Posts Tagged ‘telemedicine’

Hub & Spoke Telemedicine

September 27th, 2012

Back in 2006 we funded a web based “hub and spoke” telemedicine system with tobacco tax funds to link up small rural and undeserved hospitals with a Primary Stroke Center (Mayo Clinic Arizona) which can give expert advice on how to best treat acute stroke patients at the rural hospitals (also called spoke hospitals).  We’re very interested in leveraging this technology in under-served rural AZ- because getting the right treatment for stroke in the first hour or so is critical to a good outcome, and that’s often a struggle in rural and frontier AZ. 

The ”Telestroke” system has been very successful… and is now being used in 10 AZ hospitals delivering state of the art acute stroke care to hundreds of stroke patients.  The group published a report in this month’s Stroke Journal which showed that the ability to view a stroke patients’ CT scan using the Telestroke System was just as good as the radiologist viewing the CT scan in person at the hub hospital- demonstrating that the technology is robust enough and has such high resolution that it can be used for decision making in the field.  This is another example of how AZ continues to help the nation with pre-hospital and ED care.

Arizona Stroke Research

May 10th, 2010

Dr. Ben Bobrow, our EMS Medical Director is at it again, with yet another publication that positively measured the value and effectiveness of another public health intervention.  Ben and his team published this month in Stroke and demonstrated that telemedicine is incredibly valuable for saving lives in rural and remote communities, by giving rural and frontier health care providers critical access to specialists that can help the rural providers save lives- and quality of life.

The bottom line is that the rural provider needs good advice about whether to administer thrombolysis medication.  If given quickly and when appropriate, this kind of medicine can dramatically improve outcomes- but it requires very quick judgment and administration…  including deciding who needs it and who doesn’t.  making a bad call can be a real problem, and making a good call can save a life.  Good work Ben.