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E-grāmata: Telemedicine for Trauma, Emergencies, and Disaster Management

  • Formāts: 434 pages
  • Izdošanas datums: 31-Jan-2010
  • Izdevniecība: Artech House Publishers
  • ISBN-13: 9781607839989
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Telemedicine for Trauma, Emergencies, and Disaster ManagementPalielināt
  • Formāts: 434 pages
  • Izdošanas datums: 31-Jan-2010
  • Izdevniecība: Artech House Publishers
  • ISBN-13: 9781607839989
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Written by international contributors, this detailed overview of telemedicine will be of interest to health professionals, policy makers, and frontline responders. The book begins with historical notes on telemedicine, then offers an overview of trauma and disasters as a worldwide problem. Communication technology and telemedicine connectivity are then reviewed in preparation for chapters on specific technologies used in telemedicine, such as videoconferencing and wireless technologies for medical monitoring. There is also material on planning, equipment, and techniques for telemedicine in remote conditions, extreme environments, disasters, and war, and for specific conditions such as trauma and emergency care, stroke, burns, and orthopedics, illustrated with real cases. Interhospital telemedicine practices are examined, and sociotechnical and organizational challenges to wide e-health implementation are discussed. Final chapters cover educational aspects of telemedicine and offer tips for keeping up with current developments. The book includes b&w photos of equipment, plus detailed process diagrams demonstrating the many factors and actors involved in telemedicine. A glossary and list of acronyms are also included. Latifi is professor of surgery and director of telemedicine and teletrauma at the University Medical Center of Arizona Health Sciences Center. Annotation ©2011 Book News, Inc., Portland, OR (booknews.com)
Foreword xix
Introduction xxi
Acknowledgments xxv
Chapter 1 Historical Notes on Telemedicine
1(8)
1.1 Introduction
1(1)
1.2 The Foundation
1(1)
1.3 Space Medicine
2(1)
1.4 Trials and Tribulations
2(1)
1.5 Standards and National Initiatives
3(1)
1.6 Internet and the Web
3(1)
1.7 Trauma, Disaster, and Emergency Applications
4(2)
1.8 Failure and Success
6(1)
1.9 The Challenge of Evidence
6(3)
References
6(3)
Chapter 2 Evolution of Telemedicine in the Space Program and Earth Applications
9(14)
2.1 Introduction
9(1)
2.2 Early Beginnings
10(1)
2.3 Support for Human Spaceflight
11(1)
2.4 Earth-Based Endeavors
12(1)
2.5 Disaster Response---Global Health
13(3)
2.5.1 Spacebridge to Armenia
13(1)
2.5.2 Spacebridge to Moscow
14(2)
2.6 Commercial Interactions
16(3)
2.7 Outcomes
19(1)
2.8 Future
20(3)
References
20(3)
Chapter 3 Trauma and Disasters as a Worldwide Problem: An Overview
23(14)
3.1 Introduction
23(1)
3.2 Definitions
24(2)
3.3 Natural Disasters
26(2)
3.4 Man-Made Disasters
28(1)
3.5 War and Conflict-Related Injury Epidemiology
29(1)
3.6 Landmines and Unexploded Devices as a Worldwide Problem
29(2)
3.7 Long-Term Consequences of Disasters
31(1)
3.8 Conclusions
31(6)
References
33(4)
Chapter 4 Communication Technologies: An Overview of Telemedicine Connectivity
37(16)
4.1 Introduction
37(1)
4.2 Data Communications Networks
38(2)
4.3 Telemedicine Communications Modes
40(2)
4.3.1 Store-and-Forward Telemedicine
40(1)
4.3.2 Real-Time Telemedicine
41(1)
4.4 Connectivity Options
42(6)
4.4.1 Plain Old Telephone Service
42(1)
4.4.2 Integrated Services Digital Network
43(1)
4.4.3 Digital Subscriber Line
44(1)
4.4.4 Cable
44(1)
4.4.5 T Carrier Lines
45(1)
4.4.6 Satellite
46(1)
4.4.7 Cellular/Mobile Broadband
47(1)
4.5 Network Management and Technical Personnel
48(1)
4.6 What to Choose?
49(1)
4.7 Conclusions
50(3)
References
51(2)
Chapter 5 Videoconferencing as a Clinical Tool for Surgeons
53(16)
5.1 Introduction
53(1)
5.2 Technical Aspects
54(1)
5.3 VC for Surgical Education
55(1)
5.4 VC in Multidisciplinary Teams
56(1)
5.5 VC in Trauma and Emergency Medicine
57(3)
5.6 VC in Follow-Up After Surgery
60(1)
5.7 VC for Surgical Telementoring
61(2)
5.8 Conclusions
63(6)
Acknowledgments
64(1)
References
65(4)
Chapter 6 Wireless Technologies: Potential Use in Emergencies and Disasters
69(20)
6.1 Introduction
69(1)
6.2 Wireless Technologies in Medical Environments
70(1)
6.3 Wireless Sensors for Medical Monitoring
71(7)
6.3.1 Sensor Nodes and Hardware Designs
73(5)
6.4 Multiaccess Protocol for Wireless Sensors
78(1)
6.5 Implementation of Wireless Biosensors in Emergency and Disaster Events
79(6)
6.5.1 Comparisons of Telemedicine Systems
81(1)
6.5.2 Databases, Software Programs, and Monitoring
82(3)
6.6 Conclusions
85(4)
References
85(4)
Chapter 7 Interactive Video Communication and Medical Telepresence and Their Role in Trauma, Emergencies, and Disaster Management
89(20)
7.1 Introduction
89(1)
7.2 Technology and Modules
90(1)
7.3 Networks and Services for Interactive Video Communication and Medical Telepresence
91(4)
7.3.1 Generic Advanced Low-Cost Trans-European Network Over Satellite (GALENOS)
91(1)
7.3.2 Medical Assistance for Ships (MEDASHIP)
92(1)
7.3.3 Euro-Mediterranean Internet-Satellite Platform for Health, Medical Education, and Research (EMISPHER)
93(2)
7.4 The Role of Interactive Video Communication and Medical Telepresence in Trauma, Emergencies, and Disaster Management
95(1)
7.5 Disaster Emergency Logistic Telemedicine Advanced Satellites System (DELTASS)
95(8)
7.5.1 Functional Architecture
96(2)
7.5.2 Interactive Telemedical Services for Medical Telepresence
98(1)
7.5.3 Interactive Live Teleconsultations
99(1)
7.5.4 Live Telemonitoring During Triage
100(1)
7.5.5 Live Telesonography
100(1)
7.5.6 Live Telesurgery
100(1)
7.5.7 Interactive Virtual Reality Simulation
101(1)
7.5.8 Interactive Telemicrobiology
101(2)
7.5.9 Internet Access and Consultation of External Databases
103(1)
7.6 Conclusions
103(6)
References
105(4)
Chapter 8 Telemedicine and Telesurgery in Remote Conditions
109(10)
8.1 Introduction
109(1)
8.2 The Virtual Team
109(1)
8.3 Extreme Environments
110(1)
8.4 The Full Electronic Medical Staff
111(1)
8.5 The Information at Point of Need
112(1)
8.6 Planning Ahead
112(2)
8.7 Information Management
114(1)
8.8 Robots and Mechanical Assistants
114(1)
8.9 Telementoring and Just-in-Time Learning
115(4)
References
116(3)
Chapter 9 Monitoring and Support in Remote and Extreme Environments
119(28)
9.1 Introduction
119(2)
9.1.1 The Environment
119(1)
9.1.2 Supporting Technologies
120(1)
9.2 Satellites and Their Orbits
121(2)
9.2.1 Low Earth Orbit (LEO)
122(1)
9.2.2 Medium Earth Orbit (MEO)
122(1)
9.2.3 Geostationary Orbit (GEO)
122(1)
9.2.4 Molnyia Orbit
123(1)
9.2.5 The Ground Segment
123(1)
9.3 Distress Alarm and Emergency Location System: Cospas/Sarsat
123(2)
9.4 Tracking System ARGOS
125(1)
9.4.1 Other Tracking and Location Systems
126(1)
9.5 Navigation and Geolocation
126(1)
9.6 Remote Sensing
127(3)
9.6.1 Satellite Imagery
127(2)
9.6.2 Airborne Remote Sensing
129(1)
9.7 Telecommunication
130(4)
9.7.1 Low Bandwidth
131(1)
9.7.2 Medium Bandwidth
131(1)
9.7.3 High Bandwidth
132(1)
9.7.4 Signal Propagation and Special Considerations
133(1)
9.8 The Peripheral Sites
134(2)
9.8.1 Structure
134(1)
9.8.2 Effectiveness
135(1)
9.9 Data Acquisition
136(3)
9.9.1 Integrated Monitoring---The Rationale
136(1)
9.9.2 Wearable Sensor Arrays
137(1)
9.9.3 Image Acquisition
137(2)
9.10 Special Considerations
139(5)
9.11 Conclusions
144(3)
Acknowledgments
144(1)
References
145(2)
Chapter 10 Establishing Clinical Protocols and Standards: The Military Approach
147(14)
10.1 Introduction
147(1)
10.2 The Need for Standardization and Its Limitations
147(1)
10.3 NATO and Its Standardization Program
148(1)
10.4 What Can/Should Be Standardized?
148(1)
10.5 Standardization of Clinical Care
149(1)
10.6 Technical Standardization/Specifications
149(1)
10.7 Operational Standards/Business Practices: Bringing Order Out of Chaos
150(1)
10.8 Geopolitical Changes and the NATO Standardization Program
151(1)
10.9 The NATO Standardization Process
152(2)
10.10 Standardization as Applied to Telemedicine
154(1)
10.11 The Standardization Work of NATO's Telemedicine Expert Team
154(2)
10.12 Success and Failure
156(2)
10.13 Conclusions
158(3)
Acknowledgments
158(1)
References
158(3)
Chapter 11 Telemedicine in Extreme Conditions: Disasters, War, and Remote Sites
161(12)
11.1 Introduction
161(1)
11.2 Military Telemedicine
162(1)
11.3 Civilian Casualties
163(1)
11.4 Natural Disasters
164(1)
11.5 Terrorism
165(1)
11.6 Conclusions
166(7)
References
169(4)
Chapter 12 Operational Use of U.S. Army Telemedicine Information Systems in Iraq and Afghanistan---Considerations for NATO Operations
173(10)
12.1 Introduction
173(1)
12.2 U.S. Army Theater Teleconsult Program
173(3)
12.2.1 Quality Management
174(1)
12.2.2 Consultant Responsibility
174(1)
12.2.3 Lessons Learned
175(1)
12.3 NATO Program Expansion
176(2)
12.4 Experience with NATO Use of the System
178(2)
12.5 Results
180(1)
12.6 Lessons Learned/Summary
180(3)
Acknowledgments
182(1)
References
182(1)
Chapter 13 Telemedicine in Extreme Conditions Using a Low-Bandwidth Portable Satellite: The Amazon Swim Expedition
183(8)
13.1 Introduction
183(2)
13.2 Technology
185(1)
13.3 Daily Virtual Rounds and Program Description
186(1)
13.4 Health Report Card on the Expedition
186(1)
13.5 Lessons Learned
187(1)
13.6 Conclusions
188(3)
Acknowledgments
189(1)
References
189(1)
Selected Bibliography
190(1)
Chapter 14 Telehealth in Disaster Medicine and Humanitarian Assistance
191(16)
14.1 Introduction
191(1)
14.2 Emergency Management and Disaster Medicine Foundations
192(1)
14.3 Applications of Telehealth in Disaster Medicine
193(1)
14.4 Clinical Applications
194(2)
14.5 Administrative Applications
196(1)
14.6 Technical Considerations
196(2)
14.7 Core Technical Infrastructure
198(1)
14.7.1 Telecommunications
198(1)
14.7.2 Power
199(1)
14.7.3 Core Devices
199(1)
14.8 Services
199(1)
14.9 Applications
200(1)
14.10 Challenges
201(1)
14.11 Anatomy of an Idealized Telehealth System for Disaster Medical Applications
202(2)
14.12 Conclusions
204(3)
Acknowledgments
204(1)
References
205(2)
Chapter 15 Interhospital Telemedicine Practices
207(8)
15.1 Introduction
207(2)
15.2 Emergency Medicine
209(1)
15.3 Intensive Care Unit
210(1)
15.4 Radiology
210(1)
15.5 Conclusions
211(4)
References
211(4)
Chapter 16 Prehospital Telemedicine---Digital Ambulances
215(10)
16.1 Introduction
215(3)
16.2 ER Link Policies and Protocol
218(1)
16.3 ER Link Study
218(1)
16.4 ER Link Call Quality
219(1)
16.5 Conclusions
220(5)
16.5.1 The System
220(1)
16.5.2 The Network
221(1)
16.5.3 The Clinical Benefit
222(1)
16.5.4 Perception of ER Link Users
222(1)
16.5.5 Third-Party Additions
222(1)
Acknowledgments
223(1)
References
223(2)
Chapter 17 Telemedicine for Trauma and Emergency Care Management
225(18)
17.1 Introduction
225(1)
17.2 The Case for Teletrauma in Disaster Response
226(1)
17.3 Disparity in Trauma Care
227(1)
17.4 Limited Information from the Rural Hospitals
228(1)
17.5 Teletrauma Expectations
229(1)
17.6 Technology
230(1)
17.7 Current Teletrauma Programs
231(1)
17.8 Prehospital Setting
231(1)
17.9 Interhospital Teletrauma
232(1)
17.10 Teletrauma Results
233(3)
17.11 Sustainability of Teletrauma Programs
236(2)
17.12 Communications for Supporting Medical Care in the Aftermath of Disasters
238(1)
17.13 Disaster Access and Management
238(2)
17.14 Conclusions
240(3)
Acknowledgments
240(1)
References
240(3)
Chapter 18 Telemedicine in Stroke
243(24)
18.1 Introduction
243(1)
18.2 Telestroke Systematic Review
244(1)
18.3 Telestroke Technology and Services
244(4)
18.4 Telestroke Hub-and-Spoke Model Characteristics
248(1)
18.5 Telestroke Team Roles and Responsibilities
249(1)
18.6 Telestroke Consultation
250(1)
18.7 Telestroke Case
251(1)
18.8 Telestroke Licensure and Credentialing
252(1)
18.9 Telestroke Medical Liability
253(1)
18.10 Telestroke Economic Issues
253(2)
18.11 Telestroke State Network Development---Description of the Stroke Telemedicine for Arizona Rural Residents (STARR) Network: The Critical Steps
255(2)
18.12 Telestroke Consultative Modes: Telemedicine Versus Telephone
257(1)
18.13 Telestroke Evidence
258(2)
18.14 Telestroke Networks
260(1)
18.15 Telestroke and Beyond: Telemedicine in the Neurosciences
260(1)
18.16 Conclusions
261(6)
References
262(5)
Chapter 19 Telemedicine for Burns
267(24)
19.1 Introduction
267(1)
19.2 Modern Problems in Burn Treatment: The U.S. Experience
267(4)
19.2.1 The Burden of Burn Injury: United States
267(1)
19.2.2 Access to Care
268(1)
19.2.3 Access to Comprehensive Care
268(1)
19.2.4 Problems in Acute Burn Care
269(2)
19.2.5 The Threat of Mass Casualties
271(1)
19.3 International Experience
271(1)
19.4 Historical Use of Telemedicine for Burn Care
272(6)
19.4.1 U.S.-Based Efforts
272(4)
19.4.2 Expanding Technology: Digital Cameras and Electronic Mail
276(1)
19.4.3 Telemedicine and Other Wound Care
277(1)
19.4.4 International Burn Telemedicine
277(1)
19.4.5 Military and Disaster Telemedicine
278(1)
19.5 Potential Problems in the Development of Telemedicine for Burn Care
278(4)
19.5.1 Evidence
279(1)
19.5.2 Practical Barriers to Telemedicine: Accuracy of Images for Burns
279(1)
19.5.3 Other Practical Barriers
280(1)
19.5.4 Changing the Culture of Medicine
281(1)
19.6 Other Uses of Telemedicine Technology in Burn Care
282(1)
19.7 Current and Future Trends in Burn Telemedicine
282(1)
19.8 Conclusions
283(8)
References
284(7)
Chapter 20 Telemedicine in Orthopedics
291(12)
20.1 Introduction
291(1)
20.2 Outpatient Services for Orthopedic Conditions
291(4)
20.3 Trauma and Emergency Services for Orthopedic Conditions
295(1)
20.4 Telesurgery for Orthopedic Conditions
296(1)
20.5 Telerehabilitation for Orthopedic Conditions
297(2)
20.6 Challenges and Barriers
299(1)
20.7 Conclusions
299(4)
References
300(3)
Chapter 21 Telemedicine in Intensive Care Units
303(32)
21.1 Introduction
303(1)
21.2 Drivers for Telemedicine and the Tele-ICU
304(2)
21.3 Lexicon
306(3)
21.4 Process of Tele-ICU-Based Medical Care
309(4)
21.4.1 The Centralized Tele-ICU System
309(1)
21.4.2 Physical Plant/Structure
310(1)
21.4.3 Process of Care
310(1)
21.4.4 Staffing
311(2)
21.4.5 Connectivity
313(1)
21.4.6 Communications Architecture
313(1)
21.4.7 Cost
313(1)
21.4.8 Vendors
313(1)
21.5 The Decentralized Tele-ICU System
313(4)
21.5.1 Physical Plant/Structure
314(1)
21.5.2 Process of Care
314(1)
21.5.3 Staffing
314(2)
21.5.4 Connectivity
316(1)
21.5.5 Communications Architecture
316(1)
21.5.6 Cost
317(1)
21.5.7 Vendors
317(1)
21.6 Provision of Care: Continuous, Preemptive, Scheduled, Reactive, or Consultative
317(1)
21.7 Continuous Care Model
317(1)
21.8 The Preemptive/Scheduled Care Model
318(1)
21.9 The Reactive Tele-ICU Care Model
319(1)
21.10 The Consultative Tele-ICU Care Model
319(1)
21.11 Outcomes Literature Review
320(1)
21.12 Elements Limiting Greater Adoption of the Tele-ICU
321(3)
21.12.1 Cost as a Limitation to Greater Adoption
322(1)
21.12.2 Cost: High-Ticket Items, Centralized Tele-ICU Model
322(1)
21.12.3 Cost: Alternative Tele-ICU Models
323(1)
21.13 Litigation as a Limiter to Greater Adoption
324(1)
21.14 Physician Resistance to Adoption
325(1)
21.15 Corporate Penetration: As of 2010
326(1)
21.16 Discussion
327(2)
21.17 Conclusions
329(6)
References
330(5)
Chapter 22 Informatics in Disaster, Terrorism, and War
335(10)
22.1 Introduction
335(1)
22.2 Informatics in Disaster Response
335(4)
22.3 Informatics in Terrorism
339(2)
22.4 Informatics in War
341(2)
22.5 Future Challenges
343(1)
22.6 Conclusions
344(1)
References
344(1)
Chapter 23 Sociotechnical and Organizational Challenges to Wide E-Health Implementation
345(18)
23.1 Introduction
345(1)
23.2 E-Health and Telemedicine: Background
345(2)
23.3 The Role of Different Countries
347(2)
23.3.1 Organization
347(1)
23.3.2 State of the Art
348(1)
23.4 E-Health and Telemedicine: The Pros and Cons
349(1)
23.5 E-Health and Telemedicine: Implementation
350(5)
23.6 E-Health and Telemedicine: Standardization
355(1)
23.7 E-Health and Telemedicine: Economical Aspects
356(1)
23.8 E-Health and Telemedicine: Present and Future Clinical Applications
357(1)
23.9 The Challenge
358(1)
23.10 Conclusions
358(5)
References
359(4)
Chapter 24 Educational Aspects of Telemedicine for Trauma, Critical Care, and Emergency Management
363(10)
24.1 Introduction
363(1)
24.2 The Role of Education in Trauma, Critical Care, and Emergency Management
364(1)
24.3 Location
365(1)
24.4 Provider Type
365(1)
24.5 Technology
365(1)
24.6 Need
366(1)
24.7 Legal and Credentialing Issues
366(1)
24.8 Types of Content That Can Be Distributed Through Tele-Education
366(1)
24.9 Quality and Outcomes
367(1)
24.10 Business Processes and Clinical Work Flow
367(2)
24.11 Establishing a Telemedicine Program
369(1)
24.12 Issues Specific to Each Discipline
369(2)
24.12.1 Trauma
369(1)
24.12.2 Tele-Emergency Care
370(1)
24.12.3 Critical Care
370(1)
24.13 Conclusions
371(2)
References
371(2)
Chapter 25 Keeping Up with Industry Development in Telemedicine
373(16)
25.1 Introduction
373(1)
25.2 Growth of the Telemedicine Industry
373(2)
25.3 Technology Infrastructure for Telemedicine, Especially Teletrauma
375(2)
25.4 Integration and Management of Healthcare Records for the Telemedicine Environment
377(3)
25.5 Dissemination of Healthcare Information
380(2)
25.6 Development of Multitiered Strategic Services
382(1)
25.7 Other Barriers to Telemedicine
383(2)
25.8 Conclusions
385(4)
References
385(3)
Selected Bibliography
388(1)
List of Acronyms 389(4)
Glossary 393(2)
About the Editor 395(2)
List of Contributors 397(4)
Index 401
Biežāk uzdotie jautājumi par e-grāmatām Biežāk uzdotie jautājumi par e-grāmatām
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