Telestroke systems have allowed remote neurologic assessment in patients with stroke from a reference-comprehensive stroke center with primary stroke centers that require immediate neurological evaluation 24h / 365d.

Initially it may appear that is unique to large geographic areas sparsely populated, but its use can be extended to centers where no neurological assessment coverage is available after hours or weekend.

Allows a physician with other regional center and through videoconferencing evaluate the patient, along with the CT image that has been done at that remote site from our center.

This allows both state and agree the initiation of thrombolytic therapy in most cases previously to transfer to our center “drip & ship”. As neurological make an early diagnosis allows better management in other cases avoiding unnecessary referrals.

Since 2011 we can make video conferencing connections with three district centers in our area and six others from outside our area of ​​reference in non-working hours or weekend.

However,  technology and neurological examination training in remote or new centers that can be connected to improve diagnosis / treatment times are necessary:    -Training of the emergency physicians and technicians who upload TAC.    -Evaluate the video of the quality of connection and system.    -Determine the door-needle and door-TAC times of this center.    -Limit in a time of transit through the hospital <60 minutes that was fixed between a patient admitted to the emergency room and sold with a diagnosis to move to a tertiary center.