Real-time medical control using a wireless audio-video transmission device in a pre-hospital emergency service in Korea

Kwak, Min Ji; Kim, Ji Man; Shin, Il Hyung; Shin, Sang Do; Song, Kyoung Jun; Suh, Gil Joon; Kim, Hee Chan

doi:10.1258/jtt.2009.090504

Cited by 19 publications

(12 citation statements)

References 8 publications

(5 reference statements)

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“… Both sides are health providers [e.g., who may need a second expert opinion] Physician–physician consultation ( 3 - 5 ) Physician–primary care provider (PCP) communication, like nurses ( 6 ) One side is health provider and another side is the patients [e.g., for tele-monitoring or tele-visiting] Physician – patient relationship ( 7 ) PCP–patient relationship ( 8 , 9 ) Tripartite communication among physician – PCP – patient ( 10 ). …”

Section: Introductionmentioning

confidence: 99%

Teleconsultation and Clinical Decision Making: a Systematic Review

2016

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Background:The goal of teleconsultation is to omit geographical and functional distance between two or more geographically separated health care providers. The purpose of present study is to review and analyze physician-physician teleconsultations. Method: The PubMed electronic database was searched. The primary search was done on January 2015 and was updated on December 2015. A fetch and tag plan was designed by the researchers using an online Zotero library. Results: 174 full-text articles of 1702 records met inclusion criteria. Teleconsultation for pediatric patients accounts for 14.36 percent of accepted articles. Surgery and general medicine were the most prevalent medical fields in the adults and pediatrics, respectively. Most teleconsultations were inland experiences (no=135), and the USA, Italy and Australia were the three top countries in this group. Non-specialists health care providers/centers were the dominant group who requested teleconsultation (no=130). Real time, store and forward, and hybrid technologies were used in 50, 31, and 16.7 percent of articles, respectively. The teleconsultation were reported to result in change in treatment plan, referral or evacuation rate, change in diagnosis, educational effects, and rapid decision making. Use of structured or semi-structured template had been noticed only in a very few articles. Conclusion: The present study focused on the recent ten years of published articles on physician-physician teleconsultations. Our findings showed that although there are positive impacts of teleconsultation as improving patient management, still have gaps that need to be repaired.

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Section: Introductionmentioning

confidence: 99%

Teleconsultation and Clinical Decision Making: a Systematic Review

2016

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“…For a general prehospital teleconsultation purpose, Kwak et al [33] have developed a portable device that allows two-way, real-time communication between hospital doctors and emergency medical technicians. In this initiative, the data communication is carried out by means of audio and video transmission through a wireless Internet connection with an average data transmission rate of 1 Mbit/s.…”

Section: Discussionmentioning

confidence: 99%

AToMS: A Ubiquitous Teleconsultation System for Supporting AMI Patients with Prehospital Thrombolysis

Correa

Gonçalves

Teixeira

et al. 2011

International Journal of Telemedicine and Applications

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The latest population-based studies in the medical literature worldwide indicate that acute myocardial infarction (AMI) patients still experience prolonged delay to be rescued, which often results in morbidity and mortality. This paper reports from a technological standpoint a teleconsultation and monitoring system named AToMS. This system addresses the problem of prehospital delivery of thrombolysis to AMI patients by enabling the remote interaction of the paramedics and a cardiologist available at a Coronary Care Unit (CCU). Such interaction allows the diagnosis of the patient eligibility to the immediate application of thrombolysis, which is meant to reduce the delay between the onset of symptoms and the eventual application of proper treatment. Such delay reduction is meant to increase the AMI patient's chances of survival and decrease the risks of postinfarction sequels. The teleconsultation is held with the support of wireless and mobile technologies, which also allows the cardiologist to monitor the patient while he/she is being taken to the nearest CCU. All exchanged messages among paramedics and cardiologists are recorded to render an auditable system. AToMS has been deployed in a first stage in the city of Rio de Janeiro, where the medical team involved in the project has conducted commissioned tests.

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“…32 Both of these studies were conducted in Germany. Geographically, the studies occurred in a variety of locations, including Germany, [38][39][40] Spain, 41 Belgium, 42 Greece, 35,36 the United Kingdom, 43 Korea, 44,45 and the United States. 11,46 Type of study Four articles used retrospective data.…”

Section: Settingmentioning

confidence: 99%

Evaluation of the triple aim of medicine in prehospital telemedicine: A systematic literature review

et al. 2019

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Objectives With telemedicine becoming more widely implemented in emergency situations, understanding the quality and content of current findings that explore prehospital telemedicine is vital to establish best practices and guide future research. This systematic review examines the clinical importance of telemedicine in patient-provider ambulance-based settings with a focus on multifunctional systems for general prehospital emergency populations. Methods Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology we found 1564 abstracts, which were blind-reviewed by independent reviewers. Relevant articles were reviewed, classified, and analyzed according to research methods and technology type, as well as quality, cost, and satisfaction. The studies were also reviewed for validated evidence-based practice. Results Those studies that looked at cost, quality, and satisfaction with care generally shared favorable results. Setup notwithstanding, cost was comparable or less than controls. Care quality was also found to be in line with or slightly preferable to face-to-face care with some advantages in response time and quality. Patients and providers were satisfied with the systems. Common obstacles included limited bandwidth and small sample sizes. Conclusions Although feasibility remains salient, research regarding the impact of ambulance-based telemedicine on patients and healthcare providers is encouraging, but nascent. As a whole, this body of literature does not yet adequately speak to the most important concerns of medicine: quality, cost, and satisfaction. More research is needed in each of these areas. However, those studies that do address these matters share hopeful results. Future research should test these mechanisms in prehospital settings with greater rigor.

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Real-time medical control using a wireless audio-video transmission device in a pre-hospital emergency service in Korea

Cited by 19 publications

References 8 publications

Teleconsultation and Clinical Decision Making: a Systematic Review

Teleconsultation and Clinical Decision Making: a Systematic Review

AToMS: A Ubiquitous Teleconsultation System for Supporting AMI Patients with Prehospital Thrombolysis

Evaluation of the triple aim of medicine in prehospital telemedicine: A systematic literature review

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