American Telemedicine Association: Telestroke Guidelines

Bart M. Demaerschalk, Jill Berg, Brian W. Chong, Hartmut Gross, Karin Nystrom, Opeolu Adeoye, Lee Schwamm, Lawrence Wechsler, Sallie Whitchurch

Research output: Contribution to journalArticlepeer-review

41 Scopus citations


The following telestroke guidelines were developed to assist practitioners in providing assessment, diagnosis, management, and/or remote consultative support to patients exhibiting symptoms and signs consistent with an acute stroke syndrome, using telemedicine communication technologies. Although telestroke practices may include the more broad utilization of telemedicine across the entire continuum of stroke care, with some even consulting on all neurologic emergencies, this document focuses on the acute phase of stroke, including both pre- and in-hospital encounters for cerebrovascular neurological emergencies. These guidelines describe a network of audiovisual communication and computer systems for delivery of telestroke clinical services and include operations, management, administration, and economic recommendations. These interactive encounters link patients with acute ischemic and hemorrhagic stroke syndromes with acute care facilities with remote and on-site healthcare practitioners providing access to expertise, enhancing clinical practice, and improving quality outcomes and metrics. These guidelines apply specifically to telestroke services and they do not prescribe or recommend overall clinical protocols for stroke patient care. Rather, the focus is on the unique aspects of delivering collaborative bedside and remote care through the telestroke model.

Original languageEnglish (US)
Pages (from-to)376-378
Number of pages3
JournalTelemedicine and e-Health
Issue number5
StatePublished - May 2017


  • American Heart Association
  • American Stroke Association
  • American Telemedicine Association
  • Stroke
  • guidelines
  • telemedicine
  • telestroke

ASJC Scopus subject areas

  • Health Informatics
  • Health Information Management


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