Technical feasibility and ambulance nurses’ view of a digital telemedicine system in pre-hospital stroke care – A pilot study

Johansson, Anders; Esbjörnsson, Magnus; Nordqvist, Per; Wiinberg, Stig; Andersson, Ragnar; Ivarsson, Bodil; Möller, Sebastian

doi:10.1016/j.ienj.2019.03.008

Cited by 29 publications

(34 citation statements)

References 15 publications

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“…Technologies employed by included studies [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] were best described using three categories: blood biomarkers [22,23]; pre-hospital imaging [24,25] and mobile telemedicine/telestroke (including transfer of audio and/or visual information or relevant data) [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40]. These are summarised in Table 1. Most studies were conducted in the USA [24,26,27,[34][35][36][37][38][39], followed by Germany [28]…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…These are summarised in Table 1. Most studies were conducted in the USA [24,26,27,[34][35][36][37][38][39], followed by Germany [28][29][30] and Belgium [31][32][33]. One study was conducted in each of the following countries: UK [23], Finland [22], Netherlands [25] and Sweden [40].…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…We identified 12 mobile telemedicine technologies reported across 15 studies [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40]. Descriptions are summarised in Table 4.…”

Section: Mobile Telemedicinementioning

confidence: 99%

“…Results not yet available transferred from the ambulance to hospital. Earlier studies [26][27][28][29][30] utilised technology with lower resolution and slower transmission speeds than later studies [31][32][33][34][35][36][37][38][39][40] employing contemporary technology such as high definition, bi-directional video communication and 4G networks. Systems were either purpose-built or adapted from commercially available technology (e.g.…”

Section: Destinationmentioning

confidence: 99%

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A scoping review of pre-hospital technology to assist ambulance personnel with patient diagnosis or stratification during the emergency assessment of suspected stroke

et al. 2020

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Background: Pre-hospital identification of key subgroups within the suspected stroke population could reduce delays to emergency treatment. We aimed to identify and describe technology with existing proof of concept for diagnosis or stratification of patients in the pre-hospital setting. Methods: A systematic electronic search of published literature (from 01/01/2000 to 06/06/2019) was conducted in five bibliographic databases. Two reviewers independently assessed eligibility of studies or study protocols describing diagnostic/stratification tests (portable imaging/biomarkers) or technology facilitating diagnosis/ stratification (telemedicine) used by ambulance personnel during the assessment of suspected stroke. Eligible descriptions required use of tests or technology during the actual assessment of suspected stroke to provide information directly to ambulance personnel in the pre-hospital setting. Due to study, intervention and setting heterogeneity there was no attempt at meta-analysis.

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Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

“…We identified 12 mobile telemedicine technologies reported across 15 studies [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40]. Descriptions are summarised in Table 4.…”

Section: Mobile Telemedicinementioning

confidence: 99%

Section: Destinationmentioning

confidence: 99%

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A scoping review of pre-hospital technology to assist ambulance personnel with patient diagnosis or stratification during the emergency assessment of suspected stroke

et al. 2020

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“…With the introduction of more powerful commercial 3G/4G networks that allow the transmission of large amounts of data, the use of video-based telemedicine has become feasible and has evolved greatly into the current generation of systems that are under evaluation in several countries and for a number of medical conditions, such as stroke [8,12].…”

Section: Discussionmentioning

confidence: 99%

The Experience of Using Video Support in Ambulance Care: An Interview Study with Physicians in the Role of Regional Medical Support

et al. 2020

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Background: In order to facilitate more effective patient assessment and diagnostic support by improving the flow of information between ambulance nurses (AN) and physicians in the role of regional medical support (RMS), an application was developed for transmitting real-time video images. Objective: The objective of this study was to elucidate the physicians’ experiences using a video application to support the assessment and triage procedure in ambulance care, when patients are deemed to not have an urgent need for emergency care. Design: The design for this research was a qualitative interview study. Ten physicians, working as RMS in ambulance care, were purposively selected to participate. The telemedicine concept studied consisted of a real-time video image application, in addition to the currently used mobile phone. When a patient was deemed eligible for inclusion in the study, the ambulance nurse (AN) contacted the RMS via telephone to initiate a video consultation. To elucidate the RMS experience of using the application, a conventional content analysis was performed. Results: The main theme “a feeling of being satisfied through a sense of increased patient safety” emerged from the following two categories: adds value in diagnosing situations (three subcategories, i.e., support in diagnosing, usability, and technical weakness) and increase communication opportunities (four subcategories, i.e., assessing the level of care, patient dialogue, professional communication, and team learning). Conclusions: Physicians in the role of RMS experienced a positive impact using video image transmission in addition to the currently used mobile phone. This evaluation was derived from a sense of increased patient safety in the assessment situation when patients were considered to be triaged to self-care.

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Design of Pulse Measuring Instrument

Jia

Liu

2022

Lecture Notes in Electrical Engineering

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Technical feasibility and ambulance nurses’ view of a digital telemedicine system in pre-hospital stroke care – A pilot study

Cited by 29 publications

References 15 publications

A scoping review of pre-hospital technology to assist ambulance personnel with patient diagnosis or stratification during the emergency assessment of suspected stroke

A scoping review of pre-hospital technology to assist ambulance personnel with patient diagnosis or stratification during the emergency assessment of suspected stroke

The Experience of Using Video Support in Ambulance Care: An Interview Study with Physicians in the Role of Regional Medical Support

Design of Pulse Measuring Instrument

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