Medical emergency aid through telematics: design, implementation guidelines and analysis of user requirements for the MERMAID project

Anogianakis, G.; Maglavera, Stavroula; Pomportsis, A.S.; Bountzioukas, S; Beltrame, Francesco; Orsi, Giorgio

doi:10.1016/s1386-5056(98)00128-2

Cited by 12 publications

(9 citation statements)

References 2 publications

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“…Moreover, Amenta et al [31] developed an electronic medical file for each patient assisted, where the data would be updated following every radio contact with a ship or a plane in flight. Furthermore, Anogianakis et al [35] also developed software that can provide a medical record system, which can guide the user through patient history and objective examination. In addition, it provides a database that contains all the information on the vessel’s stocks of medicine and medical equipment.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine Services for the Arctic: A Systematic Review

Woldaregay¹,

Walderhaug²,

Hartvigsen³

2017

JMIR Med Inform

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BackgroundTelemedicine services have been successfully used in areas where there are adequate infrastructures such as reliable power and communication lines. However, despite the increasing number of merchants and seafarers, maritime and Arctic telemedicine have had limited success. This might be linked with various factors such as lack of good infrastructure, lack of trained onboard personnel, lack of Arctic-enhanced telemedicine equipment, extreme weather conditions, remoteness, and other geographical challenges.ObjectiveThe purpose of this review was to assess and analyze the current status of telemedicine services in the context of maritime conditions, extreme weather (ie, Arctic weather), and remote accidents and emergencies. Moreover, the paper aimed to identify successfully implemented telemedicine services in the Arctic region and in maritime settings and remote emergency situations and present state of the art systems for these areas. Finally, we identified the status quo of telemedicine services in the context of search and rescue (SAR) scenarios in these extreme conditions.MethodsA rigorous literature search was conducted between September 7 and October 28, 2015, through various online databases. Peer reviewed journals and articles were considered. Relevant articles were first identified by reviewing the title, keywords, and abstract for a preliminary filter with our selection criteria, and then we reviewed full-text articles that seemed relevant. Information from the selected literature was extracted based on some predefined categories, which were defined based on previous research and further elaborated upon via iterative brainstorming.ResultsThe initial hits were vetted using the title, abstract, and keywords, and we retrieved a total of 471 papers. After removing duplicates from the list, 422 records remained. Then, we did an independent assessment of the articles and screening based on the inclusion and exclusion criteria, which eliminated another 219 papers, leaving 203 relevant papers. After a full-text assessment, 36 articles were left, which were critically analyzed. The inter-rater agreement was measured using Cohen Kappa test, and disagreements were resolved through discussion.ConclusionsDespite the increasing number of fishermen and other seafarers, Arctic and maritime working conditions are mainly characterized by an absence of access to health care facilities. The condition is further aggravated for fishermen and seafarers who are working in the Arctic regions. In spite of the existing barriers and challenges, some telemedicine services have recently been successfully delivered in these areas. These services include teleconsultation (9/37, 24%), teleradiology (8/37, 22%), teledermatology and tele-education (3/37, 8%), telemonitoring and telecardiology (telesonography) (1/37, 3%), and others (10/37, 27%). However, the use of telemedicine in relation to search and rescue (SAR) services is not yet fully exploited. Therefore, we foresee that these implemented and evaluated telemedicine servic...

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Section: Discussionmentioning

confidence: 99%

Telemedicine Services for the Arctic: A Systematic Review

Woldaregay¹,

Walderhaug²,

Hartvigsen³

2017

JMIR Med Inform

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“…Digital images are being used in a variety of medical specialties, including radiology, plastic surgery, pathology, dentistry, and veterinary medicine. [3][4][5][6][7][8][9][10] These uses differ from our application in that the images received by the poison center are usually generated by individuals (public and medical professionals) who lack insight into the important features needed to be captured for accurate interpretation of the images.…”

Section: Discussionmentioning

confidence: 99%

Digital Imaging: A Promising Tool for Mushroom Identification

Fischbein¹,

Mueller²,

Leacock³

et al. 2003

Acad Emergency Med

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Mushroom poisoning is a diagnostic and treatment dilemma for health care professionals. Decisions regarding treatment following ingestions are usually made without a firm identification of the fungus and tend to be more aggressive than necessary. The identification of mushrooms is beyond the scope of health care professionals, and a mycologist is essential to make an accurate identification. Telemedicine and digital imaging is an emerging technology that can assist in mushroom identification and facilitate patient care. The efficacy of using digital images sent over the Internet was tested in a pilot project. This article describes three cases in which digital images and verbal descriptions assisted in mushroom identification. When the actual specimen was sent to a mycologist, a definitive identification was obtained and compared with the presumptive identification. Digital images alone do not permit definitive identification; however, they often contain sufficient information to help the clinician rule out the possibility of a severely toxic species. Data accumulated to date indicate that digital imaging can be an important tool in the diagnosis and treatment of mushroom ingestion, and possibly other biologicals such as plants, insects, and reptiles.

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“…Lin [12] offered a broad technology-focused survey of telemedicine research; he discusses application areas, communication technology, and the kind of data that are transmitted. From the projects he describes, two are of concrete relevance for our work: Anogianakis et al [13] described the early maritime telemedicine system MERMAID that enables teleconsultation centers to provide medical assistance for the patient treatment on board of ships using satellite communication. Kyriacou et al [14] reported on a real-time telemedicine system for use in EMS, the general concept being close to our use of telemedicine; however, the integration of biomedical signal transmission differs.…”

Section: Related Workmentioning

confidence: 99%

Using Off-the-Shelf Medical Devices for Biomedical Signal Monitoring in a Telemedicine System for Emergency Medical Services

Thelén¹,

Czaplik²,

Meisen³

et al. 2016

Automation, Communication and Cybernetics in Science and Engineering 2015/2016

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Abstract-In order to study new methods of telemedicine usage in the context of emergency medical services, researchers need to prototype integrated telemedicine systems. To conduct a one-year trial phase-intended to study a new application of telemedicine in German emergency medical services-we used off-the-shelf medical devices and software to realize real-time patient monitoring within an integrated telemedicine system prototype. We demonstrate its feasibility by presenting the integrated real-time patient monitoring solution, by studying signal delay and transmission robustness regarding changing communication channel characteristics, and by evaluating issues reported by the physicians during the trial phase. Where standards like HL7 and the IEEE 11073 family are intended to enable interoperability of product grade medical devices, we show that research prototypes benefit from the use of web technologies and simple device interfaces, as they simplify product development for a manufacturer and ease integration efforts for research teams. Embracing this approach for the development of new medical devices eases the constraint to use off-the-shelf products for research trials investigating innovative use of telemedicine.Index Terms-Biomedical telemetry, emergency medical services (EMS), telemedicine.

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Medical emergency aid through telematics: design, implementation guidelines and analysis of user requirements for the MERMAID project

Cited by 12 publications

References 2 publications

Telemedicine Services for the Arctic: A Systematic Review

Telemedicine Services for the Arctic: A Systematic Review

Digital Imaging: A Promising Tool for Mushroom Identification

Using Off-the-Shelf Medical Devices for Biomedical Signal Monitoring in a Telemedicine System for Emergency Medical Services

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