title: Implementing a stroke system of care in a rural hospital: a case report from Granite Falls.
abstract: Acute stroke is a leading cause of morbidity and mortality. Both time-sensitive treatment and telemedicine are being used to improve the care of stroke patients in rural areas. This article highlights the case of a 62-year-old male patient with sudden onset of right-sided hemiparesis and a family history of vascular disease and how he was treated at a rural hospital that was connected by telemedicine technology to an urban tertiary care center. It also reviews protocols for acute treatment of stroke and systems of stroke care in rural areas.
authors.affiliation: University of Minnesota, Rural Physician Associate Program, Granite Falls, USA.
authors.forename: Dan
authors.initials: D
authors.lastname: Hoody
authors.forename: Sandra
authors.initials: S
authors.lastname: Hanson
authors.forename: Darrell
authors.initials: D
authors.lastname: Carter
authors.forename: Therese
authors.initials: T
authors.lastname: Zink
mesh_terms: D003299:Cooperative Behavior; D006284:Health Plan Implementation; D006429:Hemiplegia / Q000175:diagnosis / Q000628:therapy; D006780:Hospitals, Rural; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D019114:Remote Consultation; D020521:Stroke / Q000175:diagnosis / Q000188:drug therapy*; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage*
chemical_list: D010959:Tissue Plasminogen Activator