Berg Benjamin W, Vincent Dale S, Hudson Donald A
Tripler Army Medical Center, Honolulu, Hawaii 96859-5000, USA.
J Telemed Telecare. 2003;9 Suppl 2:S9-11. doi: 10.1258/135763303322596129.
Remote critical care consultations have been employed between the Naval Hospital in Guam and the Tripler Army Medical Center in Hawaii, a distance of 5300 km. During a 10-week study period there were physician-physician daily consultation rounds for patients in the intensive care unit at the Naval Hospital. Physiological data, video-images and sound were transmitted via a 768 kbit/s frame relay connection, albeit with a 1-3 s delay. During the study there were 87 consultations concerning 25 patients. Preliminary results showed that a broad range of critical care patients could be managed effectively through daily remote critical care consultation. Broader implementation of this strategy may represent a method of making critical care expertise available to front-line military health-care facilities and to remote civilian facilities with limited critical care expertise.
关岛海军医院与夏威夷特里普勒陆军医疗中心相距5300公里，二者开展了远程重症监护会诊。在为期10周的研究期间，针对关岛海军医院重症监护病房的患者，医生之间每天进行会诊。生理数据、视频图像和声音通过768千比特每秒的帧中继连接传输，不过会有1至3秒的延迟。研究期间，针对25名患者进行了87次会诊。初步结果表明，通过每日远程重症监护会诊，可以有效管理各类重症监护患者。更广泛地实施这一策略可能是一种让一线军事医疗设施以及重症监护专业知识有限的偏远民用设施能够获得重症监护专业知识的方法。
