% % 0期刊文章%威廉。克拉克妮可Chiota-McCollum % Brett施耐德杰克Cote % %海顿Pitchford %一个盖McMurry布莱恩Gunnell % %乔治Lindbeck %一个罗伯特·奥康纳Debra Perina % % Sherita查普曼史密斯%尼娜Solenski %一个安德鲁Southerland worral布拉德福德% % T紧急医疗服务的调查一个低成本、Ambulance-based移动神经系统评估:iTREAT研究(S25.002) % D J神经病学2017% % P S25.002 X % V % 88% N 16补充目的:评估EMS提供商小说移动telestroke系统评估的经验。首页背景:现代的进步急性中风保健额外重视准确送往医院之前的诊断和分类。我们设计了快速评价的改善治疗急性中风通过移动远程医疗(iTREAT)测试的可行性研究低成本、ambulance-based送往医院之前的神经系统评估。设计/方法:我们开发了一个包含与输入从当地参与一个EMS委员会调查服务农村县在维吉尼亚州。供应商评级iTREAT系统可行性对急性中风分流,送往医院之前的神经系统中潜在的有效性评估,与患者的院前护理。调查结果都是自愿和匿名。结果:活病人登记启动以来,我们已经完成43 ambulance-based telestroke邂逅。19 EMS提供商担任型,17 EMS提供商完成了调查。关于技术可行性,69%有经验的相关问题保持视频连接,与登录到视频会议应用41%,18%为平板电脑。的技术挑战,41%的供应商自行解决这个问题,18%在研究人员的指导下,24%不可能解决问题。关于病人的治疗,23%的人认为该系统干扰,35%是中性的,41%的人觉得没有干扰。绝大多数的受访者(71%)认为急性中风分流iTREAT系统是可行的,和一个有效的工具(59%)患者的院前神经系统评估。 In commentary, EMS participants emphasized the system’s utility in rural areas.Conclusions: This survey of the EMS experience with the iTREAT system reveals both technical challenges and clinical promise. Importantly, technical issues are mostly solvable in real time and correctable for further system refinement. As a novel tool for prehospital neurological assessment and acute stroke triage, the initial EMS evaluation supports further investigation of clinical efficacy, particularly in rural and underserved areas.Study Supported by: UVA Neuroscience Center of Excellence, HRSA GO1RH27869-01-00, Virginia Alliance of Emergency Medicine ResearchDisclosure: Dr. Clark has nothing to disclose. Dr. Chiota-McCollum has nothing to disclose. Dr. Cote has nothing to disclose. Dr. Schneider has nothing to disclose. Dr. Pitchford has nothing to disclose. Dr. Gunnell has nothing to disclose. Dr. McMurry has nothing to disclose. Dr. Lindbeck has nothing to disclose. Dr. Perina has nothing to disclose. Dr. O'Connor has nothing to disclose. Dr. Chapman Smith has nothing to disclose. Dr. Solenski has received personal compensation from Specialists-On-Call. Dr. Worrall has received personal compensation in an editorial capacity for the Neurology journal. Dr. Worrall has received royalty payments from Merritt's Neurology. Dr. Southerland has received personal compensation in an editorial capacity for Neurology podcast. %U