Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote Settings

Mortality and morbidity from traumatic injury are twofold higher in rural compared to urban areas. Furthermore, the greater the distance a patient resides from an organized trauma system, the greater the likelihood of an adverse outcome. Delay in timely diagnosis and treatment contributes to this pe...

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Main Authors: Linping Pian, Lawrence M. Gillman, Paul B. McBeth, Zhengwen Xiao, Chad G. Ball, Michael Blaivas, Douglas R. Hamilton, Andrew W. Kirkpatrick
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Emergency Medicine International
Online Access:http://dx.doi.org/10.1155/2013/986160
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author Linping Pian
Lawrence M. Gillman
Paul B. McBeth
Zhengwen Xiao
Chad G. Ball
Michael Blaivas
Douglas R. Hamilton
Andrew W. Kirkpatrick
author_facet Linping Pian
Lawrence M. Gillman
Paul B. McBeth
Zhengwen Xiao
Chad G. Ball
Michael Blaivas
Douglas R. Hamilton
Andrew W. Kirkpatrick
author_sort Linping Pian
collection DOAJ
description Mortality and morbidity from traumatic injury are twofold higher in rural compared to urban areas. Furthermore, the greater the distance a patient resides from an organized trauma system, the greater the likelihood of an adverse outcome. Delay in timely diagnosis and treatment contributes to this penalty, regardless of whether the inherent barriers are geographic, cultural, or socioeconomic. Since ultrasound is noninvasive, cost-effective, and portable, it is becoming increasingly useful for remote/underresourced (R/UR) settings to avoid lengthy patient travel to relatively inaccessible medical centers. Ultrasonography is a user-dependent, technical skill, and many, if not most, front-line care providers will not have this advanced training. This is particularly true if care is being provided by out-of-hospital, “nontraditional” providers. The human exploration of space has forced the utilization of information technology (IT) to allow remote experts to guide distant untrained care providers in point-of-care ultrasound to diagnose and manage both acute and chronic illness or injuries. This paradigm potentially brings advanced diagnostic imaging to any medical interaction in a setting with internet connectivity. This paper summarizes the current literature surrounding the development of teleultrasound as a transformational technology and its application to underresourced settings.
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issn 2090-2840
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publishDate 2013-01-01
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series Emergency Medicine International
spelling doaj-art-952b90de8d794b6b8a37c48988af3a132025-02-03T05:50:49ZengWileyEmergency Medicine International2090-28402090-28592013-01-01201310.1155/2013/986160986160Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote SettingsLinping Pian0Lawrence M. Gillman1Paul B. McBeth2Zhengwen Xiao3Chad G. Ball4Michael Blaivas5Douglas R. Hamilton6Andrew W. Kirkpatrick7Department of Ultrasound, The First Affiliation Hospital, Henan University of Traditional Chinese Medicine, Zhengzhou, Henan 450000, ChinaDepartment of Surgery, University of Manitoba, Winnipeg, MB, R3T 2N2, CanadaDepartments of Surgery and Division Critical Care Medicine, University of British Columbia, Vancouver, BC, V6T 1Z4, CanadaRegional Trauma Services, Foothills Medical Centre, EG 23, Calgary, AB, T2N 2T9, CanadaRegional Trauma Services, Foothills Medical Centre, EG 23, Calgary, AB, T2N 2T9, CanadaNorthside Hospital-Forsyth, Cumming, GA 30041, USADepartment of Medicine, Foothills Medical Centre, Calgary, AB, T2N 2T9, CanadaRegional Trauma Services, Foothills Medical Centre, EG 23, Calgary, AB, T2N 2T9, CanadaMortality and morbidity from traumatic injury are twofold higher in rural compared to urban areas. Furthermore, the greater the distance a patient resides from an organized trauma system, the greater the likelihood of an adverse outcome. Delay in timely diagnosis and treatment contributes to this penalty, regardless of whether the inherent barriers are geographic, cultural, or socioeconomic. Since ultrasound is noninvasive, cost-effective, and portable, it is becoming increasingly useful for remote/underresourced (R/UR) settings to avoid lengthy patient travel to relatively inaccessible medical centers. Ultrasonography is a user-dependent, technical skill, and many, if not most, front-line care providers will not have this advanced training. This is particularly true if care is being provided by out-of-hospital, “nontraditional” providers. The human exploration of space has forced the utilization of information technology (IT) to allow remote experts to guide distant untrained care providers in point-of-care ultrasound to diagnose and manage both acute and chronic illness or injuries. This paradigm potentially brings advanced diagnostic imaging to any medical interaction in a setting with internet connectivity. This paper summarizes the current literature surrounding the development of teleultrasound as a transformational technology and its application to underresourced settings.http://dx.doi.org/10.1155/2013/986160
spellingShingle Linping Pian
Lawrence M. Gillman
Paul B. McBeth
Zhengwen Xiao
Chad G. Ball
Michael Blaivas
Douglas R. Hamilton
Andrew W. Kirkpatrick
Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote Settings
Emergency Medicine International
title Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote Settings
title_full Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote Settings
title_fullStr Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote Settings
title_full_unstemmed Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote Settings
title_short Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote Settings
title_sort potential use of remote telesonography as a transformational technology in underresourced and or remote settings
url http://dx.doi.org/10.1155/2013/986160
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