Rationalizing radio medical advice for maritime emergencies

Aujla, K; Nag, Ranjanendra Narayan; Ferguson, James; Howell, Mary C.; Cahill, Chris

doi:10.1258/135763303322196178

Cited by 6 publications

(7 citation statements)

References 5 publications

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“…Offshore operating locations are challenging for delivering emergency medical care to personnel due to inadequate coverage of communication networks, bad weather conditions, absence of health professionals, or trained paramedics on board. However, regardless of these limitations, for the last 50 years, telemedicine by use of various means of communication such as telephone [22, 23, 26, 28, 30, 32-34, 37, 39-43, 46, 47], radio [22,23,26,27,34,36,39,40,44,45,47,48], videoconference [24,25,29,47], email [26, 28, 30-35, 37-42, 46-48], and telefax [22,23,28,34] has been offered different emergency medical services at sea successfully. As a result, telemedicine in the maritime industry has made it possible to reduce number of unnecessary evacuations (nearly by 20% per year), reduce treatment delay, improve the perception of safety, and increase patient satisfaction [29,32,49,50].…”

Section: Discussionmentioning

confidence: 99%

Past, present, and future perspectives of telemedical assistance at sea: a systematic review

Sagaro

Amenta

2020

International Maritime Health

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Background: Telemedicine is an effective technology for evaluating, diagnosing, treating, and providing health care services for remote populations, including seafarers, in case of diseases or accidents on board. Delivery of telemedicine in a maritime environment is not an easy task and, in general, differs from what can be done onshore. The aim of this review is to provides an overview of Telemedical Maritime Assistance Services (TMAS) in Europe by describing the previous and current status in terms of communication technologies as well as the nature of services rendered at sea. Secondly, to discuss the areas needing improvement and future directions to improve the quality of offshore telemedicine services.

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Section: Discussionmentioning

confidence: 99%

Past, present, and future perspectives of telemedical assistance at sea: a systematic review

Sagaro

Amenta

2020

International Maritime Health

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“…For instance, Aujla et al [32] conducted a study on a rationalizing effort of ship to shore radio medical advice for the UK. According to Aujla et al [32], a radio medical advice is most effective when the demographic data of the population at risk are identified.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine Services for the Arctic: A Systematic Review

Woldaregay¹,

Walderhaug²,

Hartvigsen³

2017

JMIR Med Inform

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BackgroundTelemedicine services have been successfully used in areas where there are adequate infrastructures such as reliable power and communication lines. However, despite the increasing number of merchants and seafarers, maritime and Arctic telemedicine have had limited success. This might be linked with various factors such as lack of good infrastructure, lack of trained onboard personnel, lack of Arctic-enhanced telemedicine equipment, extreme weather conditions, remoteness, and other geographical challenges.ObjectiveThe purpose of this review was to assess and analyze the current status of telemedicine services in the context of maritime conditions, extreme weather (ie, Arctic weather), and remote accidents and emergencies. Moreover, the paper aimed to identify successfully implemented telemedicine services in the Arctic region and in maritime settings and remote emergency situations and present state of the art systems for these areas. Finally, we identified the status quo of telemedicine services in the context of search and rescue (SAR) scenarios in these extreme conditions.MethodsA rigorous literature search was conducted between September 7 and October 28, 2015, through various online databases. Peer reviewed journals and articles were considered. Relevant articles were first identified by reviewing the title, keywords, and abstract for a preliminary filter with our selection criteria, and then we reviewed full-text articles that seemed relevant. Information from the selected literature was extracted based on some predefined categories, which were defined based on previous research and further elaborated upon via iterative brainstorming.ResultsThe initial hits were vetted using the title, abstract, and keywords, and we retrieved a total of 471 papers. After removing duplicates from the list, 422 records remained. Then, we did an independent assessment of the articles and screening based on the inclusion and exclusion criteria, which eliminated another 219 papers, leaving 203 relevant papers. After a full-text assessment, 36 articles were left, which were critically analyzed. The inter-rater agreement was measured using Cohen Kappa test, and disagreements were resolved through discussion.ConclusionsDespite the increasing number of fishermen and other seafarers, Arctic and maritime working conditions are mainly characterized by an absence of access to health care facilities. The condition is further aggravated for fishermen and seafarers who are working in the Arctic regions. In spite of the existing barriers and challenges, some telemedicine services have recently been successfully delivered in these areas. These services include teleconsultation (9/37, 24%), teleradiology (8/37, 22%), teledermatology and tele-education (3/37, 8%), telemonitoring and telecardiology (telesonography) (1/37, 3%), and others (10/37, 27%). However, the use of telemedicine in relation to search and rescue (SAR) services is not yet fully exploited. Therefore, we foresee that these implemented and evaluated telemedicine servic...

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“…Radio communication is used in many settings, such as in providing advice to ships. 13 Duplex radio transmission resembles use of a telephone (i.e. both parties may talk at once) but requires a radio link of sufficient capacity.…”

Section: Synchronous Consultationmentioning

confidence: 99%

How to do a telemedical consultation

Ferguson

2006

J Telemed Telecare

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In a telemedical consultation, medical information is sought at a distance. Two techniques may be used: asynchronous ('store and forward') and synchronous ('realtime'). Asynchronous consultations have the advantage that the two parties do not have to be available simultaneously; email, for example, has been used successfully for teledermatology. Synchronous consultations depend on communication media such as the telephone, radio or videoconferencing. Successful videoconferencing will involve consideration of four factors: the environment, session initiation, dialogue and session closure. The environment is very important for good-quality consultations and involves planning, equipment and training. Recognizing the advantages and limitations of the available media combined with appropriate planning and training will maximize the utilization of teleconsultations.

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Rationalizing radio medical advice for maritime emergencies

Cited by 6 publications

References 5 publications

Past, present, and future perspectives of telemedical assistance at sea: a systematic review

Past, present, and future perspectives of telemedical assistance at sea: a systematic review

Telemedicine Services for the Arctic: A Systematic Review

How to do a telemedical consultation

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