Using Telemedicine in Mass Casualty Disasters

Gregory, Megan E.; Sonesh, Shirley C.; Hughes, Ashley M.; Marttos, Antonio; Schulman, Carl I.; Salas, Eduardo

doi:10.1017/dmp.2019.156

Cited by 8 publications

(3 citation statements)

References 17 publications

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“…It is encouraging to hear that a telemental intervention program designed to improve psychological problems in people who survived COVID-19 in Iran has led to statistically significant improvements in psychological symptoms over the follow-up period [ 16 ]. It is also worth noting that telepsychiatry is reliable and valid in several psychiatric disorders, and before the COVID-19 pandemic, evidence from studies had already indicated that it could improve mental disorders among adults [ 17 ]. The meta-analysis by Bolton et al .…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Telephone-based Psychological Services to COVID-19

Khademi,

Vaziri-Harami,

Mashadi

et al. 2023

CPEMH

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Background: The COVID-19 pandemic has disrupted the delivery of mental health services, leading to the development of telepsychiatry. Aim: The present study investigates the effectiveness of telephone-delivered treatment for psychological disorders of COVID-19 survivors in Tehran, the capital of Iran. Methods: In this non-randomized controlled trial, 91 COVID-19 survivors, primarily residents were enrolled. Participants completed a baseline questionnaire and a psychological screening questionnaire. The intervention included the telephone-based psychological services provided by trained psychiatric residents. The Post-Traumatic Stress Disorder (PTSD) Checklist (PCL) was administered to assess the presence of PTSD symptoms. Symptoms of anxiety and depression were measured by the Patient Health Questionnaire. Results: The General Health Questionnaire (GHQ) adjusted mean difference was significantly lower in the intervention group than in the control group. There was a significant negative correlation between the Spost-GHQ score and history of going to the clinic and history of psychiatric disorders, but no relationship with the history of hospitalization. All participants completed the satisfaction form, with almost half of them being “satisfied” or “very satisfied” with the telehealth calls. Conclusion: Telephonic delivery of psychological services showed an effective way of providing evidence-based psychological support during the pandemic. This telehealth program can offer much-needed assistance to individuals with COVID-19 improving their psychological wellbeing.

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Section: Discussionmentioning

confidence: 99%

The Effectiveness of Telephone-based Psychological Services to COVID-19

Khademi,

Vaziri-Harami,

Mashadi

et al. 2023

CPEMH

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“…80 Hospital incident command may enable paediatric specialists to aid responders remotely through telemedicine, 81 although technological challenges may impede this assistance. 82,83 Incident command should ensure institutional preparation for the children it will receive, using its paediatric contingency plan as a guide. The participation of paediatric trauma centres may improve care in an MCI.…”

Section: Command and Controlmentioning

confidence: 99%

Paediatric patients in mass casualty incidents: a comprehensive review and call to action

Desmond¹,

Schwengel²,

Chilson³

et al. 2022

British Journal of Anaesthesia

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The paediatric population is disproportionately affected during mass casualty incidents (MCIs). Several unique characteristics of children merit special attention during natural and man-made disasters because of their age, physiology, and vulnerability. Paediatric anaesthesiologists play a critical part of MCI care for this population, yet there is a deficit of publications within the anaesthesia literature addressing paediatric-specific MCI concerns. This narrative review article analyses paediatric MCI considerations and compares differing aspects between care provision in Australia, the UK, and the USA. We integrate some of the potential roles for anaesthesiologists with paediatric experience, which include preparation, command consultation, in-field care, pre-hospital transport duties, and emergency department, operating theatre, and ICU opportunities. Finally, we propose several methods by which anaesthesiologists can improve their contribution to paediatric MCI care through personal education, training, and institutional involvement.

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“…Telemedicine also facilitates diagnosis and treatment options when medical evacuation is impossible due to acute medical emergencies, mass casualty disasters, and public health measures (such as during COVID-19 pandemic restrictions) [18,19]. From a global health perspective, telemedicine increases the availability and quality of health care in remote areas and reduces medical inequalities between remote and urban areas [20][21][22][23][24]. Changes in the medical field have prompted concerns-how to achieve the optimal clinical outcome (ie, textbook outcome) in liver transplantation?…”

Section: Introductionmentioning

confidence: 99%

Telemedicine for Follow-up Management of Patients After Liver Transplantation: Cohort Study

Tian¹,

Wang²,

Xue³

et al. 2021

JMIR Med Inform

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Background Technical capabilities for performing liver transplantation have developed rapidly; however, the lack of available livers has prompted the utilization of edge donor grafts, including those donated after circulatory death, older donors, and hepatic steatosis, thereby rendering it difficult to define optimal clinical outcomes. Objective We aimed to investigate the efficacy of telemedicine for follow-up management after liver transplantation. Methods To determine the efficacy of telemedicine for follow-up after liver transplantation, we performed a clinical observation cohort study to evaluate the rate of recovery, readmission rate within 30 days after discharge, mortality, and morbidity. Patients (n=110) who underwent liver transplantation (with livers from organ donation after citizen's death) were randomly assigned to receive either telemedicine-based follow-up management for 2 weeks in addition to the usual care or usual care follow-up only. Patients in the telemedicine group were given a robot free-of-charge for 2 weeks of follow-up. Using the robot, patients interacted daily, for approximately 20 minutes, with transplant specialists who assessed respiratory rate, electrocardiogram, blood pressure, oxygen saturation, and blood glucose level; asked patients about immunosuppressant medication use, diet, sleep, gastrointestinal function, exercise, and T-tube drainage; and recommended rehabilitation exercises. Results No differences were detected between patients in the telemedicine group (n=52) and those in the usual care group (n=50) regarding age (P=.17), the model for end-stage liver disease score (MELD, P=.14), operation time (P=.51), blood loss (P=.07), and transfusion volume (P=.13). The length and expenses of the initial hospitalization (P=.03 and P=.049) were lower in the telemedicine group than they were in the usual care follow-up group. The number of patients with MELD score ≥30 before liver transplantation was greater in the usual care follow-up group than that in the telemedicine group. Furthermore, the readmission rate within 30 days after discharge was markedly lower in the telemedicine group than in the usual care follow-up group (P=.02). The postoperative survival rates at 12 months in the telemedicine group and the usual care follow-up group were 94.2% and 90.0% (P=.65), respectively. Warning signs of complications were detected early and treated in time in the telemedicine group. Furthermore, no significant difference was detected in the long-term visit cumulative survival rate between the two groups (P=.50). Conclusions Rapid recovery and markedly lower readmission rates within 30 days after discharge were evident for telemedicine follow-up management of patients post–liver transplantation, which might be due to high-efficiency in perioperative and follow-up management. Moreover, telemedicine follow-up management promotes the self-management and medication adherence, which improves patients’ health-related quality of life and facilitates achieving optimal clinical outcomes in post–liver transplantation.

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Using Telemedicine in Mass Casualty Disasters

Cited by 8 publications

References 17 publications

The Effectiveness of Telephone-based Psychological Services to COVID-19

The Effectiveness of Telephone-based Psychological Services to COVID-19

Paediatric patients in mass casualty incidents: a comprehensive review and call to action

Telemedicine for Follow-up Management of Patients After Liver Transplantation: Cohort Study

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