Our neurologists use a video and image-sharing telecommunications system to provide acute stroke care consultative services to outlying hospitals in the state when patients present with acute stroke symptoms. We work in collaboration with the clinical staff in the emergency department to evaluate and treat patients presenting with acute neurological emergencies. Yale New Haven Hospital is the only hospital in Connecticut to offer stroke telemedicine services.

Within minutes of making an initial call to the Stroke Telemedicine Program, the on-call neurologist can examine a patient at the remote hospital to help diagnose and make recommendations for treatment. We offer selected patients the opportunity for treatment with IV tPA and to be transferred to Yale New Haven Hospital for neuro-interventional procedures.

Telestroke programs throughout the country have demonstrated that telemedicine conferencing between outlying hospitals and trained stroke neurologists can enhance the use of tPA at hospitals that do not have on-site neurologists 24/7. tPA is the only FDA-approved treatment for strokes caused by blocked blood vessels, which account for the vast majority of strokes. We found a 90 percent increase in the rate of IV tPA administration and a reduction in the rate of symptomatic hemorrhage when comparing services before and after introducing our Stroke Telemedicine Program at outlying hospitals.