Video Consultation for Trauma and Emergency Surgical Patients

Joseph, Bellal; Hadeed, George J.; Sadoun, Moutamn; Rhee, Peter; Weinstein, Ronald S.

doi:10.1097/cnq.0b013e318266c2f2

Cited by 27 publications

(12 citation statements)

References 1 publication

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“…The teleconsultation were reported to result in change in treatment plan, referral or evacuation rate, change in diagnosis, and educational effects ( Figure 5 ). High quality and rapid decision making ( 16 ), shortening diagnosis time, faster and better patient management ( 52 , 53 ), diminishing the length of hospitalization and intensive care stay ( 53 ), improving the accuracy of triage ( 54 ), anxiety reduction, educational value ( 55 ), increasing the confidence ( 56 - 58 ), and reducing the amount of unnecessary procedures ( 59 ) were some of the effects of teleconsultation on the requesting physician side.…”

Section: Resultsmentioning

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: Resultsmentioning

confidence: 99%

Teleconsultation and Clinical Decision Making: a Systematic Review

2016

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“…9 After ensuring HIPPA compliance, we provided the on-call physician at the rural hospital with a password-protected smartphone, to be signed off to the next incoming physician on each shift. The on-call trauma surgeon at UAMC also carried the same smartphone model that was password protected.…”

Section: Smartphones In Surgery and Teletraumamentioning

confidence: 99%

“…Availability of the requested trauma surgeon and accessibility to the telemedicine connection on the go were the key factors that helped in establishing an effective and applicable teletrauma program. 8,9 However, implementation of telemedicine in trauma continues to remain underutilized, because of the fact that trauma and acute care surgeons handle a different level of problems than most outpatientcontrolled fields in medicine. The lack of user-friendly hardware and software was one of the biggest hurdles for implementation and facilitating long-distance teleconsultations for trauma patients.…”

Section: Introductionmentioning

confidence: 99%

Smartphone Surgery: How Technology Can Transform Practice

Zangbar

Pandit

Rhee

et al. 2014

Telemedicine and e-Health

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Rural trauma care has been regarded as being the "challenge for the next decade." Trauma patients in rural areas face more struggles than their urban counterparts because of the absence of specialized trauma care, delay in providing immediate care to trauma victims, and longer transport times to reach a trauma center. Telemedicine is a promising tool for facilitating rural trauma care. This stellar tool creates a real-time link between a remotely located specialist and the local healthcare provider, especially during the initial management of the trauma patient, involving resuscitation and even intubation. However, the high cost of purchasing, setting up, and maintaining all the needed equipment has made telemedicine an expensive proposition for rural hospitals, which frequently have limited budgets. But recently, new improvements in communication technology have made smartphones an indispensable part of daily life, even in rural areas. These devices have great potential to improve patient care and enhance medical education because of their wide adoption and ease of use. In this article, we describe our initial teletrauma experience and the effect of smartphone implementation in patient care and medical education at the University of Arizona Medical Center in Tucson.

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“…20Y23 Recently, smart phone technology has taken telemedicine into the 21st century. 24 This mode of communication has liberated the physician from the computer and facilitated among other things the ability to take still photos, video images of patients, and scenes of accidents and allowed physicians and other health professionals to communicate among one another in an effort to provide better patient care. It is only reasonable to assume that as it becomes ever more facile, this technology will allow more ease and accuracy of communication between referring and transferring institutions.…”

Section: Proposed Educational Solutions That Could Lead To Less Expenmentioning

confidence: 99%