Response to Letter Regarding Article, “Art of Expertise in Stroke Telemedicine: Imaging and the Collaterome” | Zendy

David S. Liebeskind | Zendy

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Response to Letter Regarding Article, “Art of Expertise in Stroke Telemedicine: Imaging and the Collaterome”

Author(s) -

David S. Liebeskind

Publication year - 2015

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/strokeaha.115.009327

Subject(s) - telemedicine , medicine , stroke (engine) , teleradiology , triage , medical emergency , acute stroke , neurovascular bundle , health care , emergency department , surgery , nursing , mechanical engineering , engineering , economics , economic growth

The complimentary comments by Uchino et al1–3 on the recent editorial about stroke telemedicine suggest that the Stroke Emergency Mobile (STEMO) methodology was erroneously described.1–3 They contend that the presence of a neurologist in the ambulance defies the definition of stroke telemedicine despite the use of both teleradiology and further teleneurology consultation with a senior stroke expert to facilitate complex decision making. Their letter describes a further iteration of the mobile stroke unit methods pioneered in Berlin to advance telemedicine and the streamlined triage of patients with stroke in Cleveland. I strongly endorse their efforts to advance the care of patients with both ischemic and hemorrhagic stroke but suggest that their model is not the first nor ultimate refinement of stroke telemedicine.Stroke telemedicine may be defined and implemented with a variety of …

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