Nothing Special   »   [go: up one dir, main page]

Skip to main content

Telemedicine in the Practice of Emergency Medicine: Telemergency

  • Chapter
  • First Online:
Telemedicine

Part of the book series: Respiratory Medicine ((RM))

  • 608 Accesses

Abstract

Timely, quality care for life-threatening conditions is challenging in rural areas due to national shortages of trained emergency specialists. Telemergency is the practice of providing specialty emergency medicine consultations through telemedicine and was developed to improve access to quality emergency care for patients in rural areas. This chapter provides an overview of the history and practice of telemergency. The specific areas of medical care engaged with telemergency are explored as well as the nuances of such care including EMS utilization and disaster management. The different business models that have been employed in the successful practice of telemergency are also discussed. The future of telemergency will require additional research into the outcomes and logistics associated with telemedicine.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

eBook
USD 15.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 15.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Macy J Jr. The role of emergency medicine in the future of American medical care. Ann Emerg Med. 1995;25(2):230–3.

    Article  Google Scholar 

  2. Galli R, Keith JC, McKenzie K, Hall GS, Henderson K. TelEmergency: a novel system for delivering emergency care to rural hospitals. Ann Emerg Med. 2008;51(3):275–84.

    Article  Google Scholar 

  3. National Center for Health Statistics. FastStats: Emergency Department visits. Centers for Disease Control and Prevention. https://www.cdc.gov/nchs/fastats/emergency-department.htm

  4. van Dis J. Where we live: health care in rural vs urban America. JAMA. 2002;287(1):108.

    Article  Google Scholar 

  5. Carr BG, Branas CC, Metlay JP, Sullivan AF, Camargo CA Jr. Access to emergency care in the United States. Ann Emerg Med. 2009;54(2):261–9.

    Article  Google Scholar 

  6. Sullivan AF, Ginde AA, Espinola JA, Camargo CA Jr. Supply and demand of board-certified emergency physicians by U. S. State, 2005. Acad Emerg Med. 2009;16:1014–8.

    Article  Google Scholar 

  7. Groth H, House H, Overton R, Deroo E. Board-certified emergency physicians comprise a minority of the emergency department workforce in Iowa. West J Emerg Med. 2013;14:186–90.

    Article  Google Scholar 

  8. Peterson LE, Dodoo M, Bennett KJ, Bazemore A, Phillips RL Jr. Nonemergency medicine-trained physician coverage in rural emergency departments. J Rural Health. 2008;24(2):183–8.

    Article  Google Scholar 

  9. McNamara RM, Kelly JJ. Impact of an emergency medicine residency program on the quality of care in an urban community hospital emergency department. Ann Emerg Med. 1992;21(5):528–33.

    Article  CAS  Google Scholar 

  10. Jones JH, Weaver CS, Rusyniak DE, Brizendine EJ, McGrath RB. Impact of emergency medicine faculty and an airway protocol on airway management. Acad Emerg Med. 2002;9:1452–6.

    Article  Google Scholar 

  11. Sterling SA, Seals SR, Jones AE, King MH, Galli RL, Isom KC, et al. The impact of the TelEmergency program on rural emergency care: an implementation study. J Telemed Telecare. 2017;23:588–94.

    Article  Google Scholar 

  12. Weaver CS, Avery SJ, Brizendine EJ, McGrath RB. Impact of emergency medicine faculty on door to thrombolytic time. J Emerg Med. 2004;26(3):279–83.

    Article  Google Scholar 

  13. Duchesne JC, Kyle A, Simmons J, Islam S, Schmieg RE Jr, Olivier J, McSwain NE Jr. Impact of telemedicine upon rural trauma care. J Trauma. 2008;64:92–7.

    PubMed  Google Scholar 

  14. Summers RL, Henderson K, Isom KC, Galli RL. The anniversary of TelEmergency. J Miss State Med Assoc. 2013;54(12):340–1.

    PubMed  Google Scholar 

  15. Ward MM, Ullrich F, Mackinney AC, Bell AL, Shipp S, Mueller KJ. Tele-emergency utilization: in what clinical situations is tele-emergency activated? J Telemed Telecare. 2016;22:25–31.

    Article  Google Scholar 

  16. Henderson K. TelEmergency: distance emergency care in rural emergency departments using nurse practitioners. J Emerg Nurs. 2006;32(5):388–93.

    Article  Google Scholar 

  17. Zhai YK, Zhu WJ, Hou HL, Sun DX, Zhao J. Efficacy of telemedicine for thrombolytic therapy in acute ischemic stroke: a meta-analysis. J Telemed Telecare. 2015;21(3):123–30.

    Article  Google Scholar 

  18. Isom KC, Summers RL, Henderson K. Integration of Telestroke services into an established telemedicine system. International Stroke Conference. Stroke. 2014;45:AWP294.

    Google Scholar 

  19. Hsia R, Shen YC. Possible geographical barriers to trauma center access for vulnerable patients in the United States: an analysis of urban and rural communities. Arch Surg. 2011;146:46–52.

    Article  Google Scholar 

  20. Dharmar M, Romano PS, Kuppermann N, Nesbitt TS, Cole SL, Andrada ER, et al. Impact of critical care telemedicine consultations on children in rural emergency departments. Crit Care Med. 2013;41:2388–95.

    Article  Google Scholar 

  21. Henderson K, Woodward LH, Isom KC, Summers RL. Relative survivability of cardiopulmonary arrest in rural emergency departments utilizing telemedicine. J Rural Emerg Med. 2014;1(1):9–12.

    Google Scholar 

  22. Galli R. Innovation possibilities for prehospital providers. Prehosp Emerg Care. 2006;10(3):317–9.

    Article  Google Scholar 

  23. Newgard CD, Meier EN, Bulger EM, Buick J, Sheehan K, Lin S, et al. Revisiting the "Golden hour": an evaluation of out-of-hospital time in shock and traumatic brain injury. Ann Emerg Med. 2015;66(1):30–41.

    Article  Google Scholar 

  24. Kemp AM, Clark MS, Dobbs T, Galli R, Sherman J, Cox R. Top 10 facts you need to know about synthetic cannabinoids: not so nice spice. Am J Med. 2016;129(3):240–4.

    Article  CAS  Google Scholar 

  25. Carenzo L, Barra FL, Ingrassia PL, Colombo D, Costa A, Della Corte F. Disaster medicine through Google Glass. Eur J Emerg Med. 2015;22(3):222–5.

    Article  Google Scholar 

  26. Dharmar M, Kuppermann N, Romano PS, Yang NH, Nesbitt TS, Phan J, et al. Telemedicine consultations and medication errors in rural emergency departments. Pediatrics. 2013;132:1090–7.

    Article  Google Scholar 

  27. Sterling SA, Novotny NR, Puskarich MA, McKenzie LK, Summers RL, Jones AE. Consults in TelEmergency: a descriptive analysis. J Miss State Med Assoc. 2019;LX(3):111–4.

    Google Scholar 

  28. Bobb MR, Van Heukelom PG, Faine BA, Ahmed A, Messerly JT, Bell G, Mohr NM. Telemedicine provides non-inferior research informed consent for remote study enrollment: a randomized controlled trial. Acad Emerg Med. 2016;23(7):759–65.

    Article  Google Scholar 

  29. Welch BM, Marshall E, Qanungo S, Aziz A, Laken M, Lenert L, Obeid J. Teleconsent: a novel approach to obtain informed consent for research. Contemp Clinl Trials Commun. 2016;3:74–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Richard L. Summers .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Summers, R.L., Sterling, S.A., Block, D.K. (2021). Telemedicine in the Practice of Emergency Medicine: Telemergency. In: Ford, D.W., Valenta, S.R. (eds) Telemedicine. Respiratory Medicine. Humana, Cham. https://doi.org/10.1007/978-3-030-64050-7_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-64050-7_11

  • Published:

  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-030-64049-1

  • Online ISBN: 978-3-030-64050-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics