Tele-health

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Introduction

place holder for introduction to tele-health

Advanced

CAMDASS

The Computer Assisted Medical Diagnosis and Surgery System (CAMDASS)

"A new augmented reality unit developed by ESA can provide just-in-time medical expertise to astronauts. All they need to do is put on a head-mounted display for 3D guidance in diagnosing problems or even performing surgery." (ESAweb, 2012) [1]









Tele-intubation

In 2010, a Tele-Airway Management System was trialled in a Korean hospital emergency department with findings:

"We developed a telemedicine system for remote guidance of emergency airway management called the Tele-Airway Management System (TAMS). In a pilot study we examined the usefulness of the TAMS for intubations of actual patients in a hospital emergency department....The pilot study demonstrated the feasibility of the TAMS as an alternative to on-scene directed (OSD) group."[2]

Intermediate

"Skype is a free program which enables PC users to make video calls to other users with Internet access. We carried out a prospective review of all acromioclavicular joint hook plates for lateral-third clavicle fractures over a five-year period. Functional assessment with Oxford and Constant shoulder scores were carried out using Skype and compared to outpatient review using the Bland-Altman method. Of 36 patients (mean age 36 years), 33 had a computer with a video camera, all 33 had Internet access and 22 were already users of Skype. In total 29 patients were happy to take part in Skype assessment (83%). In comparison with outpatient review, there was a mean difference in the Oxford score of −0.48 (95% confidence interval −0.84, −0.12); the mean difference for the Constant score was −0.68 (95% confidence interval −1.08, −0.29). These differences were not clinically significant, confirming that Skype can be used as an alternative to goniometry in this clinical setting. A survey showed that 93% of 29 patients surveyed preferred the use of Skype for follow-up, mainly due to the convenience and cost-saving involved. The study demonstrates the potential for this new technique in providing patients with more options for follow-up."[3]

Emerging

place holder for advanced tele-health applications

other

place holder for other e-health applications

References

http://www.esa.int/health - ESA website providing an overview of health-related activities including telemedicine

  1. ESAweb, 2012, http://www.esa.int/esaCP/SEMHSTSXXXG_index_0.html
  2. Tele-intubation, 2010, online pre-print, Junho C., Hyun S. C., Minhong C., Sun K. Y. and Jungchae K., Journal of Tele-medicine and Tele-care, http://jtt.rsmjournals.com/content/17/1/49.short
  3. Skype: a tool for functional assessment in orthopaedic research, 2012, online pre-print, Good, D. W., Lui,D. F., Leonard, M., Morris, S., and McElwain, J. P. Journal of Telemedicine and Telecare, http://jtt.rsmjournals.com/content/early/2011/12/22/jtt.2011.110814.abstract?sid=373f9331-8802-4003-b1df-8f06c62efb6d