Teleconferencing Using Multimedia Messaging Service (MMS) for Long-Range Consultation of Patients With Neurosurgical Problems in an Acute Situation

Waran, Vicknes; Selladurai, Benedict M.; Bahuri, Nor Faizal Ahmad; George, George John K. Thomas; Lim, Grace P.S.; Khine, Myo

doi:10.1097/ta.0b013e318070cc88

Cited by 19 publications

(15 citation statements)

References 9 publications

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“…The results of these integrative modalities demonstrated high sensitivity and specificity, 12 high reliability, simplicity, and costeffectiveness. 13,15 Wider recommendations for further integration in trauma care have also been advanced. 14 Although these studies present several key implications for reach and cost-effectiveness, there still exist barriers to wider adoption.…”

Section: Authors' Conclusionmentioning

confidence: 99%

Telemedicine in Acute-Phase Injury Management: A Review of Practice and Advancements

Lewis¹,

Thomas²,

Wilson³

et al. 2012

Telemedicine and e-Health

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Section: Authors' Conclusionmentioning

confidence: 99%

Telemedicine in Acute-Phase Injury Management: A Review of Practice and Advancements

Lewis¹,

Thomas²,

Wilson³

et al. 2012

Telemedicine and e-Health

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“…It represents the evolution of traditional e-health systems from desktop platforms and wired connections to the use of more compact devices and wireless connections. 1 In the fi eld of emergency neurosurgical consultations, several authors, including ourselves, have proposed the use of mobile telephones. 2,3 Th is method is useful when consulting on problems such as head injuries and intracranial haemorrhages and it involves transmitting single CT images in a JPEG format using multimedia messaging services (MMS) over a standard mobile telephone line.…”

Section: Introductionmentioning

confidence: 99%

Video clip transfer of radiological images using a mobile telephone in emergency neurosurgical consultations (3G Multi-Media Messaging Service)

Waran

Bahuri

Narayanan

et al. 2011

British Journal of Neurosurgery

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“…14 With the recent rapid rise and availability of high-bandwidth wireless systems, the use of handheld devices in making determinations of the need for transfer may allow photographs and even short videos to be sent even from facilities with limited resources. 19,20,32 For more complex evaluation, systems of video consultation have been used to determine the need for interhospital transfer as well. 33 With increasing trends toward the regionalization of care, the need for established guidelines for in-hospital treatment and transfer of patients to a higher level care facility are being increasingly developed and used.…”

Section: Discussionmentioning

confidence: 99%

Low rate of delayed deterioration requiring surgical treatment in patients transferred to a tertiary care center for mild traumatic brain injury

Carlson

Ramirez²,

Kennedy³

et al. 2010

FOC

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Object Patients with mild traumatic brain injury (mTBI) only rarely need neurosurgical intervention; however, there is a subset of patients whose condition will deteriorate. Given the high resource utilization required for interhospital transfer and the relative infrequency of the need for intervention, this study was undertaken to determine how often patients who were transferred required intervention and if there were factors that could predict that need. Methods The authors performed a retrospective review of cases involving patients who were transferred to the University of New Mexico Level 1 trauma center for evaluation of mTBI between January 2005 and December 2009. Information including demographic data, lesion type, need for neurosurgical intervention, and short-term outcome was recorded. Results During the 4-year study period, 292 patients (age range newborn to 92 years) were transferred for evaluation of mTBI. Of these 292 patients, 182 (62.3%) had an acute traumatic finding of some kind; 110 (60.4%) of these had a follow-up CT to evaluate progression, whereas 60 (33.0%) did not require a follow-up CT. In 15 cases (5.1% overall), the patients were taken immediately to the operating room (either before or after the first CT). Only 4 patients (1.5% overall) had either clinical or radiographic deterioration requiring delayed surgical intervention after the second CT scan. Epidural hematoma (EDH) and subdural hematoma (SDH) were both found to be significantly associated with the need for surgery (OR 29.5 for EDH, 95% CI 6.6–131.8; OR 9.7 for SDH, 95% CI 2.4–39.1). There were no in-hospital deaths in the series, and 97% of patients were discharged with a Glasgow Coma Scale score of 15. Conclusions Most patients who are transferred with mTBI who need neurosurgical intervention have a surgical lesion initially. Only a very small percentage will have a delayed deterioration requiring surgery, with EDH and SDH being more concerning lesions. In most cases of mTBI, triage can be performed by a neurosurgeon and the patient can be observed without interhospital transfer.

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Teleconferencing Using Multimedia Messaging Service (MMS) for Long-Range Consultation of Patients With Neurosurgical Problems in an Acute Situation

Abstract: : Accurate diagnosis can be made on images of acute neurosurgical problems transferred using a conventional camera phone and meaningful decisions can be made on these images. This method of consultation also proved to be highly convenient and cost effective.

Cited by 19 publications

References 9 publications

Telemedicine in Acute-Phase Injury Management: A Review of Practice and Advancements

Telemedicine in Acute-Phase Injury Management: A Review of Practice and Advancements

Video clip transfer of radiological images using a mobile telephone in emergency neurosurgical consultations (3G Multi-Media Messaging Service)

Low rate of delayed deterioration requiring surgical treatment in patients transferred to a tertiary care center for mild traumatic brain injury

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