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The first Telestroke workshop organized by the ESO Telestroke Committee took place in Munich, Germany from 5 to 6 July. the workshop was hosted by the Neurology staff of the Klinikum Harlaching chair Prof. Roman Haberl and the Tempis coordinators Gordian Hubert and Peter Muller-Bama.

The meeting was attended by 12 doctors coming from 7 different countries (Croatia, Italy, Macedonia, Philippines, Slovenia, Serbia and Spain).

Speakers from the Tempis staff, Dr. Frank Kraus and the ESO committee members gave a wide overview of the main solution and updates on the most advanced frontiers of telemedicine. Working groups simulated telemedicine models to be set up in each country, focusing on most disadvantaged geographical areas. A simulated call from a stroke centre was presented to the attendees. Also continental reimbursement policies, risk management aspects and technical issues were discussed.

The committee group looks forward producing shortly a recommendation paper and standard of certification for telestroke services.

The Committee members

Gordian Hubert (Chair), Germany
Sonia Abilleira, Spain
Andrey Alasheev, Russia
Jessica Balinn, Germany
Francesco Corea, Italy
Gustavo Santo, Portugal
Silvia Tur Campos, Spain
Geert Vanhooren, Belgium
Bojana Zvan, Slovenia

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  • Presentati sommariamente i risultati della survey promossa dal Telestroke committee ESO di questa estate. Indicativa di difficoltà di accesso alle cure nella metà delle 20 reti ictus esaminate. Si riscontra altresì diffusione di sistemi per teleconsulto. Pochi sono dispositivi elettromedicali in uso, più frequenti le soluzioni improvvisate. Il mercato dei dispositivi appare eterogeneo e si patisce un vuoto organizzativo.

  • Si concorda invio della survey alla rivista di Thierry Moulin /European Research in Telemedicine.
  • Analisi più allargata (Elba, Roma altri eventuali) sarà inviata all’ESOC 2018 entro la deadline del congresso.
  • Non vi sono pacchetti formativi in materia di telestroke/teleneurologia.
  • ASL di Emilia Romagna, Abruzzo, Umbria e Toscana hanno mosso passi significativi per acquisire strumentazione per cifre maggiori al milione e mezzo di € spesso i medici non sono coinvolti nel processo organizzativo. 
  • Si riscontrano carenze contrattuali con mancato riconoscimento anche finanziario in chi pratica telemedicina con particolare criticità nel telelavoro dal domicilio.
  • I partecipanti si prodigheranno nel trasmettere alle organizzazioni sindacali ed ordini medici competenti territorialmente tali criticità nella prospettiva del rinnovo del CCNN di primavera e pressione su aziende sanitarie.
  • Ci ripromettiamo di proporre a ditte del settore di sponsorizzare eventi specifici anche nelle prossime edizioni delle urgenze neurologiche parlandone con gli organizzatori.
  • Concordiamo nel rivederci ove possibile a Göteborg ESOC 2018 e Milano ESOC 2019 per perseguire un significativo progresso in questo ambito di lavoro
  • Durante la tavola rotonda I Prof Comi e Micieli, invitavano lo scrivente ad esporre alcune istanze e prefigurano la possibilità di corsi in materia tramite “ANEU”.
  • Il Prof Toni raccomanda di segnalare le trombolisi effettuate in telemedicina affinché possano integrarsi con i registri già operativi.Gruppo Telestroke
Schermata 2017-06-24 alle 20.56.41.pngThe issue of stroke is particularly noticeable in neurology due to the high prevalence rate and serious consequences. Accordingly, telenurology is also intensively concerned with this disease pattern and attempts to contribute to medical progress in the field of neurology, using knowledge of the use of modern technologies. In Thuringia, the stroke telemedicine network "SATELIT" has existed for almost 5 years and has shown during this time that telemedical developments and application can help to contribute to the improvement of care quality in neurological diseases by means of computer-supported communication and network technologies. In Umbria, Italy a stroke network was successfully deployed since 2016 using fix units in the west of the county and mobile units in the earthquake area to the east. In addition to acute stroke treatment, the German Society for Telemedicine, in cooperation with the Hans Berger Clinic for Neurology at the University Hospital of Jena, will also be discussing with the First German Telenurology Congress the health policy and socio-political significance of the Telemedicine in neurology. The conference is aimed at clinicians, doctors, nurses, therapists and costumers as well as companies interested in current medical developments in the field of neurology, rehabilitation and aftercare. The focus of the 2017 Congress will be telemedicine in stroke care as the most important field of application. Other neurological applications such as dizziness, Parkinson's disease, or epilepsy are also being investigated. In addition, telemedicine products and latest developments are presented in an accompanying industrial exhibition.

 

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it was held as usual in Florence (CTO) we followed the top trial session. Ongoing RCT were presented mostly from larger international initiatives. Small national activities are also under construction. A large discussion was opened on the chance to address specific educational programs for interventional neurology. The national need of interventional neurologists is large: 100-200 doctors. Should be a radiologist to practice thrombectmy ? a Neurosurgeon (exceeding number in Italy) ? a well trained Neurologists ? The answer from the faculty board is to wait for a new medical figure that will be possibly available in 5-10 years from now.

The regional Neurology meeting re-opened the issue of local pathways to thrombectomy. The access to most advanced techniques seems slowed by ETS procedures and lack of full week coverage 7/7.

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As the first European Stroke Organisation Conference has drawn to a close, I want to thank all faculty members and delegates for their intellectual and practical support to the preparation and delivery of what has I believe been an outstanding success. When the overwhelming wish of our association was expressed just 11 months ago that we should establish a new conference, we barely dared to hope for 800-1,000 delegates in our first year. The reality was that 84 countries were represented in Glasgow, and that delegate numbers were close to 2,700. To accompany the presentations to a packed auditorium in our first plenary session alone there were two simultaneous online publications in the New England Journal of Medicine and one in Lancet, and we had new results presented from two additional fresh NEJM publications and an Annals of Neurology paper. In the afternoon, we heard the first multicentre, blinded RCT of an experimental approach in stroke, a stem cell RCT, the complete results of the desmoteplase programme and a further new thrombectomy trial. By the time we retired to the poster session and welcome reception, the exhibition hall was buzzing with excitement. The enthusiasm and cheerfulness were tangible, affecting everyone from the most junior researchers through to old hands. The sun shone on the entire conference, literally. I attribute the success to a huge amount of good fortune, to the efforts of a vast team and to the enthusiasm of every delegate. It would be unfair to single out any one contribution but I am convinced that it was those numerous individual contributions, offered generously and constructively, that allowed us to take advantage of the good fortune. To be present at this inaugural conference was reward enough for anyone working in stroke, because it was a once in a career occasion that we will each remember with great fondness. It was rather like a birth, a christening and a wedding, all rolled into one. Certainly, we have shown what a large and happy family we are in stroke medicine, and that Europe stands not alone but with societies and individuals all across the world. We will build on this success, we will maintain the spirit and principles that informed ESOC 2015, and I promise that by 10-12 May 2016 in Barcelona we will have another outstanding programme. For now, I express my sincere thanks to everyone for their support and hope that each of you left Glasgow with enthusiasm, new friendships and shared optimism for the future, for our patients and our specialty.

KL

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The European Stroke Organisation (ESO) announced on May 9th, 2014, that the first ESO Stroke Conference will be held in Glasgow on April 17-19, 2015. Here topics it will be nice to be there with all my colleagues. In the pipeline we have a couple of nice contributions

European Stroke Conference  #ESOC14 #eurostroke14 in Nice

#ESOC14 en còte d’azur

https://www.youtube.com/watch?v=YaQjM-SSohg

Neurology meeting in Perugia under the patronage of the Società Italiana di Neurologia. Hosted by the Neurolgy Department University of Perugia, Paolo Calabresi, Aroldo Rossi, Lucilla Parnetti, Nicola Tambasco.
First ever as far as i know. I can remember in 1996 a joint tosco-umbro meeting at palazzo Murena.

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