Infectious Disease Teleconsultative Support of Deployed Healthcare Providers

Morgan, Ana E.; Lappan, Charles M.; Fraser, Susan; Hospenthal, Duane R.; Murray, Clinton K.

doi:10.7205/milmed-d-04-6308

Cited by 10 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Data from the USA and other NATO countries are more difficult to directly compare, as there is little data published in the same form. A US study on infectious disease telemedicine10 use highlighted MRSA, tuberculosis and leishmaniasis as the top three topic queries, all present in our data. Spanish data11 on evacuations to their Role 4 highlighted few infectious diseases issues.…”

Section: Discussionmentioning

confidence: 57%

“…The USA has published on data from a worldwide infectious diseases telemedicine service in 2005–2008,10 which showed a broad geographical burden, predominantly from Iraq (60%) and Afghanistan (21%) with MRSA-related (13%) and TB-related (8%) enquiries as the most common. However, this reflects physician use of a telemedicine service rather than the burden of disease.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

UK Role 4 military infectious diseases and tropical medicine cases in 2005–2013

Burns

Riley²,

Mason³

et al. 2017

J R Army Med Corps

View full text Add to dashboard Cite

UK service personnel in significant numbers continue to suffer a wide range of infectious diseases, acquired throughout the globe, which often require specialist tertiary infection services to diagnose and manage. Future prospective data collection is recommended to identify trends, which in turn will inform military training needs and future research priorities in the Defence Medical Services (DMS) and allows development of appropriate policies and clinical guidelines for management of DMS personnel with infectious diseases.

show abstract

Section: Discussionmentioning

confidence: 57%

Section: Introductionmentioning

confidence: 99%

UK Role 4 military infectious diseases and tropical medicine cases in 2005–2013

Burns

Riley²,

Mason³

et al. 2017

J R Army Med Corps

View full text Add to dashboard Cite

show abstract

“…The US military has successfully used the AKO teleconsultation service in remote locations [3,4,[7][8][9]. Other studies have demonstrated the effectiveness of similar programs for other medical specialties [10,11].…”

Section: Discussionmentioning

confidence: 99%

Wartime Toxicology: Evaluation of a Military Medical Toxicology Telemedicine Consults Service to Assist Physicians Serving Overseas and in Combat (2005–2012)

et al. 2014

View full text Add to dashboard Cite

Those medical providers deployed to remote countries and tasked with caring for military personnel must diagnose and treat diseases and nonbattle injuries that result from exposures rarely seen in developed countries. Military providers must also function with limited resources and a lack of access to physician specialists, to include medical toxicologists. There have been limited published approaches to addressing this clinical gap for medical toxicology. To address this void, the US Army Medical Department deployed an electronic mail telemedicine system to provide teleconsultations for remote health-care providers worldwide, including Iraq and Afghanistan. This study aimed to describe the types and the frequency of toxicology teleconsultation and consultant responses using electronic mail to assist physicians serving in resource-limited locations. This was a retrospective observational study in which an unblinded data extractor independently reviewed all medical toxicology email consultations. Using a previously developed data collection worksheet, the extractor recorded the type of question asked by the consultant (overdose case, envenomation, occupational exposure, etc.) and the duration of time from when the teleconsultation was placed until the consultant replied. The extractor also recorded if the patient was adult or pediatric and if the patient was US military, US contractor, or local national. The extractor also recorded how often the toxicologist provided the consulting physician with information, resources, or protocols to aid in the management of future cases. In addition, for clinical teleconsultations, the extractor documented the frequency that the consulted toxicologist (i) provided a differential diagnosis or specific diagnosis, (ii) provided specific management guidelines for a patient, and (iii) recommended to evacuate or not evacuate a patient. The results were analyzed using descriptive statistics. Of the 99 consultations evaluated, the most common consultation was for snake envenomation and antivenom recommendations (n=23, 23 %) followed by accidental chemical exposures (n=14, 14 %), drug testing (n=13, 13 %), and substance abuse (n=10, 10 %). In 41 % of consults, the toxicologist provided a differential diagnosis or specific diagnosis, and in 60 % of cases, the toxicologist provided specific management or evaluation guidelines. In 11 % of cases, the toxicologist recommended for or against evacuation of the patient. In 25 % of consults, the toxicologist provided the consulting physician with information, resources, or protocols to aid in the management of future cases. The most frequent consultations for the military telemedicine consultation service were for direct patient cases, specifically snake envenomation management and accidental chemical exposures. Our results may be used to educate physicians prior to military deployment or international humanitarian efforts and to create toxicology clinical There is no prior publication, conflict of interest, or copyright constraint. Th...

show abstract

“…Since 2004, the average turnaround time for inquiries via e-mail has been 5 h. During the same period, over 10,000 e-mail teleconsults have been completed, involving several different medical specialties. [13][14][15][16][17][18] About 43% of all consults were in dermatology, followed by infectious disease as a distant second, then by orthopedics and then neurology. Although the total teleconsultation in Iraq made up the vast majority of consult activity up through December 2011, Afghanistan consult activity is expected to surpass Iraq over the next year since the war in Iraq came to a close in December 2011 for U.S. military forces.…”

Section: Telemedicine In Remote Overseas Locationsmentioning

confidence: 99%

The U.S. Army Telemedicine and m-Health Program: Making a Difference at Home and Abroad

Poropatich

Lai

McVeigh

et al. 2013

Telemedicine and e-Health

View full text Add to dashboard Cite

This article highlights the deployment of telemedicine by the U.S. Army through the various echelons of care and in overseas locations, including range and scope of health services provided by telemedicine in a challenging environment. This is followed by a discussion of technological developments advances in mobile communications likely to change the practice of telemedicine in the military from limited fixed-point access to a highly mobile individual with handheld communication devices.

show abstract

Infectious Disease Teleconsultative Support of Deployed Healthcare Providers

Cited by 10 publications

References 14 publications

UK Role 4 military infectious diseases and tropical medicine cases in 2005–2013

UK Role 4 military infectious diseases and tropical medicine cases in 2005–2013

Wartime Toxicology: Evaluation of a Military Medical Toxicology Telemedicine Consults Service to Assist Physicians Serving Overseas and in Combat (2005–2012)

The U.S. Army Telemedicine and m-Health Program: Making a Difference at Home and Abroad

Contact Info

Product

Resources

About