The INTEGRIS TeleStroke neurologist contacts the hospital by phone to review the case and initiate a videoconfernce call if appropriate. After the videoconference is established, the emergency department physician provides additional information about the patient. The stroke neurologist will then review the patient’s presentation with the emergency department physician and staff will perform a focused neurological assessment.

Upon completion of the exam, the TeleStroke neurologist reviews the brain images and then discusses the findings with the emergency department physician. Together they decide on the best plan of care. The findings and recommendation of the stroke neurologist are stored securely on the TeleStroke Network web site and are available for the hospital to print out and place in the patient’s medical record.