Prehospital telemedicine support for urban stroke care: Analysis of current state of care and conceptualization
In conclusion, we identified confirmation of stroke symptoms as pre- and in-hospital and treatment eligibility as in-hospital process accelerators in stroke care. We propose the introduction of an in-ambulance video consulting model to accelerate contact to stroke-experts and accelerate processing times for patients eligible for treatment. Furthermore, we discuss the combination of in-ambulance video consulting with imaging and starting treatment outside traditional stroke centers, followed by transportation to a stroke center during thrombolysis, which might further accelerate treatment in specific cases.
Authors
- Rüdiger J. Seitz (ORCID: https://orcid.org/0000-0002-1168-9187)
- Markus Vomhof (ORCID: https://orcid.org/0000-0002-2714-6371)
- Bernd Turowski (ORCID: https://orcid.org/0000-0002-7191-725X)
- Gregory Gordon Greiner (ORCID: https://orcid.org/0000-0001-7341-0818)
- John‐Ih Lee (ORCID: https://orcid.org/0000-0001-9622-0216)
- Christian Rubbert (ORCID: https://orcid.org/0000-0002-9461-1173)
- Michael Gliem (ORCID: https://orcid.org/0000-0002-0446-9776)
- Nadja Kairies‐Schwarz (ORCID: https://orcid.org/0000-0001-6164-959X)
- Sven Guenther Meuth (ORCID: https://orcid.org/0000-0003-2571-3501)
- Michaël Bernhard (ORCID: https://orcid.org/0000-0002-0030-1693)
- Tobias Ruck (ORCID: https://orcid.org/0000-0001-6332-8650)
- Daniel Weiß (ORCID: https://orcid.org/0000-0002-3118-7627)
- Robin Jansen (ORCID: https://orcid.org/0009-0005-8492-7595)
- Til Menge (ORCID: https://orcid.org/0000-0003-3459-8867)
- Marius Kaschner
- Julian Caspers (ORCID: https://orcid.org/0000-0002-1354-3667)
- Sebastian Jander
- Andrea Icks (ORCID: https://orcid.org/0000-0001-8471-3785)
- Linea Weitz
- Hanna Hollenberg
Institutions
- Düsseldorf University Hospital (DE)
- Marien Hospital Düsseldorf (DE)
- Deutsches Diabetes-Zentrum e.V. (DE)
- Heinrich Heine University Düsseldorf (DE)
Publication Details
- Journal
- BMC Emergency Medicine
- Published
- 2024-11-27
- DOI
- https://doi.org/10.1186/s12873-024-01142-3
- Citations
- 2
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 0.77
Funders
- Ministerium für Wirtschaft, Innovation, Digitalisierung und Energie des Landes Nordrhein-Westfalen