Initial Assessment, Treatment, and Follow-Up of Minor Pediatric Burn Wounds in Four Patients Remotely: A Preliminary Communication

Paul, Marek A.; Kamali, Parisa; Ibrahim, Ahmed M.S.; Medin, Caroline; Lee, Bernard T.; Lin, Samuel J.

doi:10.1089/tmj.2017.0115

Cited by 8 publications

(3 citation statements)

References 21 publications

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“…We propose a mixed methods research approach for this assessment. As mentioned above, prior empirical findings related to the effects of telemedicine in the context of burn care are still scarce and mostly inconclusive (e.g., [32][33][34][35][36]). The pre-test/ post-test control group design presented above shall provide solid empirical evidence on the nature and scope of the effects of telemedicine in this context.…”

Section: Discussionmentioning

confidence: 99%

Early clinical management of severe burn patients using telemedicine: a pilot study protocol

Moreau

Paré

2020

Pilot Feasibility Stud

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Background: Emergency physicians are responsible for assessing the severity of a patient's burns, which determines whether the patient needs to be transferred to a burn center. Such a proper assessment represents a daunting task because severe burn injuries are rare. Inaccurate estimates often result in unjustified and costly transfers and unneeded fluid resuscitation and assisted ventilation procedures. Telemedicine offers a solution to these challenges. The present pilot study aims to investigate the feasibility, acceptability, and potential value of a large telemedicine initiative at the University of Montreal Health Center's burn center and its network of referring hospitals. Methods: A three-stage study protocol is proposed to achieve this objective. First, a proof of concept phase will assess the technical feasibility of telemedicine at one referring hospital with a high volume of patient transfers. Second, the organizational and human feasibility of the project will be evaluated in four referring medical centers. All teleconsultation sessions will be analyzed using the WHO's telemedicine implementation model. The third phase will consist of evaluating the potential impacts of telemedicine in a subset of 10 referring hospitals. The quality of communications between referring physicians and specialists will be assessed using semi-structured interviews. A pre-test/post-test with a comparison group design will be used to assess the effects of telemedicine on patient transfers, ventilation procedures, patient complications, mortality, length of ICU stay, and additional surgical procedures. The economic viability of telemedicine will be assessed using a cost-minimization approach. Discussion: The telemedicine initiative is expected to yield positive and significant outcomes that are relevant to a wide range of medical centers that already use or are considering using a similar technology. The contribution of this pilot study lies in its ability to reveal technological, organizational, and human barriers and provide a preliminary assessment of the clinical and economic value of a large-scale telemedicine initiative in the context of burn medicine.

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Section: Discussionmentioning

confidence: 99%

Early clinical management of severe burn patients using telemedicine: a pilot study protocol

Moreau

Paré

2020

Pilot Feasibility Stud

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“…All pediatricians should notify families about the options to connect with their care providers whether in person or via telephone, email, or telemedicine. 15,16 Mobile clinics to reach children in underserved areas could decrease lags in immunizations. 17 Sometimes, home visits with adequate personal protective equipment might be necessary.…”

Section: Medical Needsmentioning

confidence: 99%

Seeking Normalcy as the Curve Flattens: Ethical Considerations for Pediatricians Managing Collateral Damage of Coronavirus Disease-2019

Feltman

Moore

Beck

et al. 2020

The Journal of Pediatrics

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F earful. Uncertain. Overwhelmed. Committed. Hopeful. Pediatricians around the world have cycled through these emotions when considering the health and safety of patients and families during this coronavirus disease 2019 (COVID-19) pandemic. We worry about the direct medical effects of COVID-19. We also worry about the ancillary effects of the lockdowns, stay-at-home orders, closed clinics, schools, and daycare centers, and newly unemployed parents on the well-being of children. We focus on those concerns. We believe that responding to these ancillary effects of COVID-19 will be a bigger challenge for pediatricians than the clinical care of children with COVID-19. These challenges will be with us for the foreseeable future.

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“…The application of TH in burn care fosters close collaboration between experts and other healthcare professionals, creating a patient-centred environment and an optimised multidisciplinary framework [ 11 ]. Likewise, it strengthens care networks, particularly for populations with access barriers and for regions in which certain medical specialties are underdeveloped, such as rural communities [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Utility of Telehealth Platforms Applied to Burns Management: A Systematic Review

García-Díaz

Vilardell-Roig

Novillo-Ortiz

et al. 2023

IJERPH

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The financial burden of burn injuries has a considerable impact on patients and healthcare systems. Information and Communication Technologies (ICTs) have demonstrated their utility in the improvement of clinical practice and healthcare systems. Because referral centres for burn injuries cover large geographic areas, many specialists must find new strategies, including telehealth tools for patient evaluation, teleconsultation, and remote monitoring. This systematic review was performed according to PRISMA guidelines. PubMed, Cochrane, Medline, IBECS, and LILACS were the search engines used. Systematic reviews, meta-analyses, clinical trials, and observational studies were included in the study search. The protocol was registered in PROSPERO with the number CRD42022361137. In total, 37 of 185 studies queried for this study were eligible for the systematic review. Thirty studies were comparative observational studies, six were systematic reviews, and one was a randomised clinical trial. Studies suggest that telehealth allows better perception of triage, more accurate estimation of the TBSA, and resuscitation measures in the management of acute burns. In addition, some studies assess that TH tools are equivalent to face-to-face outpatient visits and cost-efficient because of transport savings and unnecessary referrals. However, more studies are required to provide significant evidence. However, the implementation of telehealth should be specifically adapted to each territory.

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Initial Assessment, Treatment, and Follow-Up of Minor Pediatric Burn Wounds in Four Patients Remotely: A Preliminary Communication

Cited by 8 publications

References 21 publications

Early clinical management of severe burn patients using telemedicine: a pilot study protocol

Early clinical management of severe burn patients using telemedicine: a pilot study protocol

Seeking Normalcy as the Curve Flattens: Ethical Considerations for Pediatricians Managing Collateral Damage of Coronavirus Disease-2019

Utility of Telehealth Platforms Applied to Burns Management: A Systematic Review

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