M-Health in Prehospital Emergency Medicine

Author(s):  
Bibiana Metelmann ◽  
Camilla Metelmann

Prehospital emergency medicine strives to treat (potentially) life-threatening conditions as early as possible and thus reduce preventable disabilities and deaths. MHealth enables the transfer of knowledge to the emergency site. The purpose of this chapter is to display different approaches. Knowledge can be brought to the emergency site e.g. by smart phone applications allowing retrieval of data or by real-time communication with a remote medical expert. High definition video communication in real time offers the highest amount of mHealth communication currently available in prehospital emergency medicine. Projects, using such a video communication are discussed. In the European Union funded project LiveCity a special video camera was developed and tested. After having encountered simulated emergency scenarios, emergency doctors and paramedics rated the video connection as helpful, an improvement of the quality of patient care and could imagine working with such a video consultation. MHealth has huge potential for the application in prehospital emergency medicine.

2020 ◽  
pp. 843-858
Author(s):  
Bibiana Metelmann ◽  
Camilla Metelmann

Prehospital emergency medicine strives to treat (potentially) life-threatening conditions as early as possible and thus reduce preventable disabilities and deaths. MHealth enables the transfer of knowledge to the emergency site. The purpose of this chapter is to display different approaches. Knowledge can be brought to the emergency site e.g. by smart phone applications allowing retrieval of data or by real-time communication with a remote medical expert. High definition video communication in real time offers the highest amount of mHealth communication currently available in prehospital emergency medicine. Projects, using such a video communication are discussed. In the European Union funded project LiveCity a special video camera was developed and tested. After having encountered simulated emergency scenarios, emergency doctors and paramedics rated the video connection as helpful, an improvement of the quality of patient care and could imagine working with such a video consultation. MHealth has huge potential for the application in prehospital emergency medicine.


Author(s):  
Camilla Metelmann ◽  
Bibiana Metelmann

Prehospital emergency medicine treats time-critical diseases and conditions and aims to reduce morbidity and mortality. The progression of emergency medicine is an important topic for governments worldwide. A problem occurs when paramedics need assistance at the emergency site by emergency doctors, who cannot be present. Video-communication in real-time from the emergency site to an emergency doctor offers an opportunity to enhance the quality of emergency medicine. The core piece of this study is a video camera system called “LiveCity camera,” enabling real-time high quality video connection of paramedics and emergency doctors. The impact of video communication on emergency medicine is clearly appreciated among providers, based upon the extent of agreement that has been stated in this study's questionnaire by doctors and paramedics. This study was part of the FP7-European Union funded research project “LiveCity” (Grant Agreement No. 297291).


Author(s):  
Camilla Metelmann ◽  
Bibiana Metelmann

Prehospital emergency medicine treats time-critical diseases and conditions and aims to reduce morbidity and mortality. The progression of emergency medicine is an important topic for governments worldwide. A problem occurs when paramedics need assistance at the emergency site by emergency doctors, who cannot be present. Video-communication in real-time from the emergency site to an emergency doctor offers an opportunity to enhance the quality of emergency medicine. The core piece of this study is a video camera system called “LiveCity camera,” enabling real-time high quality video connection of paramedics and emergency doctors. The impact of video communication on emergency medicine is clearly appreciated among providers, based upon the extent of agreement that has been stated in this study's questionnaire by doctors and paramedics. This study was part of the FP7-European Union funded research project “LiveCity” (Grant Agreement No. 297291).


2017 ◽  
Vol 6 (4) ◽  
pp. 27-36 ◽  
Author(s):  
Camilla Metelmann ◽  
Bibiana Metelmann

Patient safety is an integral part of medicine and efforts are made to further increase it. However, some areas of medicine are prone to limitations in patient safety; prehospital emergency medicine being one of them. Prehospital emergency medicine treats acute illnesses or life-threatening conditions, therefore affecting the entire population and having huge socioeconomic impact. Some of the factors threatening patient safety are inevitable. Emergencies are by definition time-critical, thus, requiring fast decision making and start of therapy. M-Health offers an opportunity to support this decision making. In this project, funded by the European Union, a mobile high-definition video-connection in real-time was used, to support emergency personnel at the emergency site by a remote expert. This video-communication could balance some factors threatening patient safety, which occur in prehospital emergency medicine.


2014 ◽  
Vol 10 (3) ◽  
pp. 47-65 ◽  
Author(s):  
Camilla Metelmann ◽  
Bibiana Metelmann ◽  
Michael Wendt ◽  
Konrad Meissner ◽  
Martin von der Heyden

The goal of emergency medicine is to treat time-critical diseases and conditions to reduce morbidity and mortality. The improvement of emergency medicine is an important topic for governments worldwide. A common problem is the inevitable lack of support by emergency doctors, when paramedics need their assistance at the emergency site but are without an emergency doctor. Video-communication in real time from the emergency site to an emergency doctor, offers an opportunity to enhance the quality of emergency medicine. The core piece of this study is a video camera system called “LiveCity camera”, enabling real-time high quality video connection of paramedics and emergency doctors. The impact of video communication on emergency medicine is clearly appreciated among providers, based upon the extent of agreement that has been stated in this study´s questionnaire by doctors and paramedics. This study is part of the FP7-European Union funded research project “LiveCity” (Grant Agreement No. 297291).


2016 ◽  
pp. 674-692
Author(s):  
Camilla Metelmann ◽  
Bibiana Metelmann ◽  
Michael Wendt ◽  
Konrad Meissner ◽  
Martin von der Heyden

The goal of emergency medicine is to treat time-critical diseases and conditions to reduce morbidity and mortality. The improvement of emergency medicine is an important topic for governments worldwide. A common problem is the inevitable lack of support by emergency doctors, when paramedics need their assistance at the emergency site but are without an emergency doctor. Video-communication in real time from the emergency site to an emergency doctor, offers an opportunity to enhance the quality of emergency medicine. The core piece of this study is a video camera system called “LiveCity camera”, enabling real-time high quality video connection of paramedics and emergency doctors. The impact of video communication on emergency medicine is clearly appreciated among providers, based upon the extent of agreement that has been stated in this study´s questionnaire by doctors and paramedics. This study is part of the FP7-European Union funded research project “LiveCity” (Grant Agreement No. 297291).


Resuscitation ◽  
2010 ◽  
Vol 81 (11) ◽  
pp. 1516-1520 ◽  
Author(s):  
Hichem Chenaitia ◽  
Valéry Soulleihet ◽  
Horace Massa ◽  
Jacques Bessereau ◽  
Jeremy Bourenne ◽  
...  

2020 ◽  
Author(s):  
Katsuhiko Naruse ◽  
Tomoya Yamashita ◽  
Yukari Onishi ◽  
Yuhi Niitaka ◽  
Fumikage Uchida ◽  
...  

BACKGROUND A cardiotocogram (CTG) is a device used to perceive the status of a fetus in utero in real time. There are a few reports of its use at home or during emergency transport. OBJECTIVE The aim of this study was to test whether CTG and other perinatal information can be transmitted accurately using an experimental station with a 5G transmission system. METHODS In the research institute, real-time fetal heart rate waveform data from the CTG device, high-definition video ultrasound images of the fetus, and high-definition video taken with a video camera on a single line were transmitted by 5G radio waves from the transmitting station to the receiving station. RESULTS All data were proven to be transmitted with a minimum delay of less than 1 second. The CTG waveform image quality was not inferior, and there was no interruption in transmission. Images of the transmitted ultrasound examination and video movie were fine and smooth. CONCLUSIONS CTG and other information about the fetuses and pregnant women were successfully transmitted by a 5G system. This finding will lead to prompt and accurate medical treatment and improve the prognosis of newborns.


10.2196/19744 ◽  
2020 ◽  
Vol 8 (9) ◽  
pp. e19744
Author(s):  
Katsuhiko Naruse ◽  
Tomoya Yamashita ◽  
Yukari Onishi ◽  
Yuhi Niitaka ◽  
Fumikage Uchida ◽  
...  

Background A cardiotocogram (CTG) is a device used to perceive the status of a fetus in utero in real time. There are a few reports of its use at home or during emergency transport. Objective The aim of this study was to test whether CTG and other perinatal information can be transmitted accurately using an experimental station with a 5G transmission system. Methods In the research institute, real-time fetal heart rate waveform data from the CTG device, high-definition video ultrasound images of the fetus, and high-definition video taken with a video camera on a single line were transmitted by 5G radio waves from the transmitting station to the receiving station. Results All data were proven to be transmitted with a minimum delay of less than 1 second. The CTG waveform image quality was not inferior, and there was no interruption in transmission. Images of the transmitted ultrasound examination and video movie were fine and smooth. Conclusions CTG and other information about the fetuses and pregnant women were successfully transmitted by a 5G system. This finding will lead to prompt and accurate medical treatment and improve the prognosis of newborns.


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