{"id":9004111222081354,"date":"2024-01-04T14:03:05","date_gmt":"2024-01-04T19:03:05","guid":{"rendered":"https:\/\/dev.devcct.ca\/?post_type=actualites&#038;p=9004111222081354"},"modified":"2024-11-22T09:51:52","modified_gmt":"2024-11-22T14:51:52","slug":"telethrombolysis-every-minute-counts","status":"publish","type":"actualites","link":"https:\/\/telesantequebec.ca\/en\/news\/telethrombolysis-every-minute-counts\/","title":{"rendered":"Telethrombolysis: when every minute counts"},"content":{"rendered":"<p><span class=\"rqt-font-lead\">Telethrombolysis is a telehealth medical procedure that ensures equitable access to stroke treatment, regardless of the patient&#8217;s place of residence.  It quickly connects a specialist neurologist in another hospital centre with the local emergency care team. This ensures that the best possible decision is taken to limit the after-effects of the stroke.<\/span><\/p>\n<p>Telehealth is more than just teleconsultation, during which a patient meets a healthcare professional at a distance. The telehealth modality also makes it possible to obtain, thanks to simple technologies, sometimes more complex health care and services.<\/p>\n<h2>How telethrombolysis works<\/h2>\n<p>Telethrombolysis is an example of how telehealth can play a key role in providing quality service in critical cases. Telethrombolysis is offered in hospitals that do not have the specialized resources and are too far away to transfer their patients in the time required.  <\/p>\n<p>How it works is quite simple: when a stroke patient arrives in the emergency department, the emergency physician calls the vascular neurologist on duty at the designated tertiary hospital. The on-call neurologist takes the call to discuss the clinical case, and prepares to accompany the emergency physician remotely to manage the patient. The patient&#8217;s clinical assessment is carried out via a live video call and by consulting results transmitted via a secure medical imaging system.  <\/p>\n<p>During his assessment, the neurologist confirms whether thrombolysis is the appropriate treatment, and if so, assists the emergency physician and his team in administering it. Depending on the case, a decision is made as to whether or not the patient needs to be transferred to a tertiary hospital.  <\/p>\n<div class=\"rqt-global-text rqt-bckg-blue\">\n<h3>What is thrombolysis?<\/h3>\n<p>A drug treatment administered to ischemic stroke patients to dissolve the blood clot obstructing a cerebral artery. Its aim is to limit the extent of neurological damage. It must be administered within 4 and a half hours of the onset of stroke symptoms.\n<\/p><\/div>\n<h2>A proven service<\/h2>\n<p>Telethrombolysis services are provided by vascular neurologists at two university hospitals:  <\/p>\n<ul>\n<li><strong>The Centre hospitalier de l&#8217;Universit\u00e9 de Montr\u00e9al (CHUM)<\/strong> serves some 15 hospital facilities in the Abitibi-T\u00e9miscamingue, Estrie, Lanaudi\u00e8re, Laurentides, Mont\u00e9r\u00e9gie-Est and Outaouais regions. <\/li>\n<li>The <strong>CHU de Qu\u00e9bec-Universit\u00e9 Laval<\/strong> serves some twenty hospital facilities in Bas-Saint-Laurent, Capitale-Nationale, C\u00f4te-Nord, Gasp\u00e9sie-\u00celes-de-la-Madeleine, Mauricie-Centre-du-Qu\u00e9bec and Northern Qu\u00e9bec.<\/li>\n<li><strong>The H\u00f4pital de Chicoutimi<\/strong> serves 3 hospital facilities in the Saguenay-Lac-Saint-Jean region.<\/li>\n<\/ul>\n<p>Last year, 642 virtual consultations were carried out in the 38 or so emergency rooms benefiting from the service, resulting in more than 185 telethrombolyses. So many patients who might not have been able to obtain this treatment if they had had to be transferred to a hospital in an urban area.  <\/p>\n<p>This service has become essential for rural hospitals without a neurologist on staff. This is the case for the Centre multiservices de sant\u00e9 et de services sociaux du Haut-Saint-Maurice (La Tuque Hospital). Nurse clinician Dominique Richard is closely involved in organizing these interventions. <\/p>\n<blockquote class=\"rqt-blockquote-margin-0 rqt-news-blockquote rqt-news-blockquote-petit rqt-news-lang-fr\">\n<p class=\"rqt-news-blockquote-quote\">Telethrombolysis enables some twenty virtual consultations to be carried out each year in the La Tuque Hospital emergency department. This is all the more important for a primary hospital like ours, which serves the population of a large territory, and whose clientele includes a significant number of visitors to the region.<\/p>\n<div class=\"rqt-news-author-block\">\n<p class=\"rqt-news-author-name\">Dominique Richard<\/p>\n<p class=\"rqt-news-author-title\">Assistant Head Nurse, Ambulatory, Critical Care and Emergency Services, CIUSSS de la Mauricie-et-du-Centre-du-Qu\u00e9bec.<\/p>\n<\/div>\n<\/blockquote>\n<h2>For equitable access to services<\/h2>\n<p>The Qu\u00e9bec healthcare network is increasingly deploying initiatives based on information and communications technologies. These technologies, known as &#8220;telehealth&#8221;, are always used to complement conventional services. Care teams use telehealth to promote access to services and ensure an equitable level of care for all. Several projects and initiatives have already been the subject of articles right here on telesantequebec.ca. These include <a href=\"\/en\/news\/provincial-teledermatology-deployment\/\">teledermatology<\/a>, <a href=\"\/en\/news\/telehealth-at-the-heart-of-mental-health-service-transformation\/\">virtual mental health care<\/a>, <a href=\"\/en\/news\/substance-misuse-listuguj\/\">addiction medicine<\/a> and <a href=\"\/en\/news\/program_circuit_plus_health\/\"> youth health<\/a>.<\/p>\n<p>Telethrombolysis is part of a diversified range of services offered through the telehealth modality, enabling hundreds of stroke victims every year to receive optimal emergency care, regardless of where they live.<\/p>\n<p>Watch Dr. Steve Verreault&#8217;s explanation in this short video from the Association des neurologues du Qu\u00e9bec: <a href=\"https:\/\/youtu.be\/ye3vN5T8c1c\">La&nbsp;T\u00e9l\u00e9thrombolyse <nobr><span class=\"rqt-infofile\">(1 m 16 s) <\/span><img decoding=\"async\" loading=\"lazy\" class=\"rqt-external-link-img\" alt=\"Cet hyperlien s'ouvrira dans une nouvelle fen\u00eatre.\" src=\"\/wp-content\/themes\/divi-child-cct\/icons\/lien-externe.svg\" width=\"11px\" height=\"11px\"><\/nobr><\/a> (in French only)<\/p>\n\t\t\t<div class=\"rqt-editorial-date-section rqt-global-text\">\n\t\t\t\t<p class=\"rqt-editorial-date\">Last update: November 28, 2024 <\/p>\n\n\t\t\t<\/div>\t\t\t\t\n\t\t","protected":false},"author":17,"featured_media":9004111222081328,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[],"class_list":["post-9004111222081354","actualites","type-actualites","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/telesantequebec.ca\/en\/wp-json\/wp\/v2\/actualites\/9004111222081354","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/telesantequebec.ca\/en\/wp-json\/wp\/v2\/actualites"}],"about":[{"href":"https:\/\/telesantequebec.ca\/en\/wp-json\/wp\/v2\/types\/actualites"}],"author":[{"embeddable":true,"href":"https:\/\/telesantequebec.ca\/en\/wp-json\/wp\/v2\/users\/17"}],"version-history":[{"count":8,"href":"https:\/\/telesantequebec.ca\/en\/wp-json\/wp\/v2\/actualites\/9004111222081354\/revisions"}],"predecessor-version":[{"id":9004111222087897,"href":"https:\/\/telesantequebec.ca\/en\/wp-json\/wp\/v2\/actualites\/9004111222081354\/revisions\/9004111222087897"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/telesantequebec.ca\/en\/wp-json\/wp\/v2\/media\/9004111222081328"}],"wp:attachment":[{"href":"https:\/\/telesantequebec.ca\/en\/wp-json\/wp\/v2\/media?parent=9004111222081354"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/telesantequebec.ca\/en\/wp-json\/wp\/v2\/categories?post=9004111222081354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}