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(ناشر تخصصی کنفرانسهای کشور / شماره مجوز انتشارات از وزارت فرهنگ و ارشاد اسلامی: ۸۹۷۱)

Telemedicine in pre-hospital emergency missions: a review of applications in the pre-hospital

عنوان مقاله: Telemedicine in pre-hospital emergency missions: a review of applications in the pre-hospital
شناسه ملی مقاله: HWCONF06_029
منتشر شده در ششمین کنفرانس بین المللی بهداشت،درمان و ارتقای سلامت در سال 1400
مشخصات نویسندگان مقاله:

Mahdi Ranjbar - Emergency prehospital nursing-Isfahan University of Medical Sciences
Ebrahim Ghorbani - Isfahan University of Medical Sciences

خلاصه مقاله:
The right person in the right place and at the right time is not always possible; telemedicine offers the potential to give audio and visual access to the appropriate clinician for patients. Advances in information and communication technology (ICT) in the area of video-to-video communication have led to growth in telemedicine applications in recent years. For these advances to be properly integrated into healthcare delivery, a regulatory framework, supported by definitive high-quality research, should be developed. Telemedicine is well suited to extending the reach of specialist services particularly in the pre-hospital care of acute emergencies where treatment delays may affect clinical outcome. The exponential growth in research and development in telemedicine has led to improvements in clinical outcomes in emergency medical care. A search of electronic databases including Medline, Excerpta Medica Database (EMBASE), Cochrane, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) for relevant papers was performed. All studies addressing the use of telemedicine in emergency medical or pre-hospital care setting were included. Out of a total of ۱,۲۷۹ articles reviewed, ۳۹ met the inclusion criteria and were critically analysed. A majority of the studies were on stroke management. The studies suggested that overall, telemedicine had a positive impact on emergency medical care. It improved the pre-hospital diagnosis of stroke and myocardial infarction and enhanced the supervision of delivery of tissue thromboplasminogen activator in acute ischaemic stroke. Telemedicine presents an opportunity to enhance patient management. There are as yet few definitive studies that have demonstrated whether it had an effect on clinical outcome.

کلمات کلیدی:
Telemedicine; Telecare; Telehealth; Teletrauma; Telestroke; eHealth; Mobile health; Pre-hospital care; Emergency medical services; Emergency medicine

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