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Telemedicine has evolved to become an important field of medicine and healthcare, involving everything from simple patient care to actual performance of operations at a distance. This groundbreaking volume addresses the complex technical and clinical development in the management of trauma, disaster, and emergency situations using telemedicine. The book explains how telemedicine and related technologies can be used to effectively handle a wide range of scenarios, from a situation as small as a car crash, to major disasters such as an earthquake. Professionals find critical discussions on the practicality, logistics, and safety of telemedicine from recognized experts in the field. From teleteaching and telemonitoring, to teletrauma and telesurgery, this authoritative book covers all the major aspects that practitioners need to understand in order to engage and utilize this burgeoning area of medicine.
In the aftermath of a disaster, medical infrastructure is often significantly impacted or destroyed in the affected zone. Recognizing the need for an effective system for deployment in disaster zones, the Emerging Security Challenges Division within NATO's Science for Peace and Security Program (SPS) initiated the development of a multinational telemedicine system (MnTS). Such a system can improve access to health services and increase survival rates in emergency situations spanning both geographical and time zones. This book presents a review of this NATO-funded MnTS, and follows the thematic approach to its development. The book is divided into 14 chapters; Chapter 1 includes a historical review of telemedicine and disasters and Chapter 2 provides a historical perspective of NATO's efforts in the field of telemedicine, while Chapters 3 – 12 summarize the development of the MnTS. Critical components of the MnTS are addressed, such as overall organizational structure, the integration of information technology, legal and regulatory considerations, and outreach and public awareness. The evaluation of the MnTS in a field exercise is described, and the book closes with a final summary of the MnTS. The book addresses the challenges faced in deploying telemedicine following a disaster, such as IT, language, culture and legal issues, and provides a template for making telemedicine part of international disaster response.
A Practical Guide to Emergency Telehealth is the most thorough, up to date, and practical guidebook available for the design and implementation of a wide variety of acute and episodic distance-based clinical services. Historically it has been evident that Emergency Medicine stands to benefit from improvements in telecommunication technologies. This book helps readers understand how emergency telehealth can be used to improve care within and outside the ED, discover telehealth opportunities, identify solutions for health care disparities, guide them through to implementation, and support them to long-term success. Chapters feature case examples, checklists, and lessons learned from professionals who have been at the forefront of the telehealth industry. The content is designed for individuals and institutions at all levels of telehealth experience. It is fitting and essential for hospital administrators, information technology staff, emergency medicine clinicians, nurses, and other key stakeholders involved in the delivery of urgent and emergent medical care. Advance Praise for A Practical Guide to Emergency Telehealth "This excellent text will serve the practitioners with a ready reference as telehealth continues to grow in importance and utility in the aftermath of a global pandemic." -- Charles R. Doarn, MBA, FATA, FAsMA, Research Professor, Department of Environmental and Public Health Sciences, MPH Program Director, College of Medicine, University of Cincinnati "While telehealth as a method of providing care is not new, pre-COVID growth accelerated by the response to COVID-19 has been remarkable. Dr. Sikka and his colleagues have provided us with the most comprehensive body of work to date on this important subject." -- B. Tilman Jolly, MD, FACEP, Chief Medical Officer, Aveshka, Inc., Clinical Professor of Emergency Medicine, The George Washington University "This book provides an excellent summary of the contemporary issues in emergency telehealth, and is a must read for clinicians interested in this topic." -- Jesse Pines, MD, National Director of Clinical Innovation, US Acute Care Solutions
This volume will be of great use for any professional looking for a medical disaster Handbook. The only comprehensive and integrated book on the subject written by emergency medicine practitioners from India and elsewhere. Provides a practical, pragmatic approach and holistic view of EMS and disaster management in a global context.
Telemedicine and telehealth have consistently been shown to be effective for remote areas or limited-resource locations, regular medical and surgical practice, primary care, second opinion, extreme conditions, major crises, and disaster management. The aim of this book is to bring all aspects of telemedicine and e-health to the reader, in a simple, make-sense approach, in one tome. The book is structured in four parts with 29 chapters written by the best experts in the field from around the world, including clinicians, scientists, and administrators of telemedicine programs. Part I deals with basic principles of telemedicine and telepresence. Historical journeys of telemedicine and strategies, building sustainable telemedicine and telehealth programs in the United States and in the Balkans, as well as incorporation of telemedicine in the current ongoing pandemic COVID-19 are well described and are must read. Current technological developments, rules and regulations, legal and business aspects and consent are also addressed. Part II describes strategies for building sustainable telemedicine and telehealth programs. Telehealth patient portals and public-private partnership modes of technology, as well the role of international telemedicine and how to make it work, are valuable chapters of great significance. Part III describes outcomes-based evidence clinical applications of telemedicine in trauma, burns, intensive care, pediatric care, psychiatry, and stroke. Finally, one important chapter for the readers is the telemedicine for prison and jail population. The final part, Part IV depicts surgical telementoring and teleproctoring, a chapter written by 18 various surgical experts, a true gem for the readers. The book ends with promises and hurdles of telemedicine in austere conditions. Telemedicine, Telehealth and Telepresence serves as a valuable resource that focuses on providing patients care from a distance using store and forward technology to live actual performance of operations at a distance.Chapters 1, 6, 12 and 17 are available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.
Mass Casualty events may occur as a result of natural or human-caused disasters or after an act of terrorism. The planning and response to disasters and catastrophes needs to take into consideration the distinction between progressive and sudden events. Insidious or slowly progressive disasters produce a large number of victims but over a prolonged time period, with different peaks in the severity of patients presenting to the hospital. For example, radiation events will produce a large number of victims who will present days, weeks, months, or years after exposure, depending on the dose of radiation received. The spread of a biological agent or a pandemic will produce an extremely high number of victims who will present to hospitals during days to weeks after the initial event, depending on the agent and progression of symptoms. On the other hand, in a sudden disaster, there is an abrupt surge of victims resulting from an event such as an explosion or a chemical release. After the sarin gas attack in a Tokyo subway in 1995, a total of 5500 victims were injured and required medical attention at local hospitals immediately after the attack. The car bomb that exploded near the American Embassy in Nairobi, Kenya, killed 213 people and simultaneously produced 4044 injured patients, many requiring medical care at local hospitals. The Madrid train bombing in March 2004 produced more than 2000 injured victims in minutes, overwhelming the city’s healthcare facilities. More than 500 injured patients were treated at local hospital after the mass shooting in Las Vegas. Finally, earthquakes may produce a large number of victims in areas in which the medical facilities are partially or completely destroyed. Sudden events bring an immediate operational challenge to community healthcare systems, many of which are already operating at or above capacity. The pre-hospital as well as hospital planning and response to sudden mass casualty incidents (SMCI’s) is extremely challenging and requires a standard and protocol driven approach. Many textbooks have been published on Disaster Medicine; although they may serve as an excellent reference, they do not provide a rapid, practical approach for management of SMCI’s. The first edition of “Mass Casualty Incidents: The Nuts and Bolts of Preparedness and Response for Acute Disasters” dealt exclusively with sudden mass casualty incidents. The second edition will expand its focus and include planning and response for insidious and protracted disasters as well. This new book is designed to provide a practical and operational approach to planning, response and medical management of sudden as well as slow progressive events. The target audience of the second edition will be health care professionals and institutions, as well as allied organizations, which respond to disasters and mass casualty incidents. Parts I and II are essentially the first edition of the book and consist of planning of personnel, logistic support, transport of patients and equipment and response algorithms. These 2 parts will be revised and updated and include lessons learned from major mass shootings that occurred recently in the United States and other parts of the world Part III will describe the planning process for progressive disasters and include response algorithms and checklists. Part IV will handle humanitarian and mental health problems commonly encountered in disaster areas. Part V will deal with team work and communication both critical topics when handling catastrophes and mass casualty incidents. This new book will be a comprehensive tool for healthcare professionals and managers and should perform demonstrably better in sales and downloads. It will be of value at the pre-hospital as well as the hospital level, to plan and respond to the majority of catastrophes and mass casualty incidents.
This book focuses on the management of major and large-scale emergencies and natural disasters through the use of telemedicine and ICT devices with the aim of highlighting the associated challenges and concerns and the means of overcoming them. The response to international crises and big emergencies needs perfect and prompt organization. On such occasions, care cannot be delivered in the traditional way. Professionals and volunteers require coordination and the support of experts who often cannot reach the location of the crisis. The use of ICT can help to solve the problems that arise in such situations. This book will be an excellent source of useful practical information for developers and decision-makers who are responsible for devising programs of intervention, coordination, and prevention in relation to major emergencies. It will also be invaluable for those who have an active role in the implementation of programs of action and prevention and the delivery of care. The author is an expert with years of practical experience in the field who has worked as an advisor for international institutions.
Author : Institute of Medicine Publisher : National Academies Press Page : 166 pages File Size : 27,55 MB Release : 2010-07-01 Category : Medical ISBN : 0309151511
During medical emergencies, hospital staff and emergency medical services (EMS) providers, can face barriers in delivering the fastest and best possible care. Overcrowded emergency rooms cannot care for patients as quickly as necessary, and some may divert ambulances and turn away new patients outright. In many states, ambulance staff lacks the means to determine which hospitals can provide the best care to a patient. Given this absence of knowledge, they bring patients to the closest hospital. In addition, because emergency service providers from different companies compete with each other for patients, and emergency care legislation varies from state to state, it is difficult to establish the necessary local, interstate, and national communication and collaboration to create a more efficient system. In 2006, the IOM recommended that the federal government implement a regionalized emergency care system to improve cooperation and overcome these challenges. In a regionalized system, local hospitals and EMS providers would coordinate their efforts so that patients would be brought to hospitals based on the hospitals' capacity and expertise to best meet patients' needs. In September 2009, three years after making these recommendations, the IOM held a workshop sponsored by the federal Emergency Care Coordination Center to assess the nation's progress toward regionalizing emergency care. The workshop brought together policymakers and stakeholders, including nurses, EMS personnel, hospital administrators, and others involved in emergency care. Participants identified successes and shortcomings in previous regionalization efforts; examined the many factors involved in successfully implementing regionalization; and discussed future challenges to regionalizing emergency care. This document summarizes the workshop.
The two-volume Emergency Medical Services: Clinical Practice and Systems Oversight delivers a thorough foundation upon which to succeed as an EMS medical director and prepare for the NAEMSP National EMS Medical Directors Course and Practicum. Focusing on EMS in the 'real world', the book offers specific management tools that will be useful in the reader's own local EMS system and provides contextual understanding of how EMS functions within the broader emergency care system at a state, local, and national level. The two volumes offer the core knowledge trainees will need to successfully complete their training and begin their career as EMS physicians, regardless of the EMS systems in use in their areas. A companion website rounds out the book's offerings with audio and video clips of EMS best practice in action. Readers will also benefit from the inclusion of: A thorough introduction to the history of EMS An exploration of EMS airway management, including procedures and challenges, as well as how to manage ventilation, oxygenation, and breathing in patients, including cases of respiratory distress Practical discussions of medical problems, including the challenges posed by the undifferentiated patient, altered mental status, cardiac arrest and dysrhythmias, seizures, stroke, and allergic reactions An examination of EMS systems, structure, and leadership