NeuroDirect for Stroke Diagnosis
Telemedicine serves outlying hospitals lacking 24-hour neurology coverage.
When a patient is admitted to our partnering hospitals with emergent stroke symptoms a protocol is activated that puts a neurologist from Greenville Memorial Hospital (GMH) in charge. GMH is the flagship hospital of Greenville Health System (GHS). The neurologist examines the patient interactively by webcam, reviews the patient’s CT scan and bloodwork, and determines whether the patient is eligible for tissue plasminogen activator (tPA), a powerful clot-dissolving medication, or possibly endovascular treatment of the stroke. The process saves valuable time otherwise lost in hospital transfer and providing patients with access to valuable stroke expertise that would otherwise not be available.
Partnering hospitals include:
- Baptist Easley
- Greer Memorial Hospital
- Hillcrest Memorial Hospital
- Laurens County Memorial Hospital
- Newberry County Memorial Hospital
- North Greenville Hospital
- Oconee Medical Center
“There’s a shortage of neurologists, so our challenge is how to stretch available resources to provide effective and safe intervention for acute stroke. The answer is telemedicine,” says Dr. Fredy Revilla, Chief of Neurology services. It is a secure, private, internet-based program that employs a two-way audio/video system. The neurologist can see and speak with the patient, family and staff (and vice-versa) as if present in the room. Neurologists find the system very effective in allowing quick and safe evaluation and treatment recommendations for patients with new stroke symptoms.
“It increases your comfort level in giving as accurate an assessment as possible in the shortest amount of time,” said Dr. Revilla, one of the Neuroscience Associate neurologists sharing call at GHS. “When there is no neurologist in-house, telemedicine enables us to be in two places at once.”
To learn more, call the Neurology division of Greenville Memorial Hospital at (864) 454-4500.
Greenville Memorial Hospital
701 Grove Road, Greenville, SC 29605-5601