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TeleStroke

TeleStroke Book
Author : Latisha Katie Sharma
Publisher : Academic Press
Release : 2021-05-29
ISBN : 0128244232
Language : En, Es, Fr & De

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Book Description :

Telestroke helps readers develop a deeper understanding on how to utilize telestroke in clinical practice, a key step in providing optimal treatment and management to those with geographical and social/economic disparities. The book discusses how to provide accurate and fast revascularization for patients with acute ischemic stroke and how to continue remote care of patients. It also reviews underlying stroke etiology, interpretation and assessment of stroke diagnostic tools/teleradiology, complications of care, discusses targeted, secondary preventative therapies and covers telerehabilitation, outpatient follow-up and clinical trial engagement. Includes tactics on how to enact rapid implementation by stroke neurologists Explains recent changes to telehealth coding/reimbursement Reviews the underlying stroke etiology, interpretation and assessment of stroke diagnostic tools/teleradiology, and complications of care Covers targeted, preventative therapies, telerehabilitation, outpatient follow-up, and clinical trial engagement

Telemedicine for Trauma Emergencies and Disaster Management

Telemedicine for Trauma  Emergencies  and Disaster Management Book
Author : Rifat Latifi
Publisher : Artech House
Release : 2010
ISBN : 1607839989
Language : En, Es, Fr & De

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Book Description :

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.

TELESTROKE IN LATIUM ITALY THE RESULTS OF THE FIRST 2 YEARS EXPERIENCE

TELESTROKE IN LATIUM  ITALY   THE RESULTS OF THE FIRST 2 YEARS EXPERIENCE Book
Author : angela risitano
Publisher : Unknown
Release : 2017
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Background and Aims:According to 2018 AHA Guidelines, the use of Telestroke should be supported by healthcare institutions to ensure adequate 24/7 care of acute stroke patients.The Latium Region, a large Italian region around Rome, is divided in 4 areas for Stroke management. Our Stroke Unit (SU - Policlinico Umberto I) serves as Hub reference for the northeast region. Since 2016, 2 hospitals (Tivoli and Palestrina) are connected with our SU through Telemedicine system (video teleconference and DICOM image transfer). We present the first experience of Latium Telestroke.Methods:From October 2016 to December 2018, 40 patients have been evaluated in Telestroke (31 from Tivoli, 9 from Palestrina).Results:Median age was 76.5 years. Twenty-five patients were women (sex ratio 0.62). EV thrombolysis has been performed in 22 patients (55%). In 4 cases, the treatment has been completed with thrombectomy once arrived in Hub. Four patients have been treated with thrombolysis and thrombectomy after transfer in Hub. Reasons for non indicating tele-thrombolysis were: time window over (17%), contraindications to rt-PA (12.5%), stroke mimic (7%), TIA (7%). Median baseline NIHSS was 14.7. modified Rankin Scale 0-2 was obtained in 49% of patients at 3 months. We do not observed symptomatic hemorrhagic transformation. Median Door To Needle Time was 137 minutes, Door In Door Out Time 171.3 minutes.Conclusions:In spite of temporal indicators, these results are promising: - we observed an increasing number of calls from Spoke Hospitals, and we obtained good results in terms of efficacy and safety after EV thrombolysis in Telestroke setting.

Telemedicine Telehealth and Telepresence

Telemedicine  Telehealth and Telepresence Book
Author : Rifat Latifi,Charles R. Doarn,Ronald C. Merrell
Publisher : Springer Nature
Release : 2021
ISBN : 3030569179
Language : En, Es, Fr & De

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Book Description :

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.

Ischemic Stroke An Issue of Neuroimaging Clinics of North America E Book

Ischemic Stroke  An Issue of Neuroimaging Clinics of North America E Book Book
Author : Lotfi Hacein-Bey
Publisher : Elsevier Health Sciences
Release : 2018-10-19
ISBN : 032364158X
Language : En, Es, Fr & De

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Book Description :

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!

INTEROBSERVER AGREEMENT WITH TELESTROKE NEUROLOGISTS FOR CORTICAL SIGN SCREENING BY EMERGENCY MEDICINE PHYSICIANS SUPERVISED BY TELESTROKE NURSES

INTEROBSERVER AGREEMENT WITH TELESTROKE NEUROLOGISTS FOR CORTICAL SIGN SCREENING BY EMERGENCY MEDICINE PHYSICIANS SUPERVISED BY TELESTROKE NURSES Book
Author : Dale E. Strong
Publisher : Unknown
Release : 2017
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Introduction: In our telestroke network prior to the involvement of a teleneurologist, bedside Emergency Medicine physicians (EMPs), supervised by remote telestroke nurses, screen suspected acute stroke patients for the cortical signs of Visual Field deficit, Aphasia, Neglect, Gaze preference and Dense hemiparesis (FANG-D). The agreement between these EMP screens to the cortical findings of telestroke neurologists is unknown.Methods: We conducted a retrospective study of suspected acute stroke patients to determine the agreement (Cohenu2019s kappa) between the FANG-D screen elements, as assessed by EMPs supervised by telestroke nurses, to the corresponding elements of the National Institutes of Health Stroke Scale assessed subsequently by a teleneurologist.Results: We analyzed 627 patient visits with completed FANG-D assessments from August 2018 to January 2019 among 618 patients. Forty-five percent (n=281) of patients were male. Mean patient age was 63.5 (SD 15.5) years. Kappa values were as follows: visual field deficit 0.41 (95% CI 0.30-0.52), aphasia 0.55 (95% CI 0.47-0.62), neglect 0.32, (95% CI 0.17-0.47), gaze preference 0.57, (95% CI 0.45-0.69), dense hemiparesis 0.57 (95% CI 0.50-0.64).Conclusions: Between bedside EMPs, supervised remotely by telestroke nurses, and telestroke neurologists, we found minimal agreement for assessing neglect and weak agreement for assessing visual field deficit. These data suggest that LVO screens performed via telemedicine including neglect and visual field deficit may be the least reliable.

Neurointensive Care Unit

Neurointensive Care Unit Book
Author : Sarah E. Nelson,Paul A. Nyquist
Publisher : Springer Nature
Release : 2020-03-18
ISBN : 3030365484
Language : En, Es, Fr & De

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Book Description :

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.

Teleneurology in Practice

Teleneurology in Practice Book
Author : Jack W. Tsao,Bart M. Demaerschalk
Publisher : Springer
Release : 2015-06-09
ISBN : 1493923498
Language : En, Es, Fr & De

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Book Description :

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.

Acute Ischemic Stroke

Acute Ischemic Stroke Book
Author : David M. Greer
Publisher : John Wiley & Sons
Release : 2007-10-05
ISBN : 9780470183380
Language : En, Es, Fr & De

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Book Description :

This focused book deals clearly and concisely with the principles of management of patients with acute ischemic stroke (AIS). It emphasizes the published and verifiable evidence in support of these principles, and highlights the areas of limited evidence. Best evidence is provided for the current standard treatment of acute ischemic stroke, including intravenous chemical thrombolysis, intra-arterial approaches, blood pressure management, and anti-thrombotic therapy. More modern techniques are also described, such as the use of mechanical devices to evacuate a thrombus, induced hypertension, hyper-oxygenation (hyperoxia), and neuroprotective or neuroregeneration agents. Hallmark features include: Focused on acute ischemic stroke, the most rapidly growing area of stroke management Evidence based: Provides best evidence for treatment Clearly discusses areas and topics where best evidence has not yet been established Lays out treatment plans and protocols in handbook fashion for ease of use and reference, even in emergency situations Includes latest and cutting-edge techniques and equipment for dealing with AIS Acute Ischemic Stroke: An Evidence-based Approach is an indispensable reference work for neurologists, neurocritical care medics, intensivists, hospitalists, emergency room physicians, neurology residents and fellows. It is also a helpful resource for medical students, physician assistants, and nurse practitioners in hospital and neurocritical care facilities.

Ischemic Stroke

Ischemic Stroke Book
Author : Pratap Sanchetee
Publisher : BoD – Books on Demand
Release : 2021-03-24
ISBN : 1839623942
Language : En, Es, Fr & De

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Book Description :

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.

Telestroke the Use of Telemedicine in Stroke Care

Telestroke  the Use of Telemedicine in Stroke Care Book
Author : Thierry Moulin,Heinrich J. Audebert
Publisher : Unknown
Release : 2009
ISBN : 9783805591553
Language : En, Es, Fr & De

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Book Description :

This issue is a dedicated supplement published in addition to the regular issues of 'Cerebrovascular Diseases' focussing on one specific topic. 'Cerebrovascular Diseases' is a well-respected, international peer-reviewed journal in Neurology. Supplement issues are included in the subscription.

Telemedicine in the ICU

Telemedicine in the ICU Book
Author : Matthew A. Koenig
Publisher : Springer
Release : 2019-04-25
ISBN : 3030115690
Language : En, Es, Fr & De

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Book Description :

This text provides a concise, yet comprehensive overview of telemedicine in the ICU. The first part of the book reviews common issues faced by practitioners and hospital administrators in implementing and managing tele-ICU programs, including the merits of different staffing models, the challenges of building homegrown programs versus contracting for services, and the impact of state laws and payer policies on reimbursement for tele-ICU services. The second part of the book presents the current state of evidence for and against ICU telemedicine, based on clinical trials, before-and-after implementation studies, and observational data. The third part dives deeper into specific use cases for telemedicine in the ICU, including telestroke, pediatric and cardiac intensive care, and early treatment of declining patients with sepsis. Written by experts in the field, Telemedicine in the ICU is a practical guide for intensive care physicians and hospital administrators that provides all the information necessary in building and maintaining a successful tele-ICU program.

Advances in Telemedicine

Advances in Telemedicine Book
Author : Georgi Graschew,Theo A. Roelofs
Publisher : BoD – Books on Demand
Release : 2011-03-22
ISBN : 9533071613
Language : En, Es, Fr & De

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Book Description :

Innovative developments in information and communication technologies (ICT) irrevocably change our lives and enable new possibilities for society. Telemedicine, which can be defined as novel ICT-enabled medical services that help to overcome classical barriers in space and time, definitely profits from this trend. Through Telemedicine patients can access medical expertise that may not be available at the patient's site. Telemedicine services can range from simply sending a fax message to a colleague to the use of broadband networks with multimodal video- and data streaming for second opinioning as well as medical telepresence. Telemedicine is more and more evolving into a multidisciplinary approach. This book project "Advances in Telemedicine" has been conceived to reflect this broad view and therefore has been split into two volumes, each covering specific themes: Volume 1: Technologies, Enabling Factors and Scenarios; Volume 2: Applications in Various Medical Disciplines and Geographical Regions. The current Volume 2 is structured into the following thematic sections: Cardiovascular Applications; Applications for Diabetes, Pregnancy and Prenatal Medicine; Further Selected Medical Applications; Regional Applications.

Decision Support in Clinical Practice for Stroke Clinician Experiences and Expectations

Decision Support in Clinical Practice for Stroke  Clinician Experiences and Expectations Book
Author : Andrew Bivard,Mark William Parsons,Xin Cheng
Publisher : Frontiers Media SA
Release : 2021-07-01
ISBN : 2889669599
Language : En, Es, Fr & De

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Book Description :

Download Decision Support in Clinical Practice for Stroke Clinician Experiences and Expectations book written by Andrew Bivard,Mark William Parsons,Xin Cheng, available in PDF, EPUB, and Kindle, or read full book online anywhere and anytime. Compatible with any devices.

Thrombolytic Therapy for Acute Stroke

Thrombolytic Therapy for Acute Stroke Book
Author : Patrick D Lyden
Publisher : Springer
Release : 2014-12-04
ISBN : 3319075756
Language : En, Es, Fr & De

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Book Description :

Thrombolytic therapy is finally starting to reach patients in a variety of settings all over the world. Formerly in the domain of sub-specialists, thrombolytic therapy now rests in the realm of Emergency Medicine, Intensive Care, Vascular, and Neuro hospital Medicine physicians. Increasingly, non-neurologists use thrombolytic therapy. This is a significant advancement since the 2nd edition to Thrombolytic Therapy for Acute Stroke published, creating a significant need for a 3rd edition. Thrombolytic Therapy for Acute Stroke, 3rd edition will be a practical and thorough reference to all those caring for acute stroke patients. Extensively updated from previous editions, new data and cases will provide guidance to this most effective stroke treatment. This text will be of great interest to physicians, residents and advanced practice nurses who treat acute stroke patients.

Ischemic Stroke Therapeutics

Ischemic Stroke Therapeutics Book
Author : Bruce Ovbiagele,Tanya N. Turan
Publisher : Springer
Release : 2015-11-24
ISBN : 3319177508
Language : En, Es, Fr & De

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Book Description :

This complete resource captures state-of-the-art strategies and the accelerated pace of discovery that is revolutionizing what is known about ischemic stroke and its treatment. Therapeutics for acute management, secondary prevention, recovery, rehabilitation, asymptomatic cerebral ischemia, and implementation of stroke systems of care are all discussed in this comprehensive yet practical guide. Chapters are authored by leading academicians with extensive clinical practice experience from all over the world and feature the scientific evidence behind prevailing therapeutic strategies for managing ischemic cerebrovascular disease. The specialist or general practitioner will gain critical knowledge in stroke management, current clinical challenges and promising new therapies under investigation.

Telemedicine in the ICU An Issue of Critical Care Clinics

Telemedicine in the ICU  An Issue of Critical Care Clinics  Book
Author : Richard W. Carlson
Publisher : Elsevier Health Sciences
Release : 2015-06-03
ISBN : 0323359892
Language : En, Es, Fr & De

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Book Description :

Drs. Richard Carlson and Corey Scurlock have put together a cutting edge list of topics regarding the use of Telemedicine in the Intensive Care Unit. Topics include: Tele-Neurocritical Care, Outcomes related to Telemedicine in the ICU,Telemedicine in the ICU: Its role in Emergencies and Disaster Management,Increasing Quality through Telemedicine in the ICU,The Role of Telemedicine in Pediatric Critical Care,Telemedicine and the Septic Patient,Taking Care of the Cardiac Critical Care Patient with Telemedicine,Barriers to ICU telemedicine,and Design and Function of Tele-ICU.

Operations Research Proceedings 2010

Operations Research Proceedings 2010 Book
Author : Bo Hu,Karl Morasch,Stefan Pickl,Markus Siegle
Publisher : Springer Science & Business Media
Release : 2011-06-24
ISBN : 9783642200090
Language : En, Es, Fr & De

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Book Description :

This book contains selected papers from the symposium "Operations Research 2010" which was held from September 1-3, 2010 at the "Universität der Bundeswehr München", Germany. The international conference, which also serves as the annual meeting of the German Operations Research Society (GOR), attracted more than 600 participants from more than thirty countries. The general theme "Mastering Complexity" focusses on a natural component of the globalization process. Financial markets, traffic systems, network topologies and, last but not least, energy resource management, all contain complex behaviour and economic interdependencies which necessitate a scientific solution. Operations Research is one of the key instruments to model, simulate and analyze such systems. In the process of developing optimal solutions, suitable heuristics and efficient procedures are some of the challenges which are discussed in this volume.

Stroke Prevention and Treatment

Stroke Prevention and Treatment Book
Author : Jeffrey L. Saver,Graeme J. Hankey
Publisher : Cambridge University Press
Release : 2020-12-10
ISBN : 1108963439
Language : En, Es, Fr & De

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Book Description :

Stroke is the second leading cause of death and a leading cause of disability worldwide. This invaluable reference provides clinicians caring for stroke patients with ready access to the optimal evidence for best practice in stroke prevention, acute stroke treatment, and stroke recovery. Now an edited volume, the editors and authors, many of whom are members of the Cochrane Stroke Review Group, describe all available medical, endovascular, and surgical treatments; the rationale for using them; and the strength of the evidence for their safety and effectiveness. New chapters cover key, rapidly advancing therapeutic topics, including prehospital stroke care and regionalized stroke systems, endovascular reperfusion therapy, and electrical and magnetic brain stimulation to enhance recovery. This is an essential resource for clinicians translating into practice the many dramatic advances that have been made in the treatment and prevention of stroke, and suggesting the most appropriate interventions.

Acute Stroke Management in the First 24 Hours

Acute Stroke Management in the First 24 Hours Book
Author : Maxim Mokin,Edward C. Jauch,Italo Linfante,Adnan Siddiqui,Elad Levy
Publisher : Oxford University Press
Release : 2018-05-18
ISBN : 0190856521
Language : En, Es, Fr & De

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Book Description :

Acute Stroke Management in the First 24 hours bridges the clinical application gap by offering a practice-based approach to treating ischemic and hemorrhagic stroke. The comprehensive text, written by international experts in the field of stroke care, covers all aspects of stroke care, including review of stroke systems, clinic features, neuroimaging diagnostic characteristics, and pre-hospital care and challenges. Practical clinical studies in each chapter engage readers in the discussion of common diagnostic pitfalls and work challenges. Chapters also include detailed figures and management algorithms, making this book an easy-to-use reference guide ideal for first responders and clinicians working in emergency medicine, neurology, neurosurgery, and critical care.