A pilot study of the technical quality of telemedical consultations for remote trauma management

Tachakra, Sapal; Lynch, Maria; Stinson, Alistair; Dawood, Mary; Hayes, Jesus

doi:10.1080/0140511020033315

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…17 Others have used telemedicine only for the care of simulated traumas. 18,19 Despite a lack of precedence and some initial skepticism, our "tele-trauma project," which received Federal funding from the Department of Commerce's Technologies Opportunities Program, proved to be so successful that it has been incorporated fully into our trauma program.…”

Section: Introduction a N Injury In Rural Areas Of The Unitedmentioning

confidence: 99%

Telemedicine Reduces Discrepancies in Rural Trauma Care

Ricci

Caputo²,

Amour³

et al. 2003

Telemedicine Journal and e-Health

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Patients injured in rural areas die at roughly twice the rate of those patients with similar injuries in urban areas. A multitude of explanations have been suggested for higher mortality rates from trauma in the rural areas of the United States. Since rural emergency room (ER) staff see far fewer traumas than ER staff at large metropolitan trauma centers, their lack of exposure to this low-volume problem certainly contributes to the problem. To address discrepancies in trauma education and the delivery of care in our rural region, a telemedicine system was utilized to provide rapid consultation from surgeons at the level 1 trauma center and to provide enhanced educational opportunities for rural ambulance emergency first responders. Clinical outcome measures and evaluation questionnaires were designed in advance of implementation. Forty-one "tele-trauma consults" were performed over the first 30 months of the project, all for major, multi-system trauma. Though many clinical recommendations were made, the system was judged to be life saving in three instances, and both rural and trauma center providers felt the system enhanced clinical care. In addition, educational sessions for rural first responders were well attended and favorably reviewed. Early results of a telemedicine system provide encouragement as a means to address discrepancies in the outcomes after major trauma in rural areas, although more work needs to be completed and evaluated.

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Section: Introduction a N Injury In Rural Areas Of The Unitedmentioning

confidence: 99%

Telemedicine Reduces Discrepancies in Rural Trauma Care

Ricci

Caputo²,

Amour³

et al. 2003

Telemedicine Journal and e-Health

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“…Thus, if they are in a remote location, they would expect to be able to call their specialist on their mobile phone and show him/her an image of the part of their body that they were worried about or discuss the management of an existing chronic condition that has been exacerbated. There may be some early problems with the technical quality of the consultation, 28 but over a period of time these can be overcome. 3.…”

Section: Sens Vestmentioning

confidence: 99%

Mobile e-Health: The Unwired Evolution of Telemedicine

Tachakra¹,

Wang²,

Istepanian³

et al. 2003

Telemedicine Journal and e-Health

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223

108

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The movement of telemedicine from desktop platforms to wireless and mobile configurations may have a significant impact on future health care. This paper reviews some of the latest technologies in wireless communication and their application in health care. The new technologies can make the remote medical monitoring, consulting, and health care more flexible and convenient. But, there are challenges for successful wireless telemedicine, which are addressed in this paper.

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