In an ideal world, a vascular neurologist excludes contraindications and starts treatment the minute a stroke occurs. While the first minute seems unrealizable, the first hour is not.1 Considerable time savings have been achieved with specialized stroke ambulances equipped with a computed tomography system and a neurologist on board.2,3 However, these specialized ambulances come at a certain cost, especially personnel costs.4,5 Can telemedicine replace the physical presence of a physician in a prehospital stroke setting?
Ebinger M, Audebert HJ. Switched On—Expert Advice in Prehospital Thrombolysis via Telemedicine. JAMA Neurol. 2016;73(2):153-154. doi:10.1001/jamaneurol.2015.3875