Technical and organisational feasibility of a multifunctional telemedicine system in an emergency medical service – an observational study

Bergrath, Sebastian; Rörtgen, Daniel; Rossaint, Rolf; Beckers, Stefan; Fischermann, Harold; Brokmann, J.C.; Czaplik, Michael; Felzen, Marc; Schneiders, Marie-Thérèse; Skorning, Max

doi:10.1258/jtt.2011.110203

Cited by 74 publications

(79 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…31 As more data are gathered about the efficacy and accuracy of such technologies, this may become an important tool for some systems, especially in rural locations.…”

Section: Triage and Routing Considerationsmentioning

confidence: 99%

Interactions Within Stroke Systems of Care

Higashida¹,

Alberts²,

Alexander³

et al. 2013

Stroke

174

View full text Add to dashboard Cite

“…31 As more data are gathered about the efficacy and accuracy of such technologies, this may become an important tool for some systems, especially in rural locations.…”

Section: Triage and Routing Considerationsmentioning

confidence: 99%

Interactions Within Stroke Systems of Care

Higashida¹,

Alberts²,

Alexander³

et al. 2013

Stroke

174

View full text Add to dashboard Cite

“…Some examples are [1]- [4]. In our pilot studies, the successful implementation of telemedicine systems for EMS, offering synchronous-often referred to as real-timetelemedical consultation functionality, has been demonstrated [5], [6]. S. Thelen, P. Meisen, D. Schilberg, and S. Jeschke are with the Institute of Information Management in Mechanical Engineering (IMA), RWTH Aachen University, 52068 Aachen, Germany (e-mail: sebastian.thelen@ima-zlw-ifu.rwthaachen.de; philipp.meisen@ima-zlw-ifu.rwth-aachen.de; daniel.schilberg@ ima-zlw-ifu.rwth-aachen.de; sabina.jeschke@ima-zlw-ifu.rwth-aachen.de).…”

Section: Introductionmentioning

confidence: 90%

Using Off-the-Shelf Medical Devices for Biomedical Signal Monitoring in a Telemedicine System for Emergency Medical Services

Thelén¹,

Czaplik²,

Meisen³

et al. 2016

Automation, Communication and Cybernetics in Science and Engineering 2015/2016

Self Cite

View full text Add to dashboard Cite

Abstract-In order to study new methods of telemedicine usage in the context of emergency medical services, researchers need to prototype integrated telemedicine systems. To conduct a one-year trial phase-intended to study a new application of telemedicine in German emergency medical services-we used off-the-shelf medical devices and software to realize real-time patient monitoring within an integrated telemedicine system prototype. We demonstrate its feasibility by presenting the integrated real-time patient monitoring solution, by studying signal delay and transmission robustness regarding changing communication channel characteristics, and by evaluating issues reported by the physicians during the trial phase. Where standards like HL7 and the IEEE 11073 family are intended to enable interoperability of product grade medical devices, we show that research prototypes benefit from the use of web technologies and simple device interfaces, as they simplify product development for a manufacturer and ease integration efforts for research teams. Embracing this approach for the development of new medical devices eases the constraint to use off-the-shelf products for research trials investigating innovative use of telemedicine.Index Terms-Biomedical telemetry, emergency medical services (EMS), telemedicine.

show abstract

“…262 Preliminary studies using real-time telemedicine links in emergency medical services vehicles allow medical personnel at a primary stroke center or comprehensive stroke center to evaluate the patient and assist in making emergent triage decisions. 263 Telemedicine is also useful for providing stroke consultation for patients with a subacute stroke and patients already hospitalized with stroke or transient ischemic attack, supplementing existing stroke care processes, designing appropriate secondary stroke prevention regimens, determining rehabilitative needs, and planning disposition and reintegration into community and home environments for poststroke care. 10,264 An AHA advocacy priority continues to be expanding policies to allow the greater use of telemedicine services such as interstate licensing agreements and expanded coverage beyond rural or underserved areas.…”

Section: Systems Of Care/acute Care Improve Care For St-segment-elevamentioning

confidence: 99%

Evidence-Based Policy Making: Assessment of the American Heart Association’s Strategic Policy Portfolio

Goldstein¹,

Antman²,

Arnett³

et al. 2016

Circulation

View full text Add to dashboard Cite

Background-American Heart Association (AHA) public policy advocacy strategies are based on its Strategic Impact Goals.The writing group appraised the evidence behind AHA's policies to determine how well they address the association's 2020 cardiovascular health (CVH) metrics and cardiovascular disease (CVD) management indicators and identified research needed to fill gaps in policy and support further policy development. Methods and Results-The AHA policy research department first identified current AHA policies specific to each CVH metric and CVD management indicator and the evidence underlying each policy. Writing group members then reviewed each policy and the related metrics and indicators. The results of each review were summarized, and topic-specific priorities and overarching themes for future policy research were proposed. There was generally close alignment between current AHA policies and the 2020 CVH metrics and CVD management indicators; however, certain specific policies still lack a robust evidence base. For CVH metrics, the distinction between policies for adults (age ≥20 years) and children (<20 years) was often not considered, although policy approaches may differ importantly by age. Inclusion of all those <20 years of age as a single group also ignores important differences in policy needs for infants, children, adolescents, and young adults. For CVD management indicators, specific quantitative targets analogous to criteria for ideal, intermediate, and poor CVH are lacking but needed to assess progress toward the 2020 goal to reduce deaths from CVDs and stroke. New research in support of current policies needs to focus on the evaluation of their translation and implementation through expanded application of implementation science. Focused basic, clinical, and population research is required to expand and strengthen the evidence base for the development of new policies. Evaluation of the impact of targeted © 2016 American Heart Association, Inc.Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIR.0000000000000410The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This policy statement was approved by the Advocacy Coordinating Committee February 23, 2016, and the American Heart Association Executive Committee on February 23, 2016. A copy of the document is available at http://professional.heart.org/statements by using either "Search for Guidelines & Statements" or the "Browse by Topic" area. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.The American Heart Association requests that this document be cited as follows: Labarthe DR, Goldstein LB,...

show abstract

Technical and organisational feasibility of a multifunctional telemedicine system in an emergency medical service – an observational study

Cited by 74 publications

References 18 publications

Interactions Within Stroke Systems of Care

Interactions Within Stroke Systems of Care

Using Off-the-Shelf Medical Devices for Biomedical Signal Monitoring in a Telemedicine System for Emergency Medical Services

Evidence-Based Policy Making: Assessment of the American Heart Association’s Strategic Policy Portfolio

Contact Info

Product

Resources

About