Telemedicine has evolved to become an important field of medicine and healthcare, involving everything from simple patient care to actual performance of operations at a distance. This groundbreaking volume addresses the complex technical and clinical development in the management of trauma, disaster, and emergency situations using telemedicine. The book explains how telemedicine and related technologies can be used to effectively handle a wide range of scenarios, from a situation as small as a car crash, to major disasters such as an earthquake. Professionals find critical discussions on the practicality, logistics, and safety of telemedicine from recognized experts in the field. From teleteaching and telemonitoring, to teletrauma and telesurgery, this authoritative book covers all the major aspects that practitioners need to understand in order to engage and utilize this burgeoning area of medicine.
Historical Notes on Telemedicine -Introduction. The Foundation. Space Medicine. Trials and Tribulations. Standards and National Initiatives. Internet and the Web. Trauma, Disaster, and Emergency Applications. Failure and Success. The Challenge of Evidence. ; Evolution of Telemedicine in the Space Program and Earth Applications -Introduction. Early Beginnings. Support for Human Spaceflight. Earth-Based Endeavors. Disaster ResponseGlobal Health. Commercial Interactions. Outcomes. Future. ; Trauma and Disasters as a Worldwide Problem: An Overview -Introduction. Definitions. Natural Disasters. Man-Made Disasters. War and Conflict-Related Injury Epidemiology. Landmines and Unexploded Devices as a Worldwide Problem. Long-Term Consequences of Disasters. Conclusions.; Communication Technologies: An Overview of Telemedicine Connectivity -Introduction. Data Communications Networks. Telemedicine Communications Modes. Connectivity Options. Network Management and Technical Personnel. What to Choose? Conclusions. ; Videoconferencing as a Clinical Tool for Surgeons -Introduction. Technical Aspects. VC for Surgical Education. VC in Multidisciplinary Teams. VC in Trauma and Emergency Medicine. VC in Follow-Up After Surgery. VC for Surgical Telementoring. Conclusions. ; Wireless Technologies: Potential Use in Emergencies and Disasters -Introduction. Wireless Technologies in Medical Environments. Wireless Sensors for Medical Monitoring. Multiaccess Protocol for Wireless Sensors. Implementation of Wireless Biosensors in Emergency and Disaster Events. Conclusions. ; Interactive Video Communication and Medical Telepresence and Their Role in Trauma, Emergencies, and Disaster Management -Introduction. Technology and Modules. Networks and Services for Interactive Video Communication and Medical Telepresence. The Role of Interactive Video Communication and Medical Telepresence in Trauma, Emergencies, and Disaster Management. Disaster Emergency Logistic Telemedicine Advanced Satellites System (DELTASS). Conclusions. ; Telemedicine and Telesurgery in Remote Conditions -Introduction. The Virtual Team. Extreme Environments. The Full Electronic Medical Staff. The Information at Point of Need. Planning Ahead. Information Management. Robots and Mechanical Assistants. Telementoring and Just-in-Time Learning. ; Monitoring and Support in Remote and Extreme Environments -Introduction. Satellites and Their Orbits. Distress Alarm and Emergency Location System: Cospas/Sarsat. Tracking System ARGOS. Navigation and Geolocation. Remote Sensing. Telecommunication. The Peripheral Sites. Data Acquisition. Special Considerations. Conclusions. ; Establishing Clinical Protocols and Standards: The Military Approach -Introduction. The Need for Standardization and Its Limitations. NATO and Its Standardization Program. What Can/Should Be Standardized? Standardization of Clinical Care. Technical Standardization/Specifications. Operational Standards/Business Practices: Bringing Order Out of Chaos. Geopolitical Changes and the NATO Standardization Program. The NATO Standardization Process. Standardization as Applied to Telemedicine. The Standardization Work of NATO 's Telemedicine Expert Team. Success and Failure. Conclusions. ; Telemedicine in Extreme Conditions: Disasters, War, and Remote Sites -Introduction. Military Telemedicine. Civilian Casualties. Natural Disasters. Terrorism. Conclusions. ; Operational Use of U.S. Army Telemedicine Information Systems in Iraq and AfghanistanConsiderations for NATO Operations -Introduction. U.S. Army Theater Teleconsult Program. NATO Program Expansion. Experience with NATO Use of the System. Results. Lessons Learned/Summary. ; Telemedicine in Extreme Conditions Using a Low-Bandwidth Portable Satellite: The Amazon Swim Expedition -Introduction. Technology. Daily Virtual Rounds and Program Description. Health Report Card on the Expedition. Lessons Learned. Conclusions. ; Telehealth in Disaster Medicine and Humanitarian Assistance -Introduction. Emergency Management and Disaster Medicine Foundations. Applications of Telehealth in Disaster Medicine. Clinical Applications. Administrative Applications. Technical Considerations. Core Technical Infrastructure. Services. Applications. Challenges. Anatomy of an Idealized Telehealth System for Disaster Medical Applications. Conclusions. ; Interhospital Telemedicine Practices -Introduction. Emergency Medicine. Intensive Care Unit. Radiology. Conclusions. ; Prehospital TelemedicineDigital Ambulances -Introduction. ER Link Policies and Protocol. ER Link Study. ER Link Call Quality. Conclusions. ; Telemedicine for Trauma and Emergency Care Management -Introduction. The Case for Teletrauma in Disaster Response. Disparity in Trauma Care. Limited Information from the Rural Hospitals. Teletrauma Expectations. Technology. Current Teletrauma Programs. Prehospital Setting. Interhospital Teletrauma. Teletrauma Results. Sustainability of Teletrauma Programs. Communications for Supporting Medical Care in the Aftermath of Disasters. Disaster Access and Management. Conclusions. ; Telemedicine in Stroke -Introduction. Telestroke Systematic Review. Telestroke Technology and Services. Telestroke Hub-and-Spoke Model Characteristics. Telestroke Team Roles and Responsibilities. Telestroke Consultation. Telestroke Case. Telestroke Licensure and Credentialing. Telestroke Medical Liability. Telestroke Economic Issues. Telestroke State Network DevelopmentDescription of the Stroke Telemedicine for Arizona Rural Residents (STARR) Network: The Critical Steps. Telestroke Consultative Modes: Telemedicine Versus Telephone. Telestroke Evidence. Telestroke Networks. Telestroke and Beyond: Telemedicine in the Neurosciences. Conclusions. ; Telemedicine for Burns -Introduction. Modern Problems in Burn Treatment: The U.S. Experience. International Experience. Historical Use of Telemedicine for Burn Care. Potential Problems in the Development of Telemedicine for Burn Care. Other Uses of Telemedicine Technology in Burn Care. Current and Future Trends in Burn Telemedicine. Conclusions. ; Telemedicine in Orthopedics -Introduction. Outpatient Services for Orthopedic Conditions. Trauma and Emergency Services for Orthopedic Conditions. Telesurgery for Orthopedic Conditions. Telerehabilitation for Orthopedic Conditions. Challenges and Barriers. Conclusions. ; Telemedicine in Intensive Care Units -Introduction. Drivers for Telemedicine and the Tele-ICU. Lexicon. Process of Tele-ICU-Based Medical Care. The Decentralized Tele-ICU System. Provision of Care: Continuous, Preemptive, Scheduled, Reactive, or Consultative. Continuous Care Model. The Preemptive/Scheduled Care Model. The Reactive Tele-ICU Care Model. The Consultative Tele-ICU Care Model. Outcomes Literature Review. Elements Limiting Greater Adoption of the Tele-ICU. Litigation as a Limiter to Greater Adoption. Physician Resistance to Adoption. Corporate Penetration: As of 2010. Discussion. Conclusions. ; Informatics in Disaster, Terrorism, and War -Introduction. Informatics in Disaster Response. Informatics in Terrorism. Informatics in War. Future Challenges. Conclusions. ; Sociotechnical and Organizational Challenges to Wide E-Health Implementation -Introduction. E-Health and Telemedicine: Background. The Role of Different Countries. E-Health and Telemedicine: The Pros and Cons. E-Health and Telemedicine: Implementation. E-Health and Telemedicine: Standardization. E-Health and Telemedicine: Economical Aspects. E-Health and Telemedicine: Present and Future Clinical Applications. The Challenge. Conclusions. ; Educational Aspects of Telemedicine for Trauma, Critical Care, and Emergency Management -Introduction. The Role of Education in Trauma, Critical Care, and Emergency Management. Location. Provider Type. Technology. Need. Legal and Credentialing Issues. Types of Content That Can Be Distributed Through Tele-Education. Quality and Outcomes. Business Processes and Clinical Work Flow. Establishing a Telemedicine Program. Issues Specific to Each Discipline. Conclusions. ; Keeping Up with Industry Development in Telemedicine -Introduction. Growth of the Telemedicine Industry. Technology Infrastructure for Telemedicine, Especially Teletrauma. Integration and Management of Healthcare Records for the Telemedicine Environment. Dissemination of Healthcare Information. Development of Multitiered Strategic Services. Other Barriers to Telemedicine. Conclusions. ; List of Acronyms. Glossary. About the Editor. List of Contributors. Index ;
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Rifat Latifi
Rifat Latifi is a professor of clinical surgery, director of surgical critical care, and director of telemedicine at the University of Arizona, Health Sciences Center. He earned his M.D. at the University of Prishtina in Kosovo. He is a well-published author of peer-reviewed journal articles and is a coauthor and editor of several notable books in the field.