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Live service assessment of CT brain imaging review for thrombolysis decision making in stroke on tablet devices
EP29222
Poster Title: Live service assessment of CT brain imaging review for thrombolysis decision making in stroke on tablet devices
Submitted on 24 Sep 2018
Author(s): A McCarthy, J Moxon
Affiliations: emrad consortium
This poster was presented at BIR Annual congress 2018
Poster Views: 413
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Poster Information
Abstract: Results of the “ZFP Tablet review of CT imaging for thrombolysis decision making in stroke” pilot at ULH.

Study length:
2 months of data collection. Stroke physicians to use the tablet device as part of a “real-life” oncall, where imaging is reviewed on the tablet alongside the current practice (laptop device review) in the context of thrombolysis decision making. The tablet is a 4th generation iPad Pro.
Proposal:
The use of tablet devices to review CT imaging remotely will be more timely than the current system of reviewing imaging on trust laptops, as well as providing a more portable alternative hardware option. Tablet devices will prove to be a reliable and easy to use when reviewing imaging in a time critical manner on trust WIFI or through an encrypted remote internet connection.
Data to date:
15 completed forms for when the tablet device was used alongside the current practice by 3 of the 4 stroke physicians at Lincoln County Hospital.
1. Average time to thrombolysis decision is 10 minutes (Range 5-17 minutes)
2. On all occasions the decision could be made on the iPad alone
3. On all occasions the internet/VPN connection was reliable
4. On all occasions the was described as easy to use
To date a patient whose scan had a contra-indication to thrombolysis has not been reviewed as part of this pilot. I have attached more subjective data in the form of participant’s comments so far for review highlighting a couple of key themes.
Conclusion:
In this small pilot study the tablet devices have proven to be a reliable and simple to use hardware for reviewing imaging in a timely manner (10 minute average). The perceived findings on the tablet devices have corresponded to the findings on the laptop devices in 100% of cases so far.
Summary:
In this small pilot study the tablet devices have proven to be a reliable and simple to use hardware for reviewing imaging in a timely manner (10 minute average). The perceived findings on the tablet devices have corresponded to the findings on the laptop devices in 100% of cases so far.
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