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Stroke Best Practice of the TeleSpecialists Pit Stop Program™… When Every Second Counts

By: | Tags: , , , , , , | December 20th, 2019

When you think of NASCAR, you can’t help but think of speed. The main objective is to get to the finish line as fast as possible, and during the race there is a crew standing by to ensure that the car and driver get to their destination without a hitch. If the car has a flat tire or smoking engine, it can’t finish the race…. can it? The NASCAR driver and vehicle are supported by a pit crew, and they are a critical success factor on the racetrack. When there is a race at stake, the pit crew needs to be as fast and efficient as possible. The same holds true when it comes to saving lives. The pit crew concept, which leaves little to no time unused, has been applied to a similar process in emergency rooms. This process has proven to be very effective in conjunction with the stroke aphorism “time is brain.”

Stroke Patient Care

When there is a life at stake, physicians and their team need to act fast, and their precision and teamwork are of the utmost importance. The American Stroke Association (ASA) took the pit stop concept and implemented it into its best practices. Remember, the longer it takes to treat a stroke patient, the more the patient will be affected by the disease that affects over 790,000 people in the United States alone.

TeleSpecialists Pit Stop Program™

For a team to work together, and work together fast, a pit stop crew emulation seems like a no-brainer. TeleSpecialists took the process one step further and developed the TeleSpecialists Pit Stop Program™. This integrates the ASA’s best practices and adds parallel processes to increase its effectiveness.

Imagine… three team members armed with their assignments and a stopwatch and must complete their tasks in three minutes. Once a Stroke Alert is called, the team gets into place quicker than you can say “pit stop.”

Each member of the team “swarms” the patient, takes vitals and completes their designated mini-assessments. The TeleNeurologist is activated as soon as the stroke alert is called so the stroke assessment can begin immediately when they are on-screen. A stopwatch is used as a visual reminder that every second counts. The TeleNeurologist is carted with the team along with the patient; this ensures no time is lost, the patient’s test results can be observed, and the thrombolytics can be ordered and given at bedside.

TeleSpecialists Pit Stop Program™ Results

Door-To-Needle in Under 45 Minutes

What are the results? Our hospital partners that have implemented the TeleSpecialists Pit Stop Program™ have an average door-to-needle time of 45 minutes or less, compared to facilities who do not utilize the process with an average closer to 56 minutes. Some of our hospital partners have seen a door-to-needle time as low as 14 minutes!


teleSpecialists pit stop program for teleNeurologist


Contact to Decrease Your Door-To-Needle Times

In addition, the TeleSpecialists Pit Stop Program™ allows the TeleNeurologist to have his/her eyes on the patient at all times. To learn more about how the TeleSpecialists Pit Stop Program™ can decrease your door-to-needle times, please call us today at 866-785-7769.


teleSpecialists pit stop program door to ct scan diagram

Nattasha Acevedo, MD

Dr. Acevedo received her medical degree from the Ponce School of Medicine in Puerto Rico and did her neurology residency at Montefiore Medical Center in New York. She went on to do a clinical neurophysiology fellowship at Emory School of Medicine in Atla nta, Georgia and then joined private practice in Fort Myers, Florida. She currently resides in San Juan, Puerto Rico. She likes running, paddle boarding and spending time with family.

Bernadette Borte, MD

Dr. Borte received her medical degree from St. Matthew’s University School of Medicine in Grand Cayman. She completed her neurology residency at the University of Iowa Hospitals and Clinics in Iowa City, Iowa. Her areas of interest include inpatient neurology and acute stroke. When not working, she enjoys spending time outdoors with her family. Dr. Borte joined the TeleSpecialist family in March of 2019.

Mazen Almidani, MD

Dr. Almidani is board certified in pediatrics by the American Board of Pediatrics and board certified in epilepsy, as well as neurology with special  qualification in child neurology by the American Board of Psychiatry and Neurology.  Dr. Almidani is happily married with 4 children. His oldest son has autism and his daughter has complicated seizures; both were a drive for him to become a neurologist. Dr. Almidani enjoys soccer, running and spending time with his family. He is very involved with his sons’ therapy and helping with daily challenges. He is double board certified in Pediatric and Adult Neurology and Epilepsy. He sees children and adults. He also participates in charities for children in Syria who may be underprivileged and/or affected by the war. Dr. Almidani joined TeleSpecialists in August 2020.

Amanda Cheshire, MD

Dr. Cheshire received her medical degree from the University of Louisville School of Medicine in Louisville, Kentucky. She completed her neurology residency at the University of Cincinnati Medical Center in Cincinnati, Ohio. She did a fellowship in neurophysiology at the University of Michigan Medical School in Ann Arbor, Michigan. Dr. Cheshire is double board certified in neurology and clinical neurophysiology. She enjoys traveling, reading and music. She currently resides in Viera, Florida.  Dr. Cheshire joined TeleSpecialists in June 2019.

Jessica Floyd, MD

Dr. Floyd completed her neurology residency at Mayo Clinic in Jacksonville, Florida followed by fellowship training in clinical neurophysiology with focus in EEG and epilepsy at the Medical University of South Carolina in Charleston, South Carolina. She has particular interest in hospital neurology and patient education as well as the blossoming specialty of lifestyle medicine. She strives to take advantage of every encounter with patients and medical staff to empower them to do their own research into how daily thoughts, choices, and habits can add up to create greater and longer-lasting brain and neurologic health for ourselves and our loved ones. She lives in Florence, South Carolina with her awesome husband of 13 plus years and three beautiful children. She is an avid yogi, astrologer, and lover of food and all things neurology! Dr. Floyd joined the TeleSpecialist family in July 2017.

Nancy Futrell, MD

Dr. Futrell received her medical degree from the University of Utah in Salt Lake City, Utah. She also did her neurology residency at the University of Utah as well as a research fellowship in cerebral vascular disease at Jackson Memorial Hospital in Miami, Florida. She currently resides in Salt Lake City, Utah. She has authored 2 books and 50 peer reviewed papers. 

Rebecca Jimenez-Sanders, MD

Dr. Jimenez Sanders received her undergraduate degree from Emory University, and her medical degree from the San Juan Bautista School of Medicine in Puerto Rico. She completed her neurology residency at the University of South Florida in Tampa, Florida, where she also did a specialized headache medicine and facial pain fellowship. She currently resides in Tampa, Florida with her husband and her two daughters. She is also fluent in Spanish and Italian languages, and enjoys photography, baking, boating, and biking.

Cory Lamar, MD

Dr. Lamar received his medical degree from Meharry Medical College in Nashville, Tennessee. He completed his internship and residency at Wake Forest Baptist Health in Winston Salem, North Carolina. Following residency, he completed a clinical fellowship in neurophysiology, with a concentration in epilepsy. He currently resides in Florida and enjoys outdoor activities.

Clifford Meyers, MD

Dr. Meyers received his medical degree from Brown University in Providence, Rhode Island and his MBA from the Simon School of Business at the University of Rochester in Rochester, New York. He completed his neurology residency at the University of Rochester, where he also did a neurophysiology fellowship. Dr. Meyers resides in Webster, New York with his wife and daughter. When not doing teleneurology, he enjoys playing sports with his wife and daughter.

Tao Tong, MD

Dr. Tong received her medical degree from the University of Miami School of Medicine in Miami, Florida. She completed her neurology residency at Jackson Memorial Hospital in Miami, Florida, where she also did a neuromuscular/EMG fellowship.  She currently resides in College Station, Texas. Dr. Tong is married with two boys. She enjoys spending time with her family, traveling and reading.

Shubhangi Chumble, MD

Dr. Chumble attended BJ Medical School. She is a board certified neurologist with a subspeciality interest in sleep medicine. Dr. Chumble did her residency at Howard University in Washington DC and has practiced neurology since 2001 in private and corporate settings. She lives in Melbourne, Florida and loves the sunshine state. Her hobbies include yoga, meditation, cooking , traveling and meeting new people. She also loves to do stained glass, pottery and painting. She joined TeleSpecialists in June 2019.