Faculty of Health Sciences, Technische Hochschule Mittelhessen, Gießen, Germany.
Sci Rep. 2023 Aug 16;13(1):13332. doi: 10.1038/s41598-023-40501-1.
Telemedicine as a technology can support processes in the field of emergency medicine (EM) including therapies and diagnostics, but technically is often based on hardware solutions for local EM structures, especially when involving the field of pre-hospital EM. By developing an open-source, data protection compliant solution (EU GDPR and HIPAA) as well as using standardized web and open-source based technology the Emergency Talk Application (ETA) can be used as a technology that can connect emergency medical providers and include already available regional structures. By actively involving patients and connecting these with emergency or urgent care physicians ETA can be used not only as a teleconsultation system for paramedics and physicians, but in a wider network. Randomised simulation trial, comparing EM scenarios from the field of internal medicine, trauma and neurology. Participants were qualified as certified paramedics or emergency physicians (EP). Paramedics performed as ambulances crews and involved an EP if needed via ETA as Tele-Emergency Physicians (TEP). EP participated from a device of their choice, while being able to stay within their clinical workspace. From 141 scenarios 129 used ETA. Significant differences were found for the length of scenarios, duration of time the TEP was on scene, TEP arrival after scenario start, duration until TEP was called and the duration until a diagnosis was made. Also a strong positive and significant correlation between duration of the scenario and the time a TEP was bound could be described. Telemedicine is a technology that is increasingly used in the field of EM. Improving the use of telemedicine by using up-to date technology while allowing an integration of available technical and human resources is a challenge in the field of emergency medicine especially with its regional but also broad medical variety. When using one technical solution, understanding that different cases need a different medical and also telemedical approach can help in the understanding and improving therapies, diagnostics but also the involved processes and solutions. Such results are not only relevant for healthcare providers but especially by law and decision makers as to which type of solution could be introduced in each regional setting.
远程医疗作为一种技术，可以支持急诊医学（EM）领域的流程，包括治疗和诊断，但在技术上通常基于当地 EM 结构的硬件解决方案，特别是当涉及到院前 EM 领域时。通过开发一个开源的、符合数据保护的解决方案（欧盟 GDPR 和 HIPAA），并使用标准化的网络和开源技术，紧急通话应用程序（ETA）可以作为一种连接紧急医疗提供者并包括现有区域结构的技术。通过积极地让患者参与进来，并将他们与紧急或紧急护理医生联系起来，ETA 不仅可以作为护理人员和医生的远程咨询系统，而且还可以在更广泛的网络中使用。随机模拟试验，比较内科、创伤和神经科领域的 EM 场景。参与者被认定为认证的护理人员或急诊医生（EP）。护理人员作为救护车人员工作，如果需要，通过 ETA 作为远程急诊医生（TEP）联系 EP。EP 可以从他们选择的设备中参与，同时能够留在他们的临床工作空间内。在 141 个场景中，有 129 个使用了 ETA。在场景的长度、TEP 在现场的时间、TEP 在场景开始后的到达时间、呼叫 TEP 到做出诊断的时间等方面都有显著差异。还可以描述出场景的持续时间与 TEP 绑定的时间之间存在强烈的正相关关系。远程医疗是急诊医学领域越来越多地使用的一种技术。通过使用最新的技术来提高远程医疗的使用效率，同时允许整合现有的技术和人力资源，这是急诊医学领域的一个挑战，尤其是考虑到其区域性，但也包括广泛的医疗多样性。当使用一种技术解决方案时，了解不同的病例需要不同的医疗和远程医疗方法，可以帮助理解和改进治疗、诊断，以及所涉及的流程和解决方案。这些结果不仅对医疗保健提供者具有重要意义，而且对法律和决策者来说也非常重要，因为他们需要了解在每个区域环境中可以引入哪种类型的解决方案。
