Potential and effectiveness of a telemedical rescue assistance system : Prospective observational study on implementation in emergency medicine.

This article presents a newly developed and evaluated total telemedical concept (TemRas) that encompasses organizational, medical and technical components. The use of intelligent and robust communication technology and the implementation of this add-on system allows the telemedical support of the rescue service for all emergencies. METHODS: After development of the telemedical rescue assistance system, which includes organizational, medical and technical components, a telemedical centre and six ambulances in five different districts in North-Rhine Westphalia were equipped with this new tool. During the evaluation phase of 1 year in the routine emergency medical service the rate of complications as well as differences between urban and rural areas were analyzed with respect to different target parameters. RESULTS: Between August 2012 and July 2013 a total of 401 teleconsultations were performed during emergency missions and 24 during secondary interhospital transfers. No complications due to teleconsultation were observed. The mean duration (±SD) of teleconsultations was longer in rural areas than in urban areas with 28.6±12.0 min vs. 25.5±11.1 min (p 
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research

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Publication date: Available online 14 November 2019Source: Surgery (Oxford)Author(s): Robert Crooks, Christopher JohnsonAbstractThe wide spectrum of neurological disorders and their effects on the function of the central and peripheral nervous system can cause an extensive array of symptoms and significant morbidity and mortality. This morbidity and mortality is often amplified in the perioperative period with an elevated risk of anaesthetic complications and adverse events. However, the number of patients with neurological disease requiring surgery is unlikely to diminish, and therefore this anaesthetic risk needs to be m...
Source: Surgery (Oxford) - Category: Surgery Source Type: research
I don't have much of an ego when it comes to these things but lately i've noticed more and more patients thinking anesthesiologists are not doctors. Comments like oh hes not the doctor hes just anesthesiologist. I'm sure they just mean he's not the surgeon but im beginning to wonder has the CRNAs brainwashing actually worked. Their plan has worked now I have to introduce myself as physician anesthesiologist...
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
When surgeons cut their prescribing of opioids for pain by more than 50%, their patient-satisfaction scores didn't suffer, a small U.S. study found.Reuters Health Information
Source: Medscape General Surgery Headlines - Category: Surgery Tags: Anesthesiology News Source Type: news
Publication date: Available online 14 November 2019Source: Journal of Vascular and Interventional RadiologyAuthor(s): Osman Ahmed, Ye Joon Kim, Mikin V. Patel, Thomas G. Tullius, Rakesh Navuluri, Brian Funaki, Thuong Van HaAbstractPurposeTo investigate differences in procedure time, radiation exposure, and periprocedural complications associated with advanced inferior vena cava (IVC) filter retrieval compared with standard snare retrieval.Materials and MethodsA total of 378 patients underwent standard or advanced IVC filter retrieval over a 5-year period. Technical success, retrieval techniques, fluoroscopy time, radiation...
Source: Journal of Vascular and Interventional Radiology - Category: Radiology Source Type: research
ConclusionsThe number of sites cleaned overall did not differ between the conventional and redesigned Perseus A500 machines. However, the redesigned work surface and smooth manual bag arm features improved resident cleaning with surface disinfection wipes.
Source: American Journal of Infection Control - Category: Infectious Diseases Source Type: research
Conclusions68% of all the patients obtained good pain tolerance through anal anesthetic block, females manifested better pain tolerance than males, in non-complicated anorectal pathology local block ha shown to be safe and reproductible for the treatment of benign anorectal pathology in the Guatemalan Institute for Social Security.ResumoIntroduçãoO uso de bloqueio anestésico regional aumentou ao mesmo tempo em que diminuiu o uso do anestésico espinhal nesse campo específico da atividade cirúrgica. Na última década, a cirurgia ambulatorial e o anestésico local a...
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research
Butterfly Network, the digital health unicorn democratizing medical imaging, is continuing to add new applications for its handheld, single probe, smartphone-connected ultrasound technology. The Butterfly iQ, the multi-purpose pocket-sized ultrasound...
Source: Medgadget - Category: Medical Devices Authors: Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Exclusive News Ob/Gyn Pediatrics Radiology Surgery Urology Vascular Surgery Source Type: blogs
ConclusionsLocal anesthesia in otosclerosis surgery did not increase stress or postoperative symptoms compared to general anesthesia. Audiometric results were not affected by type of anesthesia.
Source: European Annals of Otorhinolaryngology, Head and Neck Diseases - Category: ENT & OMF Source Type: research
Conclusions: The inhibition of GRK2 by adenoviral βARKct cardiac gene transfer can ameliorate postresuscitation myocardial injury through beneficial effects on restoring the sarcoplasmic reticulum Ca2+-handling proteins expression and upregulating the β1-adrenergic receptor level after cardiac arrest.
Source: Shock - Category: Emergency Medicine Tags: Basic Science Aspects Source Type: research
Publication date: Available online 14 November 2019Source: Pharmacological ResearchAuthor(s): Thomas Datzmann, Andrea Hoffmann, Oscar McCook, Tamara Merz, Ulrich Wachter, Jonathan Preuss, Sabine Vettorazzi, Enrico Calzia, Michael Gröger, Fabian Kohn, Andreas Schmid, Nicole Denoix, Peter Radermacher, Martin WeplerAbstractControversial data are available on hydrogen sulfide (H2S) during hemorrhage and resuscitation, depending on timing, dosing, mode of application, and the H2S donor used. Sodium thiosulfate (Na2S2O3) is a recognized drug devoid of major side effects, which attenuated murine acute lung injury and cerebra...
Source: Pharmacological Research - Category: Drugs & Pharmacology Source Type: research
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