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.