A Prospective Pilot Study of the Use of Telemedicine During Pediatric Transport: A High-Quality, Low-Cost Alternative to Conventional Telemedicine Systems

Pediatric Emergency Care
Shetal PatelNicholas Slamon

Abstract

Few trials address the use of telemedicine during pediatric transport. We believe that video conferencing has equivalent quality, connectivity, and ease of operation, can be done economically, and will improve evaluation. Prospective randomized pilot study was used to examine video versus cellular communication between the medical command officer (MCO) and pediatric transport team (TT) for children with moderate to severe illness undergoing interhospital transport. Twenty-five patients were randomized to cellular communication, and 25 patients were randomized to video. The MCO completed a Likert scale to evaluate connection, quality, and ease of operation. Call durations were recorded. A Likert scale to evaluate the communication mode on patient care was completed. Connection and audio quality were equivalent and there were no dropped calls. Average call duration in the phone group was 186 versus 139 seconds in the video group (P = 0.055). The MCO survey results were the following: 100% found video intuitive, 92% felt that disposition based on phone report was difficult, 80% felt that video provided better understanding of patient condition, 70% felt that video assisted disposition, and 80% believe that video should be used for...Continue Reading

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Citations

Feb 3, 2018·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Tanya HoltIvar Mendez
Mar 6, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Nisha AgasthyaNicholas Slamon
Jul 19, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Justin Robison, Nicholas B Slamon
Oct 1, 2021·Journal of Telemedicine and Telecare·Aditi MitraPrashant Mahajan
Nov 11, 2020·Pediatric Emergency Care·Tehnaz P BoyleJames A Feldman

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