Rand Elden R, Lappan Charles M, Lee Joseph C, Furgerson James L
Cardiology Service, Department of Medicine, Brooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234-6200, USA.
Mil Med. 2009 Nov;174(11):1144-8. doi: 10.7205/milmed-d-00-2309.
Global operations place large numbers of military and nonmilitary personnel in austere environments. Aeromedical evacuation for cardiovascular issues is periodically required. The Army Knowledge Online (AKO) Telemedicine Consultation Program was initiated by the Office of the Surgeon General to electronically link deployed medical providers with subspecialty consultants to assist and guide triage and disposition.
Electronic consultation triggered a text page to an on-call staff cardiologist at Brooke Army Medical Center. Cardiology teleconsultations for the first 3.5 years were analyzed.
Two hundred seven cardiology teleconsults were managed, with an average response time of 4 hours 54 minutes. The three most prevalent reasons for teleconsultation were electrocardiographic abnormalities, chest pain syndromes, and syncope. Six evacuations were avoided; 29 evacuations were facilitated. An estimated $144,000 was saved, plus intangible benefits.
Cardiology teleconsultation provides a valuable service to deployed providers, decreases medical evacuation costs, and facilitates transfer of patients to appropriate facilities.
全球行动使大量军事和非军事人员身处严峻环境。心血管问题的航空医疗后送时有需求。陆军知识在线（AKO）远程医疗咨询项目由陆军军医局发起，旨在通过电子方式将部署在外地的医疗人员与专科顾问联系起来，以协助和指导分诊及处置工作。
电子咨询会触发向布鲁克陆军医疗中心一名随叫随到的在职心脏病专家发送文本页面。对最初3.5年的心脏病学远程会诊进行了分析。
共处理了207次心脏病学远程会诊，平均响应时间为4小时54分钟。远程会诊最常见的三个原因是心电图异常、胸痛综合征和晕厥。避免了6次后送；促成了29次后送。估计节省了14.4万美元，还有无形的收益。
心脏病学远程会诊为部署在外地的医疗人员提供了一项有价值的服务，降低了医疗后送成本，并促进了患者向合适医疗机构的转运。
