Web-based program optimizes stroke care in rural areas

deo camera and a personal computer with wireless Internet access that can go wherever the patient is. The health care provider with the patient simply calls the 24-hour Emergency Communications Center in the Emergency Department of the MCG Medical Center, the communications center pages the neurologist on call for REACH who goes to a computer, uses a password to access the confidential site and immediately begins talking with and seeing the patient and provider, Mr. Wang said. The REACH system even has a program for calculating the precise tPA dosage patients need. To date, 18 patients have been evaluated using REACH and three have received tPA.

Mr. Wang, who relocated to Augusta to work more closely on the project, said a map of the United States that plots out the stroke belt which laps across the Southeast helped him decide this was a project worth pursuing. "I felt I could seriously make a dent in something important," he said.

Other co-authors on the paper include MCG stroke team members Drs. Fenwick T. Nichols III and Robert J. Adams; Dr. Sung Bae Lee, a neurology resident at the Mayo Clinic; Davinder Ramsingh, MCG medical student; Dr. Hartmut Gross, MCG emergency medicine physician; Dr. Jennifer Waller, MCG biostatistician; and Carol Pardue, a nurse and assistant clinical professor of neurology at MCG.

A patent for REACH system has been filed by the MCG Office of Technology Transfer and Economic Development.


Contact: Toni Baker
Medical College of Georgia

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