Telestroke Program - Top Quality Stroke Care in Your Community
Through Telemedicine technology, California Pacific stroke specialists are able to work via remote video conferencing with physicians in communities outside of San Francisco bringing top-notch stroke care to community hospitals helping them select the optimal stroke treatment for the best possible outcomes.
California Pacific Medical Center’s Telestroke Program
California Pacific Medical Center’s Telestroke Program allows community and rural hospital emergency departments’ direct one-on-one video consultation with stroke neurologists at CPMC, one of Northern California’s top stroke treatment centers. CPMC stroke neurologists are available to provide stroke patient care recommendations for any patient presenting with a stroke or stroke-like symptoms. With guidance from stroke neurologists, local physicians are able to apply the most modern stroke treatment with confidence.
What happens when a stroke patient arrives in the ED?
When a possible stroke patient is evaluated at a hospital with a CPMC Telestroke agreement, the emergency physician can call the CPMC Telestroke neurologist on-call anytime for consultation. Within a few (usually less than 10) minutes, that on-call stroke neurologist will be working with the local emergency physician via two-way high-definition video conferencing to perform a stroke-specific examination and consultation on the best treatment options for the patient. If acute ischemic stroke is diagnosed, recommendations may include immediate intravenous tPA administration and emergent transfer to CPMC for higher level of care, possibly including endovascular intervention.
Alternatively, if a hemorrhagic stroke, say from a ruptured aneurysm, is suspected, the patient can be stabilized, then transferred to CPMC for higher level care, including neurointerventional surgery and neurosurgery. We ensure that an ICU bed is always available at CPMC for any patient who needs emergent transfer.
Once a patient arrives at CPMC they are immediately evaluated by our stroke neurologists, and typically undergo a non-invasive diagnostic study such as a CT scan with CT angioplasty. In the case of an acute ischemic stroke from a clot blocking a major cerebral artery, if there is a significant volume of brain to save, the patient could proceed immediately to our dedicated neurointerventional radiology suite to perform a catheter angiogram and attempt clot removal.
In the case of a ruptured cerebral aneurysm, a catheter angiogram would define the anatomy of the aneurysm and neighboring blood vessels to determine the best mode of treatment, which is often by endovascular (from inside the blood vessels) coiling but sometimes by open clipping. If amenable, the patient would then immediately proceed to have the aneurysm treated and secured.
CPMC’s Telestroke Program Provides:
- On-demand access to acute stroke neurology experts.
- Acute stroke coverage permitting hospital qualification as a Certified Stroke Center for local EMS systems.
- Rapid access to transport services for higher-level stroke care needs.
- Bed availability when transport is necessary.
Interested in Telestroke for your hospital or need more information?
California Pacific Stroke & Aneurysm Treatment
California Pacific Medical Center
California Pacific Neuroscience Institute.
The California Pacific Neuroscience Institute in San Francisco features some of the top-rated neurology physicians and neurosurgeons in the San Francisco Bay Area, Marin county and Northern California. Providing personalized patient care using the most successful spine, brain, stroke and epilepsy surgical options available is what we do best.
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Watch a video on one patient's experience with the Telestroke program.