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    In 2013, Dall et al.1 projected that by 2025, the societal need for neurologists will exceed availability by 19%. This number failed to account for the disproportionate number of neurologists practicing in urban and academic centers, likely underestimating the gap in rural populations. In a recent effort to improve access to neurologic services in these areas, telestroke and teleneurology…

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    • To learn more about the history of teleneurology, check out the Emerging Subspecialties article https://t.co/Qwdql4UGN7 and the Neurology Minute https://t.co/Vmo0hUvFvP on #teleneurology and #telestroke.

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    Background Tissue plasminogen activator (tPA) refusal is 4%–6% for acute ischemic stroke (AIS) in the emergency department. Telestroke (TS) has increased the use of tPA for AIS but is accompanied by barriers in communication that can affect tPA consent. We characterized the incidence of tPA refusal in our TS network and its associated reasons. Methods Patients with AIS who were offered tPA…

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    • Thrombolytic Refusal Over #Telestroke: https://t.co/MSSj4UChS9 #neurology https://t.co/J1HeroKRAN