Volume 12 Supplement 2

28th International Symposium on Intensive Care and Emergency Medicine

Open Access

Effect of telemedicine for a prehospital suburban emergency medical service

  • KH Lee1,
  • YK Kim1,
  • SO Hwang1 and
  • H Kim1
Critical Care200812(Suppl 2):P341

https://doi.org/10.1186/cc6562

Published: 13 March 2008

Introduction

The telemedicine system from ambulance to hospital is not popular in emergency medical service (EMS) systems in the world. In this study we investigated the effect of telemedicine from ambulance to hospital in a suburban EMS.

Methods

From June 2007 to October 2007, 2,934 patients enrolled in our study. The emergency patient information from the ambulance was transferred to the emergency medical information center and emergency center by the code-division multiple access (CDMA) transfer system. In the emergency medical information center, the patient data were stored and analyzed. The transferred data were the patient's ECG, blood pressure, respiration rate, pulse oxymetry, and body temperature. We analyzed the effect of the using the telemedicine system in our suburban EMS.

Results

Of the 2,934 patients, 351 patients (12%) used the telemedicine system from ambulance to hospital (group 1). The other 2,583 patients (88%) did not use the telemedicine system (group 2). The rate of medical control was increased in group 1 (100%) compared with group 2 (0%). The severity of patients was more increased in group 1 than group 2. The time to treatment in prehospital was longer in group 2 (6.3 ± 5.3 min) than group 1 (5.6 ± 4.7 min). The transfer time was longer in group 1 (21 ± 10.4 min) than group 2 (15.7 ± 8.9 min). The rate of using the telemedicine was increased in paramedics (24.6%) compared with EMT-intermediate (9.6%) or EMT-basic (4.0%).

Conclusion

Our telemedicine system from ambulance to hospital is the effective system for medical control and prehospital care in a suburban EMS.

Authors’ Affiliations

(1)
Wonju College of Medicine

References

  1. Galli R, Keith J, McKenzie K, et al.: TelEmergency: a novel system for delivering emergency care to rural hospitals. Ann Emerg Med 2007, in press.Google Scholar
  2. Gutierrez G: Medicare, the internet, and the future of telemedicine. Crit Care Med 2001,29(8 Suppl):N144-N150. 10.1097/00003246-200108001-00002PubMedView ArticleGoogle Scholar

Copyright

© BioMed Central Ltd 2008

This article is published under license to BioMed Central Ltd.

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