Practice of teleradiology in crisis zones: the unique case of Syria

Abstract

facilitate the care of patients. We find this method of communication to be effective in improving clinical decisions and patient care in many instances.We declare no competing interests.

Impact of armed conflict on health professionals’ education and training in Syria: a systematic review

“…First, in terms of attacks against MEHPT as a massively devastating negative impact of the conflict, the strategy of weaponisation of healthcare and MEHPT was reported heavily in the NGCAs,4 6 14–25 in which healthcare facilities and MEHPT campuses were attacked, workers were targeted, medical neutrality was obliterated, and international humanitarian laws were violated, to restrict or prevent access to care as a weapon of war. However, in the GCAs, the scale of attacks was limited to some bombings, missiles and arrests from within MEHPT campuses 26–28…”

“…There are also two private universities. None of thesecurrently have international recognition or accreditation for their degrees where innovative teaching and training strategies, platforms and resources were used, including homemade and locally manufactured training facilities and devices, task-shifting, teletraining, online teaching, store-and-forward counselling, live online tutoring, peer teaching, training the trainers and conflict-focused curriculum 14 15 19 31–33. A prominent example was the Syria Tele-ICU programme which was launched in December 2012 to manage the care of ICU (Intensive Care Unit) patients by using inexpensive, off-the-shelf video cameras, free social media applications and a volunteer network of Arabic-speaking intensivists in North America and Europe.…”

“…This includes but is not limited to blended online training, tutoring, live or store-and-forward. Along with using social media platforms, both approaches have created an opportunity to bridge between the diaspora willing to share their health expertise and the learners in all regions of the country, regardless of the political control and the levels of military escalation and humanitarian setting in the areas supported 14 15 19 64. However, these efforts still need to be formalised, developed and invested in at a larger scale nationally and internationally to meet the need.…”

Conflict-related health research in Syria, 2011–2019: a scoping review for The Lancet - AUB Commission on Syria

“…Table 3 presents a summary of the 31 papers reporting on field and operational activities, of which 12 describe humanitarian assessment, responses or needs, including development of a rapid gender analysis tool [ 127 ], cross-border, sectoral and cluster coordination mechanisms [ 104 , 115 – 117 ], and needs assessments and/or operational programming [ 98 , 105 , 107 – 110 , 122 ]. Nineteen papers discuss various aspects of the health system, most commonly reporting on experiences of establishing and / or presentations to field hospitals [ 99 – 101 , 103 ], or establishing or delivering specific services including renal [ 102 , 112 ], dental [ 106 ], mental health [ 113 ], obstetric [ 111 ], maternal and child health [ 119 ], tele-cardiology [ 120 ], tele-intensive care [ 114 , 121 ], tele-radiology [ 118 , 123 ] and polio outbreak response activities [ 124 ]. Other papers described the national tuberculosis control program [ 125 ], activities of Syrian expatriate medical associations in supporting the health system, including through training, establishment of hospitals and provision of telemedicine services [ 97 ], and translation and uptake of an online medical education platform into Arabic by Syrian medical students [ 126 ].…”

Modelo innovador de tele-ecografía para zonas rurales en el Perú

“…Existen diversos estudios a nivel mundial que resaltan el impacto de proyectos innovadores (6,8,10,11) en telemedicina sobre todo en áreas rurales (6)(7)(8)(9)(10)(11) . Casos como los presentados en Tailandia para el diagnóstico de neumonía utilizando cámaras digitales de menor costo comparadas a los digitalizadores de películas (12) , o el reportado en Israel con el uso de la teleradiología para la evaluación y referencia de pacientes con trauma craneal hacia un centro neuroquirúrgico especializado (13) , evidencian el rol fundamental de la telemedicina en estas zonas.…”