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Hubert, G. J., Santo, G., Vanhooren, G., Zvan, B., Campos, S. T., Alasheev, A., … Corea, F. (2018). Recommendations on telestroke in Europe. European Stroke Journal

 

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Lack of stroke specialists determines that many European rural areas remain underserved. Use of telemedicine in stroke care has shown to be safe, increase use of evidence-based therapy and enable coverage of large areas of low population density. The aim of this article is to summarise the following recommendations of the Telestroke Committee of the European Stroke Organisation on the setup of telestroke networks in Europe: Hospitals participating in telestroke networks should be chosen according to criteria that include population density, transportation distance, geographic specifics and in-hospital infrastructure and professional resources. IMG_8869Three hospital categories are identified to be part of a hub-and-spoke network: (1) the Telemedicine Stroke Centre (an European Stroke Organisation stroke centre or equivalent with specific infrastructure and setup for network and telemedicine support), (2) the telemedicine-assisted stroke Unit (equivalent to an European Stroke Organisation stroke unit but without 24 h onsite stroke expertise) and (3) the telemedicine-assisted stroke ready hospital (only covering hyperacute treatment in the emergency department and transferring all patients for further treatment).

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In the era of mechanical reperfusion, HEMS can be a powerful instrument for improving acute stroke delivery and research that is currently underutilized. The speed of HEMS may allow reperfusion for a large number of patients that would not have immediate access due to geography or traffic congestion. Also, HEMS critical early time period after a stroke where specific interventions to preserve penumbra and prevent reperfusion injury may have a significant influence on outcomes. The impact of physical factors generated by the helicopter on the ischemic brain needs to be studied. HEMS are also an opportunity to increase recruitment of patients in standard clinical trials. Addressing the HEMS stroke gap is necessary to homogenize the delivery of acute stroke care and research capabilities through all care settings, therefore minimizing disparities in outcomes based in geographical location.

European Stroke Journal Sept 2016

After a decade of preparation….

At the EFNS/ENS Joint Congress of European Neurology in Istanbul, June 2014, one strong unified European neurological society, the

EUROPEAN ACADEMY OF NEUROLOGY

will be founded.

ean_logo_4c_final

THE ASSEMBLY OF DELEGATES will be the democratic heart of the EAN: 45 national delegates representing the 45 member nations of the EAN and an equal number of delegates representing the currently 900 individual members.

THE EAN BOARD – 7 elected and two appointed officers: President, Vice President, Secretary General, Treasurer, Chairpersons of the Scientific and Liaison Committees and one Member at Large; Congress Programme and Education Committees chairpersons.

THE EAN HEAD OFFICE will be in Vienna, Austria with two branch offices in Brussels, Belgium and Basel, Switzerland.

THE EUROPEAN JOURNAL OF NEUROLOGY will be the official publication of the EAN.

THE FIRST EAN CONGRESS will be held in Berlin, Germany in June 2015.

The recent paper published on Stroke reported how the kind of emergency transport adopted in the Austrian Alps was associated to specific chances to benefit fromclot busters

Helicopter Transport of Stroke Patients and Its Influence on Thrombolysis Rates

Data From the Austrian Stroke Unit Registry

Veronika Reiner-Deitemyer, MD; Yvonne Teuschl, PhD; Karl Matz, MD; Martina Reiter, MD; Raoul Eckhardt, MD; Leonhard Seyfang, MSc; Claudia Tatschl, MD; Michael Brainin, MD; for the Austrian Stroke Unit Registry Collaborators

From the Center of Clinical Neurosciences, Danube University Krems and Department of Neurology, Danube Clinic Tulln, Austria.

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