Hawaii Tele-Stroke Program
Project Funded by the Neurotrauma Special Fund:
Hawaii Tele-Stroke Program (2011 – present)
- Goal 1: Improve statewide access to timely, expert stroke care evaluation and treatment with Tissue Plasminogen Activator (tPA) and educate providers on stroke evaluation and treatment.
- Goal 2: Educate the public about stroke signs, symptoms, and what to do if someone may be experiencing a stroke.
What is tPA?
- The only drug approved by the Food and Drug Administration (1996) for acute treatment of ischemic stroke – breaks up or dissolves blood clots.
- For every 100 patients given tPA within 4.5 hours of onset of stroke symptoms, 28 patients will suffer less long-term disabilities than if they had not received the medication.
- Funding was used to purchase telemedicine equipment for Queen’s Medical Center (QMC) Punchbowl (the “hub”) and the eight statewide “spoke” sites (see diagram below).
- Emergency Department doctors and nurses, hospitalists, and administrators of the hub and spoke hospitals were educated on stroke care protocols and use of the telemedicine technology.
- QMC Punchbowl serves as the hub and has a neurologist on-call 24/7/365, available to the other 8 hospitals to evaluate stroke patients via the telemedicine equipment and make recommendations regarding whether or not to treat with tPA.
- The program allows more hospitals to have the capacity to care for stroke patients, meaning that patients living in rural areas of the state can go to a closer hospital and receive treatment sooner, which is imperative to improving patients’ outcomes.
Goal 2: Educate the public about stroke signs, symptoms, and what to do if someone may be experiencing a stroke
- Funding is also provided to educate the public on:
- Signs and symptoms of stroke
- Stroke risk factors
- Importance of calling 9-1-1 immediately after the onset of stroke symptoms
- The availability of effective treatment with tPA
- Education is provided through:
- Attendance at health/wellness/senior/resource fairs
- Presentations at elementary, middle, and high schools
- Appearances on local radio and television shows
- Articles in community newsletters and local newspapers
- Presentations to local clubs, professional organizations, places of employment, and senior living centers
- FAST School Stroke Education Program (June 2017)
- Educated nine public elementary, intermediate, and high schools on the signs and symptoms of stroke and what to do if someone is having a stroke
- Students were asked to review what they learned with family members and those who returned with a parent signature received a rubber duck key chain.
- A total of 11,454 individuals received the FAST stroke education message