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Stroke is the number one cause of mortality and morbidity in Indonesia. It requires rapid and comprehensive treatment to overcome those challenges. Covid-19 pandemic create even greater challenges in stroke management in Indonesia. Covid-19 screening in acute stroke patients requires in longer door to needle time for patients to do thrombolysis or thrombectomy. While direct interaction including healthcare professional such as neurologists and stroke patients has limited access to avoid the risk of Covid-19 transmission. One of the approach that could be utilized to overcome this problem is telestroke implementation.
Head of Education of National Brain Centre Indonesia ; Indah Aprianti Putri, MD, MSc (Stroke-Med) initiate a program of webinar entitled “The New Normal in Hyper-Acute Stroke Care: Focus on Telestroke & Thrombolysis” hand to hand with Indonesia Stroke Society(ISS) to collaborate with World Stroke Organization (WSO), Faculty Medicine Airlangga University and supported by Boehringer Ingeilheim Indonesia. More than 600 participants mostly from Indonesia,and other Asian countries such as Malaysia, Singapore, Philippines, and South Korea participated in the webinar conducted on 20 July 2020.
The webinar was opened by Professor Michael Brainin as the President of WSO and Dr. Mursyid Bustami as the Executive Director of National Brain Center Jakarta. The lecture was provided by Dr. Benjamin Clissold, Telestroke Expert from Monash Medical Center Australia explaining “Successful implementation of Telestroke for The New Normal in Hyper-Acute Stroke: Best Practice sharing from Australia.”
Discussion session with Dr. Benjamin and 9 Panelists from various region in Indonesia (Aceh, Jakarta, Bandung, Yogyakarta, Surabaya, Mataram, Samarinda) and Malaysia was very interactive and fruitful. The webinar was closed by Dr. Adin Nulkhasanah, the Chairman of Indonesia Stroke Society with Take Home Messages encouraging hospitals in Indonesia to initiate telestroke immediately to improve clinical outcome of stroke patients in all region in Indonesia. It is hoped that this webinar could expedite the telestroke implementation in all region in Indonesia with the further support and collaboration with WSO. Digital health care information system is needed to short cut the problem of direct access to treat hyperacute stroke patient with trombolysis and trombectomy.
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