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Rapid Response to Stroke Symptoms with TeleStroke

Dr. Burton Tabaac has seen his fair share of emergencies as Medical Director of the Comprehensive Stroke Center in Reno, Nevada. Above all, he stresses the necessity of timely neurological evaluations as the difference-maker for stroke patients. Speaking with Ray Barrett, CEO of the Telehealth Certification Institute, Dr. Tabaac explains how the telehealth platform, TeleStroke, changes the way that patients receive emergency health services.

In severe neurological cases, every minute gone is a minute lost. TeleStroke connects experienced neurologists with patients who are undergoing the symptoms of a neurological crisis, cutting down the lag time when offering life-saving interventions. Dr. Tabaac describes TeleStroke as an exceptional off-site tool for neurologists.

Having a telehealth platform that delivers an expert on-demand gives hospital emergency room staff the confidence to care for complex neurological conditions. By placing the expert in the field remotely, TeleStroke remedies geographic limitations and access issues for Nevada residents. Renown Health’s use of TeleStroke brings seasoned neurologists to the patient’s bedside as soon as they are admitted to a hospital emergency room. Neurologists who utilize TeleStroke can review radiological imagery, make treatment modifications, or just add a voice of reason during the early stages of medical interventions. 

Dr. Tabaac credits the swift deployment of TeleStroke as a lifesaving method for safely administering tPA, the clock-busting IV injection that restores blood flow to the brain after the onset of a stroke. Neurologists can coach hospital technicians through the tPA process with TeleStroke, while simultaneously evaluating a patient’s physical symptoms. TeleStroke affords neurologists the ability to see their patients, a critical diagnostic tool for identifying the signs of a stroke. These physical signs include face droop, pronator drift, and the flattening of nasolabial folds. TeleStroke’s video component improves clinical accuracy by providing a vehicle for explicit clinical direction from experts. 

While primary care providers offer an invaluable breadth of care, Dr. Tabaac encourages consultation from a neurologist or vascular specialist who routinely navigates the evolution of stroke cases. As brain and central nervous system experts, neurologists like Dr. Tabaac put years of medical training into practice and get to the root of problems faster. Whether or not a TeleStroke neurologist is available, Dr. Tabaac reminds readers to BE FAST—a useful pneumonic device to recognize the basic signs of a stroke.

  • B: balance
  • E: eyes
  • F: face droop
  • A: arm drift
  • S: speech (aphasia)
  • T: time 

Dr. Tabaac’s commitment to healthcare equity is self-evident through his dedication to his patients. In addition to his role at Renown Health, Dr. Tabaac is also an Assistant Professor of Neurology at the University of Nevada, Reno. Dr. Tabaac continually asks how telehealth technology can answer some of the greatest health challenges faced by the neurological community. You can read more about Dr. Tabaac’s passion for TeleStroke in his recap of the 2020 International Stroke Conference. Readers are welcome to contact Dr. Tabaac through Renown Health’s website with additional questions related to TeleStroke.

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Course was very informative!
David Hopkins
MS, LPC / Thriveworks Woodstock
Informative and brief
Tracy Gilbert
Well designed. informative, comprehensive program broken down into manageable segments.
Dawn M. Miskus
Licensed Clinical Professional Counselor (LCPC) / Conscious Counseling & Coaching, Ltd.
This course offered a great overview of TeleMental Health and the important considerations that should be addressed when establishing an online practice.
Helen Geris
Registered Psychotherapist
Wonderful and approachable presenter, great information!
Sabrina Eads
I have completed the course requirements. Thank you a great program of videos and information.
Linda Lovisi-Dwyer
LCSW-R / Linda Lovisi-Dwyer, LCSW-R
Good introduction
Sylvia D. Jessup, MBA, MA
Owner / Sylvia Jessup Counseling Services PLLC
Very clear emergency planning laid out in this course, Helpful for many situation and settings.
Jane Schindler
The course was detailed.
Kelly Villarreal
MFT / Alan Behrman & Associates
EXCELLENT PRESENTATION
DAVID F. CIAMPI, Ph.D., LMHC.
Really chuck full of information and very helpful
Carolyn Spencer
social work
Great course!
Lashonda Jones
Ray's program is engaging and informative. I'm excited to extend my professional reach online.
Pamela Madsen
LAPC / Empower Counseling Center, LLC

Very informative session.

Valrey Richards-Lucas

Video was good, a little slow

Jessica Walraven

This is great material!

Erika T Johnson

Very Informative!!!!

DALAYNA MILLER

Really good training so far!

Erika T Johnson
LAC

Excellent information, extremely generous resources and so well paced. I am really grateful.

Carolyn Spencer
LCSW / Carolyn Spencer

Very thorough and informative

DALAYNA MILLER

This program is very informative and easy to use.

Gania Bruno Harrold
LCSW / IN THERAPY WE TRUST

Love the convenience and easy-to-understand information in this course.

Natalia Gourlay-Fernandez
LAMFT / Rock Springs Positive Coaching, Caring, and Counseling

Very informative. Help give an overview of tele therapy and starting an online practice.

Meg Maginn
L.C.S.W Private Practice / Eating Disorder Associates

The course was easy to follow and provided a lot of valuable insight into the benefits and limitations to teletherapy.

Katie-Ann Magnuson
Mental Heath Therapist / Kwenyan Professional Health Services

Wonderfully compact and rich in information, many areas i had not even considered!

VIRGINIA PROVENCHER
therapist / private practice
Very informative and guiding in educating all that you need to grasp to be properly compliant and aware.
Dena Damaskinos
A great overview for telehealth, including state to state
Susan Cortilet Jones
Integrative Lifeskills Coach

Great presentation!

Cristina Lazaro-Garcia
Mental Health Clinician, APC / CETPA, View Point Health
Oustanding presentation!!!
Michelle Collins

Helpful and inviting information to get started. Feel empowered to get this going and eager to start!

Dena Damaskinos

Well presented, easy to access and understand.

Sedonia Perrier
CEO / Steelhead LLC

This was very informative.

Wendy Pazdur
Substance Abuse Counselor / Transformation therapy
This course was full of detailed information, that I will utilize in my practice. I highly recommend this training to all interested in adding to their existing practice or transitioning to Telehealth Services.
Utopia Session
Class was informative.
Kimberly Horrell
This course was short yet informative.
Annette Cornish
Therapist / Dust 2 Destiny Counseling & Wellness
Great training!
Jacqueline Hayes, M.Ed., LPC, LMHP
Professional Counselor 4 / State of LA
Ray was a wonderful, interactive instructor who really captured the heart of counseling in the world of Telehealth. The course was thorough and beneficial. Two thumbs up!
Rachel Morales
Licensed Professional Counselor
Ray does a spectacular job presenting the ethics in technology! Thank you!
Elaine Marie Barclay
Licensed Professional Counselor/ Assistant Professor / Shorter University/ Capella University
Very beneficial and useful to the direction i am moving of providing therapy
Linda Marie Margosian, MS, NCC, LMHC
I thought the video was very informative and gave me a good back ground on Telehealth , hippa laws and things I needed to know to run an ethical and hippa complent practice .
Meg Maginn
Director /private practitioner / Eating Disorder Associates

I believe this is a good course to take because this is the new wave of society. As a therapist I would like to be able to offer clients the best tools available.

Wihletta Michelle Davis MA, LPC
Therapist / Find the Miracle Within...

Thank you for the introduction to telemental health.

Michele Frances Purvin
Psychotherapist / Michele Frances Purvin, LCSW, LCDC

Very good.

Franklin Castillo

Really excellent training full of valuable information and resources - surpassed my expectations!

Dori Ryherd
Therapist / The Cognitive Refinery

Great information with step by step instructions

Donna Tucker
Addiction Counselor / Spectrum Health

What a superb introduction to telemental health, well organized and packed with useful tips. I so appreciate this. Thank you.

Ann P Cahouet
Owner - Clinician / Equine Assisted Solutions LLC

Awesome job! This is a very insightful presentation.

ZUNILDA CHAUDRY
Licensed Therapist, LPC / Seasons of Change Behavioral Health Services, Inc
Ray is down-to-earth, warm, pragmatic and exceptionally well-informed.
G. Reid Doster, LPC, LMFT
Director of Behavioral Health, EXCELth Inc.Primary Health Network & Private Practice Psychotherapist / www.excelth.com

An excellent course, but needs more legal information regarding where the patient needs to reside.

Barry Barmann
Clinical Psychologist / Behavior Therapy & Family Counseling Clinic
This legal course was phenomenal saturated with much detail and clarity!
Elaine Marie Barclay
Licensed Professional Counselor, Assistant Professor / Capella University and Shorter University
Great and very informative! Will help me take my skills to a new level. Gave me a great idea of how the session should go.
Jessica Latin
LPC / JL Counseling

Course provided several case scenarios regarding Interstate counseling and resource websites for further research.

Cowenda Jefferson
Clinical Director / Wise Life Choices LLC
Course provided additional information regarding the legal aspects of TeleMental Health.
Cowenda Jefferson
Clinical Director / Wise LIfe Choices LLC
I have completed prior training by Raymond and greatly appreciate his detailed and thorough trainings.
Dr Lynn Duffy, PsyD, LCPC, NCC, CCMHC, BCPCC, BC-TMH, Diplomate/CMH in Trauma
Director/Counselor/Mediator / Lighthouse Counseling & Consulting Services
This course was most helpful in helping me make my practice more compliant for me and my clients.
Marlene Small
Private Psychotherapist
This is the 4th TMH course I have taken with Ray and it is BY FAR the best TMH training out there. I've learned so much that I can use every day in my practice.
Dawn Ferrara
LPC-S, LMFT

Very Informative

Naomie Pierre
community clinician / nps
I loved this course. It was very informative and provide a great deal of information about ethics.
Tracey Marshall
Easy to learn and easy to follow. User friendly on-line course.
Kelly Johnson
Licensed Mental Health Therapist

Awesome

Melissa J Davis
LAPC- counselor
This was a phenomenal training and necessary for the continued growth of all helping professionals. This will certainly improve the manner in which I conduct counseling.
Elaine Marie Barclay
This training was extremely informative and supportive for professionals looking to gain further knowledge in Telemental health.
Marcy Abramsky
LCSW / Marcy Abramsky LCSW, InspireAmind TM Counseling and Consulting
I found this video to be very informative and helpful.
Michelle Parker
Contract Therapist

Great course, very informative!

Ashley Simmons
BCBA / Northstar Psychological Services

Love the course, worth every penny!!! Definitely helped jump start my Tele-mental health services!

Nakia Clark
Owner/ Therapist / Insightfullly You, LLC

This gave me and my staff some important insights and information regarding telehealth..

Larry Cowan
Executive Director / Samaritan Counseling and Growth

This course was easy and user friendly

Vanessa Reiser
Social Worker / JBFCS

I learned a great deal from this program and look forward to implementing telemental health in my therapy practice.

Michelle Hitchcock
Therapist

It was fantastic! Just the forms he provides are worth the cost of the course!

Mark Wagemaker, LPC, NCC, DCC, CPCS
Counselor, Clinical Supervisor / Transitions Counseling

This was an excellent class and worth my time.  Ray provided great information and is clearly an expert in TMH!

Jennifer Stuckert
Director / Restoration Counselor of Atlanta, LLC

I found these courses informative and helpful. They make establishing best practices policies and procedures for telemental health services and supervising those who provide them. so much easier. I highly recommend his courses.

Nena Rybarczyk, MA, EMBA, LPC, NCC, CPCS
Counselor / Strategies for Life Counseling, LLC

Ray's workshop was one of the most informative I have taken in years. He brought clarity to took a topic which has been intimidating and I left feeling empowered!

TRUDY POST SPRUNK, LMFT-S LPC CPCS RPT-S CPT-S EMD
Clinical Supervisor and Play Therapist / Georgia Association for Play Therapy