Telestroke

Telemedicine has evolved to become an important field of medicine and healthcare, involving everything from simple patient care to actual performance of operations at a distance. This groundbreaking volume addresses the complex technical and clinical development in the management of trauma, disaster, and emergency situations using telemedicine. The book explains how telemedicine and related technologies can be used to effectively handle a wide range of scenarios, from a situation as small as a car crash, to major disasters such as an earthquake. Professionals find critical discussions on the practicality, logistics, and safety of telemedicine from recognized experts in the field. From teleteaching and telemonitoring, to teletrauma and telesurgery, this authoritative book covers all the major aspects that practitioners need to understand in order to engage and utilize this burgeoning area of medicine.

Telemedicine and telehealth have consistently been shown to be effective for remote areas or limited-resource locations, regular medical and surgical practice, primary care, second opinion, extreme conditions, major crises, and disaster management. The aim of this book is to bring all aspects of telemedicine and e-health to the reader, in a simple, make-sense approach, in one tome. The book is structured in four parts with 29 chapters written by the best experts in the field from around the world, including clinicians, scientists, and administrators of telemedicine programs. Part I deals with basic principles of telemedicine and telepresence. Historical journeys of telemedicine and strategies, building sustainable telemedicine and telehealth programs in the United States and in the Balkans, as well as incorporation of telemedicine in the current ongoing pandemic COVID-19 are well described and are must read. Current technological developments, rules and regulations, legal and business aspects and consent are also addressed. Part II describes strategies for building sustainable telemedicine and telehealth programs. Telehealth patient portals and public-private partnership modes of technology, as well the role of international telemedicine and how to make it work, are valuable chapters of great significance. Part III describes outcomes-based evidence clinical applications of telemedicine in trauma, burns, intensive care, pediatric care, psychiatry, and stroke. Finally, one important chapter for the readers is the telemedicine for prison and jail population. The final part, Part IV depicts surgical telementoring and teleproctoring, a chapter written by 18 various surgical experts, a true gem for the readers. The book ends with promises and hurdles of telemedicine in austere conditions. Telemedicine, Telehealth and Telepresence serves as a valuable resource that focuses on providing patients care from a distance using store and forward technology to live actual performance of operations at a distance.Chapters 1, 6, 12 and 17 are available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

This issue of Neuroimaging Clinics of North America focuses on Ischemic Stroke, and is edited by Dr. Lotfi Hacein-Bey. Articles will include: Clinical distinction of cerebral ischemia and triaging of patients in the ED: mimics, wake-ups, late strokes and chameleons; Telestroke; CT, CTA and CT perfusion of acute stroke; MRI based imaging of acute stroke; Advanced neuroimaging of acute stroke: collaterals, permeability imaging, Arterial Spin Labeling; Penumbra, oligemia, infarction: understanding hypoperfusion with neuroimaging?; Pathophysiology of thrombus and clinical implications; Neuro-interventional management of stroke; Non interventional treatment options for stroke; What to look for on post-stroke neuroimaging; Reperfusion changes after stroke and practical approaches for neuroprotection; Economics of stroke treatment (value-based payment models and other); Health care organization of neuroradiological management of stroke at regional and national levels: the French experience; and more!

This book offers valuable guidance to neurointensivists, other neurocritical care staff, and those desiring to develop a neurocritical care unit via a thorough discussion of neurological emergencies and neurocritical care unit organization. This comprehensive volume begins with a review of acute neurological emergencies as managed clinically in the neurocritical care unit. Topics include acute cerebrovascular, neurological, and neurosurgical disorders. The unique aspect of this book is its description of the organization of the neurocritical care unit. We focus on how other services in the hospital interact with and assist neurocritical care operations, telemedicine/telestroke, and neurocritical care personnel and their roles. A review of expected outcomes of neurocritical care conditions is also included. Neurointensivists, neurocritical care unit staff leadership, hospital administrators, and those interested in developing a neurocritical care unit will find Neurointensive Care Unit: Clinical Practice and Organization to be an invaluable guide.

This title will provide an up-to-date review of the emerging practice of neurology telemedicine. Increasingly, neurology, like other disciplines of medicine, is implementing the technological advances and discoveries of the science of healthcare delivery to improve not only access and efficiency but outcomes and cost as well. For patients in remote and underserved areas, having a neurological condition means lengthy and costly travel to obtain specialist evaluation. Telemedicine has the ability to deliver such care to a patient’s local community. Neurology telemedicine for acute stroke has already demonstrated clinical efficacy and cost effectiveness by raising the numbers of thrombolysis-eligible patients who can be treated in a timely fashion. More than 85% of leading US neurology departments currently use or plan to implement telemedicine within the next year. The US military has a limited number of neurologists – a store-and-forward consultation system has enabled military neurologists to deliver far-forward battlefield care for service members deployed overseas. The chapters in this book will review the use of telemedicine for the evaluation and treatment of patients with many common neurological conditions and will provide a practical guide for neurologists seeking to incorporate telemedicine into their daily practices.

This practical guide to diagnostic tests, advanced treatments, medication management, research protocols, and best practice standards is a quick and handy reference for the advanced practice nurse caring for stroke patients. Fast Facts About Stroke Care for the Advanced Practice Nurse serves as an instructive resource for advanced practice providers not specializing in neurology or neurocritical care but who are increasingly called upon to care for patients suffering from stroke while integrating into a multidisciplinary stroke team. This new book provides foundational information on the anatomy and physiology of the stroke patient, as well as diagnostic and assessment tools and details on treatment and education. In addition, the book provides important information on critical care, pharmacology, end-of-life management, and research, as well as examining the role of the advanced practice provider who is integrating within the core stroke team. Fast Facts About Stroke Care for the Advanced Practice Nurse provides advanced practice nurses with the essential knowledge they will need to successfully care for stroke patients while adapting into their role on the core stroke team. Key Features: Reflects the most current standards of the American Heart Association, American Stroke Association, and the leading certifying organizations Foundational information on stroke care, anatomy, and physiology Comprehensive review of diagnostic studies and treatments Information on stroke research protocols, pharmacology, and end-of-life management Advanced level resource for new and seasoned advanced practice providers

Stroke continues to be a major public health issue. It is the third leading cause of death and disability across the globe. Its early identification and treatment along with prevention are major issues that confront a treating physician. We have understood the importance of early intervention and of the quote ‘time is brain’. Our endeavor now should be directed to the public at large and paramedics in particular. Although a stroke is a common condition, the availability of neurologists or stroke specialists is quite scarce. Today, management of a suspected case of stroke is done by a specialist team of medical and paramedical personnel. Advances in imaging, newer therapeutic agents, and endovascular management have revolutionized the management. Currently, we are witnessing a new era in the management of strokes and I am hopeful that continued research will get us to a satisfactory solution. This book along with another book from IntechOpen titled ‘Ischemic Stroke of Brain’ aims to improve the understanding of stroke medicine for postgraduate medical students in medicine and neurology who have an interest in stroke care.

Telemedicine Basics -- Telemedicine Technologies -- Telehealth Training and Education -- Telehealth Adoption and Patient Engagement -- Quality Assessment in Emergency Telehealth -- Legal, Regulatory and Reimbursement Considerations -- Telehealth Cybersecurity -- Telestroke and Teleneurology -- Emergency Telepsychiatry -- Role of Telemedicine for Guiding Rural Emergent Neurosurgical Care -- Emergency Ocular Telehealth Services -- Medical Subspecialty Telehealth Consults -- Telemedicine in the Surgical Disciplines -- Pediatric Emergency Telehealth -- Tele-Triage -- Telehealth for Medication for Addiction Treatment -- Supporting Advance Practice Providers in the ED using Telehealth -- Emergency Telehealth Services in the Correctional Setting -- Extending Care Team Access to Out of Hospital Settings via Telehealth -- Remote Physiologic Monitoring -- Direct to Consumer or On-Demand Telehealth -- Telehealth Facilitates Value Based Care in ED Settings -- Tele-ultrasound -- Emerging and Innovative Technologies.