A Systematic Review of the Implementation Challenges of Telemedicine Systems in Ambulances

Rogers, Hunter; Madathil, Kapil Chalil; Agnisarman, Sruthy; Narasimha, Shraddhaa; Ashok, Aparna; Nair, Aswathi; Welch, Brandon M.; McElligott, James T.

doi:10.1089/tmj.2016.0248

Cited by 82 publications

(89 citation statements)

References 32 publications

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“…less prehospital surrogates of injury severity, no clear screening for symptoms, high prehospital mortality and the complexity of damage control resuscitation approaches). Our study updates previous reviews 28,39,[48][49][50] to provide a focused understanding of the telemedical intervention in prehospital trauma care.…”

Section: Objectivessupporting

confidence: 78%

“…Rogers et al included also four of the studies that were analysed in this review, 64,65,68,71 but categorized them into general care. 50 New to previous work is knowledge about different telemedical modes, the dissemination of trauma telemedicine, the technical reliability and further evidence.…”

Section: Principal Findingsmentioning

confidence: 99%

“…Five previous literature reviews focused on telemedical applications in prehospital setting including stroke, AMI and other emergency entities. 28,39,[48][49][50] The main findings of these reviews for prehospital trauma referred to very few conclusive studies which assessed implementation status and technical feasibility of telemedicine systems in ambulances. A systematic review analysed 23 studies and suggested three major domains of research in prehospital telemedicine: General care, stroke care, and STEMI Care.…”

Section: Introductionmentioning

confidence: 99%

“…A systematic review analysed 23 studies and suggested three major domains of research in prehospital telemedicine: General care, stroke care, and STEMI Care. 50 Additionally, there is a lack of knowledge about prehospital telemedicine in acute trauma.…”

Section: Introductionmentioning

confidence: 99%

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Prehospital Telemedical Emergency Management of Severely Injured Trauma Patients

et al. 2018

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Background Trauma is a global burden. Emergency medical services (EMS) provide care for individuals who have serious injuries or suffered a major trauma. Objective This paper provides a comprehensive overview of telemedicine applications in prehospital trauma care. Methods We conducted a systematic review according to PRISMA guidelines. We identified articles by electronic database search (PubMed, EMBASE, the Cochrane Library, CINAHL, SpringerLink, LIVIVO, DARE, IEEE Xplore, Google Scholar and ScienceDirect) using keywords related to prehospital settings, ambulance, telemedicine and trauma. Search terms and inclusion criteria were specified a priori by the PICOS template and revised throughout a configurative approach iteratively, to outline the complexity and variety of different telemedical concepts. Results A final sample of 15 records was systematically selected. Most interventions were piloted and/or evaluated in Germany for trauma victims in prehospital settings. Six studies were simulated scenarios. Telemedical assistance (TMA) via real-time telemetry systems (RTS), enabling video and audio conferencing between EMS by tele-emergency physicians (TEP) were associated with a higher treatment quality and a shorter time-to-treatment in invasive procedures. By initiating in-hospital preparations based on telemedical prehospital notification (TPN), loss of information during the clinical handover was reduced and in-hospital protocols were activated with high accuracy. Remotely guided ultrasound (Tele-Ultrasound) by TEP showed an overall high diagnostic accuracy in simulations. Technical solutions were reliable, seemed practical and auspicious. Conclusion The review indicates that TMA and TPN are accompanying telemedical concepts in out-of-hospital trauma care. Well-designed populated studies are needed to fully assess the effect of telemedicine in acute trauma care. Therefore, evidence regarding the effectiveness of telemedicine in prehospital setting for trauma patients is still limited.

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Section: Objectivessupporting

confidence: 78%

Section: Principal Findingsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prehospital Telemedical Emergency Management of Severely Injured Trauma Patients

et al. 2018

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“…J o u r n a l P r e -p r o o f 3 research showing the opposite (Berger, 2017). In that sense, learning curves in the adoption of new e-mental health technologies by both patients and psychologists have progressed far more slowly than initially expected, thus tallying with the estimate that it takes on average16 years for a health care innovation to be implemented (Rogers et al, 2017). There are however exceptions in the world but progress is still slow.…”

mentioning

confidence: 99%