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International Journal of Emergency Medicine

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Open Access 01-12-2014 | Review

Telemedicine in pre-hospital care: a review of telemedicine applications in the pre-hospital environment

Authors: Ahjoku Amadi-Obi, Peadar Gilligan, Niall Owens, Cathal O’Donnell

Published in: International Journal of Emergency Medicine | Issue 1/2014

Abstract

The right person in the right place and at the right time is not always possible; telemedicine offers the potential to give audio and visual access to the appropriate clinician for patients. Advances in information and communication technology (ICT) in the area of video-to-video communication have led to growth in telemedicine applications in recent years. For these advances to be properly integrated into healthcare delivery, a regulatory framework, supported by definitive high-quality research, should be developed. Telemedicine is well suited to extending the reach of specialist services particularly in the pre-hospital care of acute emergencies where treatment delays may affect clinical outcome. The exponential growth in research and development in telemedicine has led to improvements in clinical outcomes in emergency medical care. This review is part of the LiveCity project to examine the history and existing applications of telemedicine in the pre-hospital environment. A search of electronic databases including Medline, Excerpta Medica Database (EMBASE), Cochrane, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) for relevant papers was performed. All studies addressing the use of telemedicine in emergency medical or pre-hospital care setting were included. Out of a total of 1,279 articles reviewed, 39 met the inclusion criteria and were critically analysed. A majority of the studies were on stroke management. The studies suggested that overall, telemedicine had a positive impact on emergency medical care. It improved the pre-hospital diagnosis of stroke and myocardial infarction and enhanced the supervision of delivery of tissue thromboplasminogen activator in acute ischaemic stroke. Telemedicine presents an opportunity to enhance patient management. There are as yet few definitive studies that have demonstrated whether it had an effect on clinical outcome.

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Title: Telemedicine in pre-hospital care: a review of telemedicine applications in the pre-hospital environment
Authors: Ahjoku Amadi-Obi
Peadar Gilligan
Niall Owens
Cathal O’Donnell
Publication date: 01-12-2014
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Emergency Medicine / Issue 1/2014
Print ISSN: 1865-1372
Electronic ISSN: 1865-1380
DOI: https://doi.org/10.1186/s12245-014-0029-0

At a glance: The STEP trials

Springer Medicine

Telemedicine in pre-hospital care: a review of telemedicine applications in the pre-hospital environment

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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