PENSACOLA, FL -- Sacred Heart Hospital's Regional Stroke Center recently launched a partnership with Santa Rosa Medical Center in Milton, Fla. to provide remote evaluation of stroke patients at their facility.
            Sacred Heart has acquired a telemedicine system that allows its stroke experts in Pensacola to do an online examination of patients at other hospitals to diagnose stroke and recommend treatment. The system extends the hospital's stroke expertise hundreds of miles to smaller hospitals that do not have neurologists on site.
"Essentially, we are there without being there in person," says Dr. Terry Neill, a critical care neurologist and director of Sacred Heart's certified Stroke Center.  "The patients can see us and we can see them. We can talk to a physician or nurse on the other end. We can determine the type of stroke by looking at the patient and results of the brain scan."
            Dr. Neill adds: "This is a wonderful opportunity to provide the expertise of our stroke specialists 24 hours a day to smaller community hospitals in Northwest Florida and South Alabama. This will expand our regional ability to provide rapid assessment for stroke patients and others with acute neurological injuries."
            The web-based computer system acquired by Sacred Heart means Dr. Neill or his partner, Dr. Lance King, can see and talk to the stroke patient, his family and the local Emergency Department physicians at Santa Rosa Medical Center via a web camera. They can perform the online consultations from a portable lap top computer, even when they are at home or on the road.
            The online evaluations also will allow Dr. Neill to quickly make recommendations to emergency department physicians in Milton. In some cases, the recommendation will be to transport the patient via ground ambulance or air ambulance to a stroke center.
            Sacred Heart's Stroke Center in Pensacola instituted the program two years ago in partnership with Sacred Heart Hospital on the Emerald Coast near Destin. That program has proven successful and now Sacred Heart is offering the services to hospitals outside the Sacred Heart system.
In the case of stroke, time saved in transporting patients is especially critical, as the sooner a patient receives proper treatment for stroke, the better the chances for recovery.
Most strokes or "brain attacks" are caused when a blood clot travels to small blood vessels in the brain and block blood flow to the brain.  There are procedures and drugs that can remove the clots, but the treatments must begin within a few hours of stroke symptoms. .
            As a result, many hospitals have been unable to utilize one of the treatments for stroke - a drug called tPA - because it must be given within a three-hour window.  Also, the clot busting drug is not recommended unless the diagnosis is made by a physician with expertise in the diagnosis of stroke, including expertise in reading CT scans of the brain. That's where Sacred Heart's new system will help patients in small hospitals that don't have stroke expertise.
            Dr. Neill said Sacred Heart's Stroke Center uses the REACH system (Remote Evaluation for Acute Ischemic Stroke) that was developed five years ago at the Medical College of Georgia.  
"The system's computer software is able to combine live web-based conferencing, CT imaging and patient data so we can remotely improve the quality of stroke care at rural hospitals throughout Northwest Florida," Dr. Neill said. "It is a low cost way of bringing the stroke specialist to the patients, even if the patient is far away."
            For more information about Sacred Heart Regional Stroke Center, visit www.sacred-heart.org/strokecenter.
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