>89 yo fall from standing trauma alert. Intubated in the fie | Figure 1

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Reported Case

89 yo fall from standing trauma alert. Intubated in the field, scanned at our hospital to find this. We brought the patient to a room so that the rest of the family could make it in to say their goodbyes before withdrawing care as patient had a very clearly written DNAR or escalate care paperwork on her person. Pupils fixed and dilated, surprisingly still over breathing the vent and spontaneously moving lower extremities.

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Teleneurology Services

Teleneurology services have expanded in the era of COVID-19. As many regions of the country begin to lift pandemic restrictions, clinicians consider how they would like to incorporate telemedicine into their practices in the future.

Frequently cited benefits of teleneurology include:

1. Patient convenience and time savings. Neurological patients may have limitations to their mobility, and telemedicine can reduce burdensome travel.
2. Increased access to care. For patients living in remote areas, teleneurology allows for provision of care that was previously difficult to deliver.
3. Potential to decrease health care costs. Increasing the number of services within the patient’s home could allow for savings when compared to traditional models of health care delivery.

Have you incorporated teleneurology into your practice? What do you see as the pros and cons?

Organised Inpatient Care

Review question: Does organised inpatient (stroke unit) care improve the recovery of people with stroke in hospital compared with conventional care in general wards?

Background: Organised inpatient (stroke unit) care is a form of care provided in hospital by nurses, doctors, and therapists who specialise in looking after people with stroke. They aim to work as a coordinated team to provide the most appropriate care tailored to the needs of individual people with stroke.

Key results: At an average of 12 months after their stroke, people who received organised inpatient (stroke unit) care were more likely to be alive and living at home. Benefits were most obvious when the stroke unit was based in a discrete stroke ward.