … and treatment.

More Related