An Affordable Smart Phone Communication System from Highway to Helipad: A Case Series

Abstract

Introduction: Improving communication between all providers involved with rural trauma and urgent care patients may be beneficial. In our proof of concept study, we examine the potential of an open architecture and flexible smart phone system, utilizing an affordable, off-the-shelf and secure application called Wickr.Methods: Two patient scenarios were constructed to test the capabilities of the Wickr application for data transfer. Roles were distributed between three players: one represented the transport medical doctor, another played the air medical crew, and the final assumed all the other roles. As the two scenarios unfolded simultaneously, phone conversations, text messages, pictures, and imaging files were conducted between the players by smart phones via downloaded Wickr applications. Upon completion, players answered nine questions on a 5-point Likert scale that focused on the quality of the videos, texts and pictures shared, as well as indicators that we deemed essential to transport communication systems from our experience.Results: Scores on video, picture and sound quality ranged from good to excellent. Scores on user friendliness, task suitability, speed, information discretion and customizable data retention ranges from somewhat agree to agree. Conclusion:Wickr was quick, user friendly, and well suited for the clinical communication during simultaneous patient scenarios. Whether it is a capable system for a busy helicopter emergency medical service has not been evaluated.