The acute telestroke model of care in Australia: a potential roadmap for other emergency medical services?

Carlos Garcia‐Esperon, Christopher F Bladin, Timothy J Kleinig, Helen Brown, Jennifer J Majersik, Andrew Wesseldine and Kenneth Butcher
Med J Aust 2022; 216 (10): . || doi: 10.5694/mja2.51519
Published online: 6 June 2022

Telestroke is an example of technology facilitating the delivery of time‐dependent therapies in regional Australia

Stroke telemedicine, or “telestroke”, refers to the diagnosis and treatment of patients using telecommunications technology. Acute stroke care is time-critical and regional hospitals typically do not have ready access to specialist stroke expertise. Stroke reperfusion therapies (thrombolysis and endovascular thrombectomy) are time-dependent (with an increased proportion of poor outcomes associated with delayed therapy delivery1), resource-intense, and potentially hazardous.

  • Carlos Garcia‐Esperon1,2
  • Christopher F Bladin3,4
  • Timothy J Kleinig5,6
  • Helen Brown7
  • Jennifer J Majersik8
  • Andrew Wesseldine9
  • Kenneth Butcher10

  • 1 John Hunter Hospital, Newcastle, NSW
  • 2 Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW
  • 3 Eastern Health, Melbourne, VIC
  • 4 Monash University, Melbourne, VIC
  • 5 Royal Adelaide Hospital, Adelaide, SA
  • 6 Stroke Research Programme, University of Adelaide, Adelaide, SA
  • 7 Royal Brisbane and Women’s Hospital, Brisbane, QLD
  • 8 University of Utah, Salt Lake City, UT, USA
  • 9 St John of God Health Care, Perth, WA
  • 10 Institute of Neurological Sciences, Prince of Wales Hospital, Sydney, NSW

Competing interests:

No relevant disclosures.


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