PT -期刊文章盟威廉克拉克AU -妮可Chiota-McCollum AU -杰克Cote盟-布雷特•施奈德AU -海顿Pitchford AU -布莱恩Gunnell AU -盖McMurry AU -乔治Lindbeck盟Debra Perina AU -罗伯特·奥康纳AU -史密斯Sherita查普曼盟尼娜Solenski AU -布拉德福德worral盟安德鲁Southerland TI -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) DP - 2017年4月18日TA -神经病学PG - S25.002 VI - 88 IP - 16补充4099 - //www.ez-admanager.com/content/88/16_Supplement/S25.002.short 4100 - //www.ez-admanager.com/content/88/16_Supplement/S25.002.full所以Neurology2017 4月18日;首页88 AB -目的:评估EMS提供商小说移动telestroke系统评估的经验。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。 Concerning patient care, 23% felt the system interfered, 35% were neutral, and 41% felt there was no interference. The majority of respondents (71%) agreed that the iTREAT system is feasible for acute stroke triage, and an effective tool(59%) for prehospital neurological assessment. 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.