Monmouth Neuroscience at the 2014 NJ Stroke Conference

We are happy to report that Monmouth’s stoke program was well represented at the 2014 New Jersey Stroke Conference earlier this month.

Two department of medicine residents, Drs Amor and Chan, presented our TIA center data in the poster session:

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Dr Holland gave a talk on the role of telemedicine in stroke rehabilitation.

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Bringing the ER to the stroke patient!

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We are trying to do a better job educating our patients about the warning signs of stroke, and that if they think they might be having a stroke they should act FAST and call 911 to get to the ER as soon as possible.

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However, despite these efforts only 5% of US stroke patients get to the ER in time to receive clot busting therapy to treat their stroke.  Furthermore, the quicker the drug is given, the better the outcome, TIME IS BRAIN!

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We would like to see patients getting treated within one hour of the onset of their stroke, but because of the time it takes to get to the hospital and get evaluated in the ER this is rarely possible.

A pilot study in Texas is looking at getting stroke therapy administered faster by bringing the ER to the stroke patient.

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The project brings a mobile CT scanner and a stroke neurologist (via telemedicine) to the patient in a specially equipped ambulance.  The investigators hope to see stroke patients getting treated faster and improved outcomes.

Telemedicine on the ICU, Saves lives and $$s

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We have already bogged about the value of telemedicine for the evaluation of acute stroke patients in the emergency room.

Telemedicine can be valuable in any hospital department, including the Intensive Care Unit (ICU).  ICU telemedicine involves a combination of videoconferencing technology, telemetry, and electronic medical records in order to allow off-site intensivists and critical care nurses to assist in the treatment of critically ill patients.

A 2011 metanalysis of studies published from 1950 to 2010 had found that telemedicine in the ICU was associated with a significant reduction in ICU mortality and length of stay.

A more recent prospective study published in Chest last week showed that tele-ICU care improved adherence to ICU best practices, reduced the response times to alarms, leading to lower mortality and length of stay.

Keep in mind that the cost of 1 day in the ICU can be as high as $6,000-$10,000.

Teleneurology – Get specialist care faster!

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We have already blogged about the importance of getting thromolytic therapy as quickly as possible for acute stroke.

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We have urged you to call 911, and get to the hospital by Ambulance.

Certified stroke centers, like Monmouth Medical Center, have established protocols to get brain scans and blood work done as quickly as possible.

But what about if the Neurologist can’t get to the hospital quickly enough?

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Suppose it’s late in the evening on July 4th, and the Neurologist gets stuck in traffic driving to the hospital.

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You’re sitting in the emergency room with a stroke losing precious minutes.

Teleneurology allows the Neurologist to use a secure video conferencing system to examine and counsel an emergency room patient from wherever he or she may be:

Find out more about the benefits of teleneurology.

Monmouth Medical Center is currently investing in telemedicine and teleneurology to improve patient care.

Watch this space for more information!