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      Telemedicine Step-Wise Consultation of a Patient with Multiple Gunshot Fractures of the Long Bones in Recovery Treatment System: A Case Report

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          Abstract

          Due to the armed conflict in the East of Ukraine, it is relevant to investigate factors that affect patient outcomes with the use of telemedicine. This applies especially to patients with multiple gunshot fractures, which is the most severe category at increased risk for complications and unsatisfactory results. A case study is reported here.

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          Telemedical Support for Military Medicine.

          Neal Nettesheim, Doug Powell, William Vasios … (2018)
          U.S. military forces have engaged in combat in mature areas of operations (AOs) in Iraq and Afghanistan that allow for casualty evacuation to definitive surgical care within "The Golden Hour." Future combat casualty care will be complex and challenging. Facing the medical demand of the Multi-Domain Battlefield remains an uncertain problem set. What can be anticipated is that a near peer adversary will not allow freedom of movement, air superiority, or uninterrupted communications. Telemedicine is one solution that can aid in this environment because it can reduce the medical footprint in a theater of operation by bringing the remote expert's knowledge and experience to the point of need.
          Article 0 comments Cited 11 times – based on 0 reviews     Review now
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            Point of View Telemedicine at Point of Care

            Wells Weymouth, Lane Thaut, Nathan M Olson (2018)
            Introduction The use of telemedicine by deployed healthcare providers to improve patient care has been increasing in recent foreign conflicts and humanitarian missions. These efforts have mostly been limited to email consultation with long response lag times. The United States Military has developed several modalities of telemedicine for use in austere environments, ranging from video conferencing, email, and store-and-forward technology. As of now, these efforts have required large pieces of equipment and many technical support personnel and have a delayed response time. Our study aimed to test the overall feasibility of use, the effects on time to intervention, and user confidence in a highly portable, real-time video set-up to aid in teleconsultations at the early stages of care for a simulated traumatic injury. Materials and methods Subjects or operators taking direct care of the simulated patient were junior emergency medicine (EM) residents or military trained medics. Video teleconsultation was completed by either senior EM residents in their final year of training or board-certified EM physicians. The subjects taking direct care of the simulated patient were blinded to whether their video device was actively sending images or not. All participants communicated verbally using hand-held radios. The total number of interventions and time to event analysis was completed and survey data were collected, assessing confidence levels on procedures performed and patient care.  Results We demonstrated the accessibility, ease of use, and overall practicality of this telemedicine platform. A trend was found towards decreased time to evacuation for patients with a live video feed. Alternatively, the data showed no significant difference in the addition of video as opposed to solely radio in terms of the number of interventions, time to interventions, or operator or teleconsultant confidence in the care delivered or procedures performed. Conclusions This study demonstrated the overall feasibility and ease of use of a highly portable telemedicine platform with live video capabilities. A trend was found toward earlier evacuation decisions when using the live video. Follow-up studies may consider examining more challenging simulations or prolonged field care utilization of this technology.
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              Modern aspects of recovery treatment of patients with multiply gunshot fractures

              OA Buriyanov, AM Laksha, YO Yarmolyuk (2013)
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                Author and article information

                Journal
                Journal ID (publisher-id): TMT
                Title: Telehealth and Medicine Today
                Publisher: Partners in Digital Health
                ISSN (Electronic): 2471-6960
                Publication date (Electronic): 30 April 2020
                Publication date (Print): 2020
                Volume: 5
                Electronic Location Identifier: 10.30953/tmt.v5.184
                Affiliations
                Bogomolets National Medical University
                Author notes
                Corresponding Author: M. V. Vakulych, Email: vakulychmyroslav@ 123456gmail.com
                Article
                Publisher ID: 184
                DOI: 10.30953/tmt.v5.184
                SO-VID: c5360897-ce2c-4318-8122-e5f23fb4f1d9
                Copyright © © 2020 M. V. Vakulych
                License:

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, adapt, enhance this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

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                Categories
                Subject: Original Clinical Research

                ScienceOpen disciplines: Social & Information networks,General medicine,General life sciences,Health & Social care,Public health,Hardware architecture
                Keywords: Gunshot,Quality of Care,Trauma,Fractures,Long Bones,Ukraine,Telemedicine,Injury of Extremities
                Data availability:
                ScienceOpen disciplines: Social & Information networks, General medicine, General life sciences, Health & Social care, Public health, Hardware architecture
                Keywords: Gunshot, Quality of Care, Trauma, Fractures, Long Bones, Ukraine, Telemedicine, Injury of Extremities

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