Prehospital Telemedicine and EMS Integration

Pitchford, Haydon; Divers, Marcus C.; Chapman, Sherita; Southerland, Andrew M

doi:10.1007/978-3-030-11569-2_16

Cited by 3 publications

(1 citation statement)

References 63 publications

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“…Funding is a key barrier in Directive paramedic systems, particularly in the United States where paramedic regulations have historically only allowed payment for emergency ground ambulance services when individuals are transported to hospital [ 37 ]. Most patients who call an ambulance are therefore only transported to a hospital emergency department, even when a lower-acuity destination or no need for transportation may more appropriately meet an individual’s clinical care needs [ 38 ]. However, this model is now starting to shift, with the recent introduction of the Emergency Triage, Treat, and Transport innovation program by the US Government [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

No Two Systems Are the Same: Paramedic Perceptions of Contemporary System Performance Using Prehospital Quality Indicators

Makrides¹,

Smith²,

Ross³

et al. 2023

Cureus

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In recent years, researchers have identified two new models of paramedicine within the Anglo-American paramedic system known as the Directive and Professionally Autonomous paramedic systems. The research team now seek to compare paramedic perception of system performance between the two systems using prehospital quality indicators. MethodsParamedics employed within Anglo-American paramedic systems undertook a survey evaluating their experience and perception of system performance against a set of modified prehospital quality indicators. Data were collected using a survey combining single-choice questions with matrix multiple-choice questions. Key results were cross-tabulated with demographic (informant) and system factors to compare performance between the two new paramedic systems. ResultsThe survey indicated a substantial difference in perceived clinical and operational performance between the Professionally Autonomous and Directive paramedic systems, with the Professionally Autonomous paramedic system performing consistently better in all 11 prehospital quality indicator domains. ConclusionThe results of this survey are a vital step in helping paramedics, health leaders, and academics understand the complex relationship between paramedic system design and system performance, and, for the first time, provides empirical evidence upon which to make a conscious decision to adopt one system or the other.

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Section: Discussionmentioning

confidence: 99%

No Two Systems Are the Same: Paramedic Perceptions of Contemporary System Performance Using Prehospital Quality Indicators

Makrides¹,

Smith²,

Ross³

et al. 2023

Cureus

View full text Add to dashboard Cite

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A topical review of the feasibility and reliability of ambulance-based telestroke

Chapman,

Madu,

Dabhi

et al. 2024

Front. Stroke

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BackgroundAmbulance-based telemedicine is an innovative strategy through which transport time can be used to rapidly and accurately triage stroke patients (i.e., mobile telestroke). The acute phase of stroke is a time-sensitive emergency, and delays in care during this phase worsen outcomes. In this literature review, we analyzed studies that investigated the feasibility and reliability of ambulance based telestroke.MethodsWe followed PRISMA guidelines to perform a keyword-based search of PubMed, Web of Science, CINHAL, and Academic Search Complete databases. We reviewed references of search-identified articles to screen for additional articles. Articles for inclusion were selected according to author consensus in consideration of the studies' investigation of feasibility, reliability, or validity of ambulance-based telestroke.ResultsWe identified 67 articles for secondary screening from which 19 articles were selected for full text review. The selected studies reported diverse methods of development, implementation, and assessment of ambulance-based telestroke systems. Although the methods and results varied among these studies, most concluded that the implementation of ambulance based telestroke is feasible.ConclusionThis topical review suggests that ambulance based telestroke is a feasible method for enhanced prehospital stroke care in a variety of settings. Further prospective research is needed to assess the real-world challenges and to identify additional strategies that bolster rapid and accurate prehospital assessment of acute stroke patients.

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Advancements in pre-hospital emergency care: Challenges and innovations

Alajery,

Alkhaibari,

Almalki

et al. 2024

Int. J. of Health Sci.

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Background: The development of newer communication and monitoring technologies using mobile devices in pre-hospital aspects of care is changing the focus and practice of emergency medical services (EMS). Aim: This study focuses on the role that played by mHealth solutions in increasing the quality of pre-hospital care and, in turn, patient outcomes. Methods: This paper aimed at identifying mHealth applications, devices and their implementation in EMS, and the success rate and issues associated with it. Results: There is evidence the application of mHealth solutions has enhanced real-time communication, patient data acquisition and care coordination between EMS personnel and hospitals for enhanced patient outcome. However, issues like data security and training must be solved These are challenges that need to be overcome these include the following. Conclusion: Citizen mHealth technologies are improving pre-hospital care, and the possibilities of even larger improvements may be seen if implementation barriers are addressed.

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Prehospital Telemedicine and EMS Integration

Cited by 3 publications

References 63 publications

No Two Systems Are the Same: Paramedic Perceptions of Contemporary System Performance Using Prehospital Quality Indicators

No Two Systems Are the Same: Paramedic Perceptions of Contemporary System Performance Using Prehospital Quality Indicators

A topical review of the feasibility and reliability of ambulance-based telestroke

Advancements in pre-hospital emergency care: Challenges and innovations

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