Flexible Bedside Monitoring and Assisted Consultation in Rural Emergency Departments
نویسندگان
چکیده
Because of limited resources in the delivery of emergency medicine, telemedicine has rapidly developed. Telemedicine can allow physicians in receiving facilities to assess patients prior to medical transport and to compose transport teams to handle necessary interventions for acute medical conditions, such as stroke or myocardial infarction. In addition, telemedicine can allow patients to stay in community facilities during evaluation by medical specialists. In a study by Armstrong, 70 patients out of 120 (58%) who would have been sent out for referral stayed in the community hospital as a result of telemedicine; in another study, 53% of emergency department (ED) alternative staffing arrangements in rural facilities. For example, an emergency medicine pilot program at Kirby Hospital in Monticello, Ill., allowed physician assistants (PAs) and nurse practitioners (NPs) to conduct the initial assessment of patients in the community and call a distant emergency department physician for consultation on complex cases. The program reported cost savings of $178,000 for its successful use of PAs in the place of traditional emergency medicine physicians, who are difficult to recruit in isolated rural areas.
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