The Clinical and Technical Evaluation of a Remote Telementored Telesonography System During the Acute Resuscitation and Transfer of the Injured Patient

Dyer, Dianne; Cusden, Jane; Turner, Chris; Boyd, Jeff; Hall, R. Whit; Lautner, David; Hamilton, Douglas R.; Shepherd, Lance; Dunham, Michael; Bigras, Andre; Bigras, Guy; McBeth, Paul B.; Kirkpatrick, Andrew W.

doi:10.1097/ta.0b013e3181878052

Cited by 67 publications

(83 citation statements)

References 44 publications

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“…32 Assuming instant availability of a trained physician at any time to "tele-mentor," this method could be both accurate and feasible. [33][34][35][36][37][38][39] However, limitations include mentor availability, a need for high-bandwidth Internet or cellular connections to maintain image quality, and technical problems such as image freezing. 39,40 Its effectiveness in clinical use has not yet been studied in rural Canada.…”

Section: Corrective Measuresmentioning

confidence: 99%

Barriers to point-of-care ultrasound use in rural emergency departments

Micks

Sue

Rogers

2016

CJEM

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Over the past few decades, point-of-care ultrasound (PoCUS) has come to play a major role in the practice of emergency medicine. Despite its numerous benefits, there has been a slow uptake of PoCUS use in rural emergency departments. Surveys conducted across Canada and the United States have identified a lack of equipment, training, funding, quality assurance, and an inability to maintain skills as major barriers to PoCUS use. Potential solutions include expanding residency training in ultrasound skills, extending funding for PoCUS training to rural physicians in practice, moving PoCUS training courses to rural sites, and creating telesonography training for rural physicians. With these barriers identified and solutions proposed, corrective measures must be taken so that the benefits of PoCUS are extended to patients in rural Canada where, arguably, it has the greatest potential for benefit when access to advanced imaging is not readily available.

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Section: Corrective Measuresmentioning

confidence: 99%

Barriers to point-of-care ultrasound use in rural emergency departments

Micks

Sue

Rogers

2016

CJEM

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“…Translation to regular practice, however, will require the im mediate availability of appropriately trained remote experts willing to serve as mentors. 3 While being a content expert in a pertinent discipline is necessary to telementor remote providers to address a particular clinical problem, this expertise in and of itself is not wholly sufficient to designate someone a telementoring specialist. The ability to telementor effectively requires communication skills flexible enough to enable the remote onsite provider to perform to the best of their ability.…”

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confidence: 99%

The need for a robust 24/7 subspecialty “clearing house” response for telementored trauma care

et al. 2015

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“…In Taiwan, the use of video-telemedicine significantly reduced the frequency of unnecessary air medical transports from 16 31]. Twenty total patients were analyzed with successful recognition of hemoperitoneum in five cases and pneumothoraces in two patients, not to mention the great educational benefits that accompanied the use of this teletrauma technology [31]. Finally, military medicine has been very interested in the potential of teletrauma given the obvious logistical problems involved during wartime.…”

Section: Benefits Of Telemedicine and Telepresence In Traumamentioning

confidence: 99%

“…Use of their teletrauma system prevented 70 unnecessary transfers resulting in dramatic healthcare savings [27]. In Taiwan, the use of video-telemedicine significantly reduced the frequency of unnecessary air medical transports from 16 31]. Twenty total patients were analyzed with successful recognition of hemoperitoneum in five cases and pneumothoraces in two patients, not to mention the great educational benefits that accompanied the use of this teletrauma technology [31].…”

Section: Benefits Of Telemedicine and Telepresence In Traumamentioning

confidence: 99%

Advancing Trauma and Emergency Education Through Virtual Presence

et al. 2016

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Purpose of Review Telemedicine has played a pivotal role in centralization of trauma care at large trauma centers and trauma systems. The purpose of this review is to highlight the role of telemedicine and virtual education in advancing trauma and emergency education through virtual presence Recent Findings The use of telemedicine has recently revolutionized trauma patient care and education with the introduction of telepresence. The development of telepresence allows experienced trauma surgeons to have a virtual presence in emergency rooms in some of the most remote locations on the planet, providing up-to-date clinical knowledge and training to surgeons working in a remote area that is otherwise not possible. Summary Through this virtual presence, trauma surgeons are able to help direct trauma patient care, advise on diagnostic studies and procedures, and help make appropriate decisions regarding the transfer of trauma patients.

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The Clinical and Technical Evaluation of a Remote Telementored Telesonography System During the Acute Resuscitation and Transfer of the Injured Patient

Abstract: The remote real-time guidance or observation of an EFAST using TS appears feasible. Most technical problems were quickly overcome. Further evaluation of this approach and technology is warranted in more remote settings with less experienced personnel.

Cited by 67 publications

References 44 publications

Barriers to point-of-care ultrasound use in rural emergency departments

Barriers to point-of-care ultrasound use in rural emergency departments

The need for a robust 24/7 subspecialty “clearing house” response for telementored trauma care

Advancing Trauma and Emergency Education Through Virtual Presence

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