By Laura French
CHARLESTON, S.C. 鈥� A recent study found that in-ambulance telehealth consultations led to quicker treatment times for stroke patients.
conducted by researchers at Medical University of South Carolina (MUSC) Health, in partnership with Georgetown Memorial Hospital and Hampton Regional Medical Center, found that door-to-treatment times were cut by about 18 minutes on average when telehealth consultations began in the ambulance, .
鈥淎 15-minute reduction in door-to-treatment time leads to patients with reduced complications from tPA and significant reduction in disability or death,鈥� said Christine Holmestedt, D.O., the medical director of MUSC Health鈥檚 Comprehensive Stroke Center, in a statement. 鈥淭hey are more likely to be discharged to an acute rehab rather than long-term care, and they have much better functional outcomes.鈥�
The study tested a new telestroke workflow that involved three-way communication between the patient and EMS crew, a stroke specialist and staff at the receiving hospital. The in-ambulance consultations helped emergency department doctors and nurses better prepare for the patient鈥檚 arrival, and also helped determine whether the ambulance should be rerouted to a comprehensive stroke center rather than the closest hospital, according to MUSC.
鈥淭hese improved outcomes reduce disability and even death for patients seen with acute stroke,鈥� Holmstedt stated. 鈥淎nd they don鈥檛 negatively impact the EMT workflow, so we can bring more efficient treatment options to the state鈥檚 rural population.鈥�