• Stroke treatment is revolutionized by telestroke assessment and CT. Allowing pre–hospital thrombolytics and sonothrombolysis. Collages at high risk of stroke (i.e. following carotid artery surgery) have the reassurance of the best stroke care at their finger tips. Computer assisted consent saves time when dysphasia is a problem.Other drugs such as lisinopril and prothrombin complex concentrates as advised.
  • Status epileptics is managed with telemedicine using neurologists, toxicologists and emergency physicians.
  • Subarachnoid and subdural hemorrhage. Mobile CT allows rapid diagnosis and neurosurgical opinion.
  • Traumatic brain injury can be immediately assessed in cases of poor or deteriorating Glasgow Coma Scale, improving neurosurgical response. Consent for neurosurgery and anesthetic assessment.
  • Spinal cord compression can be discussed via telemedicine and decisions made on CT or immediate steroids. Consent for radiotherapy or surgery and anesthetic assessment.
  • Meningitis requires a high index of suspicion. It can be discussed via telemedicine and treated immediately after blood cultures.
  • Extradural hemorrhage. CT and burr holes under supervision, if neurosurgical delay.
  • Migraine and cluster headache. Rapid symptom control. Analgesia in trigeminal neuralgia.