+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Development and Pilot Testing of 24/7 In-Ambulance Telemedicine for Acute Stroke: Prehospital Stroke Study at the Universitair Ziekenhuis Brussel-Project



Development and Pilot Testing of 24/7 In-Ambulance Telemedicine for Acute Stroke: Prehospital Stroke Study at the Universitair Ziekenhuis Brussel-Project



Cerebrovascular Diseases 42(1-2): 15-22



In-ambulance telemedicine is a recently developed and a promising approach to improve emergency care. We implemented the first ever 24/7 in-ambulance telemedicine service for acute stroke. We report on our experiences with the development and pilot testing of the Prehospital Stroke Study at the Universitair Ziekenhuis Brussel (PreSSUB) to facilitate a wider spread of the knowledge regarding this technique. Successful execution of the project involved the development and validation of a novel stroke scale, design and creation of specific hardware and software solutions, execution of field tests for mobile internet connectivity, design of new care processes and information flows, recurrent training of all professional caregivers involved in acute stroke management, extensive testing on healthy volunteers, organisation of a 24/7 teleconsultation service by trained stroke experts and 24/7 technical support, and resolution of several legal issues. In all, it took 41 months of research and development to confirm the safety, technical feasibility, reliability, and user acceptance of the PreSSUB approach. Stroke-specific key information can be collected safely and reliably before and during ambulance transportation and can adequately be communicated with the inhospital team awaiting the patient. This paper portrays the key steps required and the lessons learned for successful implementation of a 24/7 expert telemedicine service supporting patients with acute stroke during ambulance transportation to the hospital.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 057595657

Download citation: RISBibTeXText

PMID: 26950076

DOI: 10.1159/000444175


Related references

PreSSUB II: The prehospital stroke study at the Universitair Ziekenhuis Brussel II. Journal of Translational Internal Medicine 3(2): 57-63, 2015

Prehospital utility of rapid stroke evaluation using in-ambulance telemedicine: a pilot feasibility study. Stroke 45(8): 2342-2347, 2014

Improved prehospital triage of patients with stroke in a specialized stroke ambulance: results of the pre-hospital acute neurological therapy and optimization of medical care in stroke study. Stroke 46(3): 740-745, 2015

Telemedicine stroke department network. Introduction of a telemedicine pilot project for integrated stroke management in South Bavaria and analysis of its efficiency. Der Nervenarzt 75(2): 161-165, 2004

Establishment of an effective acute stroke telemedicine program for Australia: protocol for the Victorian Stroke Telemedicine project. International Journal of Stroke 9(2): 252-258, 2014

Transcranial ultrasound from diagnosis to early stroke treatment: part 2: prehospital neurosonography in patients with acute stroke: the Regensburg stroke mobile project. Cerebrovascular Diseases 33(3): 262-271, 2012

Telemedicine for safe and extended use of thrombolysis in stroke: the Telemedic Pilot Project for Integrative Stroke Care (TEMPiS) in Bavaria. Stroke 36(2): 287-291, 2004

Problems of emergency transfers of patients after a stroke. Results of a telemedicine pilot project for integrated stroke accommodation in southeast Bavaria (TEMPiS). Deutsche Medizinische Wochenschrift 130(44): 2495-2500, 2005

PreHospital Ambulance Stroke Test - pilot study of a novel stroke test. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 25(1): 37, 2017

Reliability of prehospital real-time cellular video phone in assessing the simplified National Institutes Of Health Stroke Scale in patients with acute stroke: a novel telemedicine technology. Stroke 42(6): 1522-1527, 2011

Ambulance-based assessment of NIH Stroke Scale with telemedicine: A feasibility pilot study. Journal of Telemedicine and Telecare 23(4): 476-483, 2016

Telemedicine in Prehospital Acute Stroke Care. Journal of the American Heart Association 8(6): E011729, 2019

Telemedicine in Prehospital Stroke Evaluation and Thrombolysis: Taking Stroke Treatment to the Doorstep. JAMA Neurology 73(2): 162-168, 2016

Technical feasibility and ambulance nurses' view of a digital telemedicine system in pre-hospital stroke care - A pilot study. International Emergency Nursing 2019, 2019

4G versus 3G-enabled telemedicine in prehospital acute stroke care. International Journal of Stroke 2019: 1747493019830303, 2019