Department of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA.
J Pediatr Surg. 2012 Jan;47(1):221-4. doi: 10.1016/j.jpedsurg.2011.10.046.
During a disaster, hospitals may be overwhelmed and have an insufficient number of pediatric specialists available to care for injured children. The aim of this study was to determine the feasibility of remotely providing pediatric expertise via a robot to treat pediatric victims.
In 2008, Los Angeles County held 2 drills involving telemedicine. The first was the Tri-Hospital drill in which 3 Los Angeles County hospitals, one being a pediatric hospital, participated. The disaster scenario involved a Metrolink train crash, resulting in a large surge of traumatic injuries. The second drill involved multiple agencies and was called the Great California Shakeout, a simulated earthquake exercise. The telemedicine equipment installed is an InTouch Health, Inc, Santa Barbara, CA robotic telecommunications system. We used mixed-methods to evaluate the use of telemedicine during these drills.
Pediatric specialists successfully provided remote triage and treatment consults of victims via the robot. The robot proved to be a useful means to extend resources and provide expert consult if pediatric specialists were unable to physically be at the site.
Telemedicine can be used in the delayed treatment areas as well as for training first receivers to collaborate with specialists in remote locations to triage and treat seriously injured pediatric victims.
在灾难期间，医院可能会不堪重负，能够提供的儿科专家数量不足，无法照顾受伤的儿童。本研究的目的是确定通过机器人远程提供儿科专业知识以治疗儿科受害者的可行性。
2008 年，洛杉矶县进行了两次涉及远程医疗的演习。第一次是三院演习，三家洛杉矶县医院参加了演习，其中一家是儿科医院。灾难场景涉及一辆 Metrolink 火车出轨，导致大量创伤性伤害。第二次演习涉及多个机构，称为大加州摇晃演习，是一项模拟地震的演习。安装的远程医疗设备是 InTouch Health，Inc，加利福尼亚州圣巴巴拉的机器人电信系统。我们使用混合方法来评估这些演习中远程医疗的使用情况。
儿科专家通过机器人成功地对受害者进行了远程分诊和治疗咨询。机器人被证明是一种有用的手段，可以在儿科专家无法亲临现场的情况下扩展资源并提供专家咨询。
远程医疗不仅可用于延迟治疗区域，还可用于培训第一反应者与远程专家合作，对严重受伤的儿科受害者进行分诊和治疗。
