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Feasibility of AmbulanCe-Based Telemedicine (FACT) Study: Safety, Feasibility and Reliability of Third Generation Ambulance Telemedicine Vrije Universiteit Brussel

Laetitia Yperzeele, Robbert-Jan Roderick Van Hooff, Alexis Valenzuela Espinoza, Rita Van Dyck, Rohny Van De Casseye, Raf Brouns
Background: Telemedicine is currently mainly applied as an in-hospital service, but this technology also holds potential to improve emergency care in the prehospital arena. We report on the safety, feasibility and reliability of in-ambulance teleconsultation using a telemedicine system of the third generation.

Methods: A routine ambulance was equipped with a system for real-time bidirectional audio-video communication, automated ...

Time Gain Needed for In-Ambulance Telemedicine Vrije Universiteit Brussel

Alexis Valenzuela Espinoza, Stefanie Devos, Robbert-Jan Roderick Van Hooff, Maaike Fobelets, Alain Dupont, Ives Hubloue, Pieter Cornu, Raf Brouns, Koen Putman

BACKGROUND: Stroke is a very time-sensitive pathology, and many new solutions target the optimization of prehospital stroke care to improve the stroke management process. In-ambulance telemedicine, defined by live bidirectional audio-video between a patient and a neurologist in a moving ambulance and the automated transfer of vital parameters, is a promising new approach to speed up and improve the quality of acute stroke care. Currently, no ...

Opinions and Beliefs About Telemedicine for Emergency Treatment During Ambulance Transportation and for Chronic Care at Home Vrije Universiteit Brussel

Alexis Valenzuela Espinoza, Kaat Guldolf, Fenne Vandervorst, Robbert-Jan Roderick Van Hooff, Helio Eduardo Fernandez Tellez, Sara Desmaele, Melissa Cambron, Raf Brouns

BACKGROUND: Telemedicine is a valid alternative to face-to-face patient care in many areas. However, the opinion of all stakeholders is decisive for successful adoption of this technique, especially as telemedicine expands into novel domains such as emergency teleconsultations during ambulance transportation and chronic care at home.

OBJECTIVE: We evaluate the viewpoints of the broad public, patients, and professional caregivers in ...

Experience with low-cost telemedicine in three different settings. Recommendations based on a proposed framework for network performance evaluation Instituut voor Tropische Geneeskunde

R. Wootton, A Vladzymyrskyy, Maria Zolfo, L. Bonnardot
BACKGROUND: Telemedicine has been used for many years to support doctors in the developing world. Several networks provide services in different settings and in different ways. However, to draw conclusions about which telemedicine networks are successful requires a method of evaluating them. No general consensus or validated framework exists for this purpose. OBJECTIVE: To define a basic method of performance measurement that can be used to ...

Incorporating telemedicine into the integrated care of the COPD patient a summary of an interdisciplinary workshop held in Stresa, Italy, 7-8 September 2017 Universiteit Hasselt

Claudio F. Donner, Jonathan Raskin, Richard ZuWallack, Linda Nici, Nicolino Ambrosino, Bruno Balbi, Felicity Blackstock, Richard Casaburi, Michael Dreher, Tanja Effing, et al.
This report is a summary of a workshop focusing on using telemedicine to facilitate the integrated care of chronic obstructive pulmonary disease (COPD). Twenty-five invited participants from 8 countries met for one and one-half days in Stresa, Italy on 7-8 September 2017, to discuss this topic. Participants included physiotherapists, nurses, a nurse practitioner, and physicians. While evidence-based data are always at the center of sound ...

Comparative performance of seven long-running telemedicine networks delivering humanitarian services Instituut voor Tropische Geneeskunde

R. Wootton, A. Geissbuhler, K. Jethwani, C. Kovarik, D.A. Person, A Vladzymyrskyy, P. Zanaboni, Maria Zolfo
Seven long-running telemedicine networks were surveyed. The networks provided humanitarian services (clinical and educational) in developing countries, and had been in operation for periods of 5-15 years. The number of experts serving each network ranged from 15 to 513. The smallest network had a total of 10 requesters and the largest one had more than 500 requesters. The networks operated in nearly 60 countries. The seven networks managed a ...

A telemedicine service for HIV/AIDS physicians working in developing countries Instituut voor Tropische Geneeskunde

Maria Zolfo, MH Bateganya, IM Adetifa, Robert Colebunders, Lut Lynen
In 2003, the Institute of Tropical Medicine (ITM) in Antwerp set up an Internet-based decision support service to assist health-care workers in the management of difficult HIV/AIDS cases. This service is available to physicians working in resource-limited settings. Between April 2003 and December 2009, the telemedicine service received 1058 queries, from more than 40 countries, mostly resource-constrained. In the first six years there were 952 ...

Unassisted assessment of stroke severity using telemedicine Vrije Universiteit Brussel Universiteit Antwerpen

Robbert-Jan Roderick Van Hooff, Maarten Moens, Peter Marien, Philippe Paquier, Raf Brouns

BACKGROUND AND PURPOSE: Quantification of stroke severity through telemedicine consultation is challenging and relies on professional support at the patient's bedside. We aimed to develop a novel scale for assessing stroke severity through telemedicine without assistance from a third party (Unassisted TeleStroke Scale [UTSS]).

METHODS: Stroke severity was assessed in 45 patients with suspicion of acute stroke by bedside examination ...