Schoen Jessica C, Russi Christopher S, Laack Torrey A
Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Department of Emergency Medicine, Mayo Clinic Health System Albert Lea and Austin, Austin, Minnesota, USA.
Telemed J E Health. 2022 Feb;28(2):276-281. doi: 10.1089/tmj.2021.0026. Epub 2021 Apr 19.
Acute care telemedicine is a critical resource for rural and community Emergency Medicine (EM) providers. To address potential barriers and promote use of these services throughout our health system Emergency Departments (EDs), we embed telemedicine consultations within simulations. Care teams in health system EDs participated in multidisciplinary simulations that focused on Difficult Airway management or Obstetric Emergencies. Physicians in EM and Neonatology at the referral center were available for assistance via telemedicine consultation. Participants were then surveyed regarding their experience with the telemedicine consultation during the simulations. Participants reported increased likelihood to use telemedicine as well as increased understanding of the technology, awareness of available consultation services, and comfort interacting with the consultant. Embedding telemedicine consultations into EM simulations is an effective approach to address implementation barriers and may promote increased use of telemedicine services among rural and community EM providers.
急性护理远程医疗是农村和社区急诊医学（EM）提供者的关键资源。为解决潜在障碍并促进这些服务在我们卫生系统急诊科（ED）中的使用，我们将远程医疗会诊嵌入模拟之中。卫生系统急诊科的护理团队参与了专注于困难气道管理或产科急症的多学科模拟。转诊中心的急诊医学和新生儿科医生可通过远程医疗会诊提供协助。然后，对参与者在模拟期间进行远程医疗会诊的体验进行了调查。参与者报告称，使用远程医疗的可能性增加，对该技术的理解增强，对可用会诊服务的认识提高，并且与会诊医生互动时更加自在。将远程医疗会诊嵌入急诊医学模拟是解决实施障碍的有效方法，可能会促进农村和社区急诊医学提供者更多地使用远程医疗服务。
