{
  "abstract": "Background The use of telestroke to support patient care beyond geographical boundaries remains underexplored.Methods We report the first international telestroke experience between Papua New Guinea (PNG) and Australia, as well as a review of the existing evidence of telestroke support beyond borders.Results In this case vignette, a PNG physician sought support and a second opinion from an Australian stroke neurologist on the management of a patient presenting with stroke symptoms. Despite the ‘ad hoc’ nature of the process and lack of protocol for such consultation at the time of the review, the patient was successfully treated and had an excellent recovery.Conclusion In our opinion, international telestroke support is currently underused to guide patient care and physician education in low- and middle-income countries.",
  "authors": [
    {
      "affiliations": [
        "Division of Internal Medicine, Port Moresby General Hospital, Port Moresby, Papua New Guinea"
      ],
      "name": "Willie Toua"
    },
    {
      "affiliations": [
        "Department of Neurology, John Hunter Hospital, New Lambton Heights, New South Wales, Australia",
        "College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, New South Wales, Australia"
      ],
      "name": "Carlos Garcia-Esperon"
    },
    {
      "affiliations": [
        "Division of Internal Medicine, Port Moresby General Hospital, Port Moresby, Papua New Guinea"
      ],
      "name": "Wilma Bohage"
    },
    {
      "affiliations": [
        "Division of Internal Medicine, Port Moresby General Hospital, Port Moresby, Papua New Guinea"
      ],
      "name": "Hellen Zeming"
    },
    {
      "affiliations": [
        "The University of Newcastle, Newcastle, New South Wales, Australia",
        "Department of Neurology, John Hunter Hospital, Newcastle, New South Wales, Australia"
      ],
      "name": "Neil Spratt"
    },
    {
      "affiliations": [
        "Department of Neurology, John Hunter Hospital, Newcastle, New South Wales, Australia",
        "The University of Newcastle Hunter Medical Research Institute, New Lambton, New South Wales, Australia"
      ],
      "name": "Christopher Levi"
    },
    {
      "affiliations": [
        "University of New South Wales, Sydney, New South Wales, Australia",
        "Department of Neurology and Neurophysiology, Liverpool Hospital, Liverpool, New South Wales, Australia"
      ],
      "name": "Mark Parsons"
    },
    {
      "affiliations": [
        "Medicine, University of Otago Medical School, Wellington, New Zealand",
        "Neurology, Wellington Hospital, Wellington, New Zealand"
      ],
      "name": "Anna Ranta"
    }
  ],
  "title": "High-income country-supported telestroke thrombolysis to a lower–middle income country: an international proof-of-concept case report",
  "uid": "57bda59b-f88f-52e0-b2b3-f4fddf74b547"
}