1 Department of Pediatrics, University of Minnesota , Minneapolis, Minnesota.
2 Department of Pediatrics, School of Medicine, Stanford University , Los Angeles, California.
Telemed J E Health. 2018 Aug;24(8):621-623. doi: 10.1089/tmj.2017.0216. Epub 2017 Dec 12.
Armed conflicts can result in humanitarian crises and have major impacts on civilians, of whom children represent a significant proportion. Usual pediatric medical care is often disrupted and trauma resulting from war-related injuries is often devastating. High pediatric mortality rates are thus experienced in these ravaged medical environments.
Using simple communication technology to provide real-time management recommendations from highly trained pediatric personnel can provide substantive clinical support and have a significant impact on pediatric morbidity and mortality.
We implemented a "Tele-Pediatric Intensive Care" program (Tele-PICU) to provide real-time management consultation for critically ill and injured pediatric patients in Syria with intensive care needs.
Over the course of 7 months, 19 cases were evaluated, ranging in age from 1 day to 11 years. Consultation questions addressed a wide range of critical care needs. Five patients are known to have survived, three were transferred, five died, and six outcomes were unknown.
Based on this limited undertaking with its positive impact on survival, further development of Tele-PICU-based efforts with attention to implementation and barriers identified through this program is desirable.
Even limited Tele-PICU can provide timely and potentially lifesaving assistance to pediatric care providers. Future efforts are encouraged.
武装冲突可能导致人道主义危机，并对平民造成重大影响，其中儿童占很大比例。通常的儿科医疗服务经常中断，而且战争相关伤害造成的创伤往往是毁灭性的。因此，在这些饱受蹂躏的医疗环境中，儿科死亡率很高。
使用简单的通信技术，从经过高度培训的儿科人员那里提供实时管理建议，可以提供实质性的临床支持，并对儿科发病率和死亡率产生重大影响。
我们实施了“远程儿科重症监护”计划（Tele-PICU），为有重症监护需求的叙利亚重病和受伤的儿科患者提供实时管理咨询。
在 7 个月的时间里，共评估了 19 例患者，年龄从 1 天到 11 岁不等。咨询问题涉及广泛的重症监护需求。已知有 5 名患者幸存，3 名患者被转院，5 名患者死亡，6 名患者的结果未知。
根据这项有限的工作，以及对生存的积极影响，我们希望进一步发展基于 Tele-PICU 的工作，关注通过该计划确定的实施和障碍。
即使是有限的远程儿科重症监护也可以为儿科护理提供者提供及时和潜在的救生援助。鼓励未来的努力。
