The Role of Telemedicine in Prehospital Traumatic Hand Injury Evaluation

Unnecessary ED visits and transfers to hand clinics raise treatment costs and patient burden at trauma centers. In the present COVID-19 pandemic, needless transfers can increase patients’ risk of viral exposure. Therefore, this review analyzes different aspects of the remote diagnosis and triage of...

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Main Authors: Francisco R. Avila, Rickey E. Carter, Christopher J. McLeod, Charles J. Bruce, Gunel Guliyeva, Ricardo A. Torres-Guzman, Karla C. Maita, Olivia A. Ho, Sarvam P. TerKonda, Antonio J. Forte
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/6/1165
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author Francisco R. Avila
Rickey E. Carter
Christopher J. McLeod
Charles J. Bruce
Gunel Guliyeva
Ricardo A. Torres-Guzman
Karla C. Maita
Olivia A. Ho
Sarvam P. TerKonda
Antonio J. Forte
author_facet Francisco R. Avila
Rickey E. Carter
Christopher J. McLeod
Charles J. Bruce
Gunel Guliyeva
Ricardo A. Torres-Guzman
Karla C. Maita
Olivia A. Ho
Sarvam P. TerKonda
Antonio J. Forte
author_sort Francisco R. Avila
collection DOAJ
description Unnecessary ED visits and transfers to hand clinics raise treatment costs and patient burden at trauma centers. In the present COVID-19 pandemic, needless transfers can increase patients’ risk of viral exposure. Therefore, this review analyzes different aspects of the remote diagnosis and triage of traumatic hand injuries. The most common file was photography, with the most common devices being cell phone cameras. Treatment, triage, diagnosis, cost, and time outcomes were assessed, showing concordance between teleconsultation and face-to-face patient evaluations. We conclude that photography and video consultations are feasible surrogates for ED visits in patients with traumatic hand injuries. These technologies should be leveraged to decrease treatment costs and potentially decrease the time to definitive treatment after initial evaluation.
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spelling doaj.art-f74ddfdff1cd4c2189b9b7a749fe14352023-11-17T10:35:15ZengMDPI AGDiagnostics2075-44182023-03-01136116510.3390/diagnostics13061165The Role of Telemedicine in Prehospital Traumatic Hand Injury EvaluationFrancisco R. Avila0Rickey E. Carter1Christopher J. McLeod2Charles J. Bruce3Gunel Guliyeva4Ricardo A. Torres-Guzman5Karla C. Maita6Olivia A. Ho7Sarvam P. TerKonda8Antonio J. Forte9Division of Plastic Surgery, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224, USADepartment of Quantitative Health Sciences, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224, USADepartment of Cardiovascular Medicine, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224, USADepartment of Cardiovascular Medicine, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224, USADepartment of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USADivision of Plastic Surgery, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224, USADivision of Plastic Surgery, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224, USADivision of Plastic Surgery, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224, USADivision of Plastic Surgery, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224, USADivision of Plastic Surgery, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224, USAUnnecessary ED visits and transfers to hand clinics raise treatment costs and patient burden at trauma centers. In the present COVID-19 pandemic, needless transfers can increase patients’ risk of viral exposure. Therefore, this review analyzes different aspects of the remote diagnosis and triage of traumatic hand injuries. The most common file was photography, with the most common devices being cell phone cameras. Treatment, triage, diagnosis, cost, and time outcomes were assessed, showing concordance between teleconsultation and face-to-face patient evaluations. We conclude that photography and video consultations are feasible surrogates for ED visits in patients with traumatic hand injuries. These technologies should be leveraged to decrease treatment costs and potentially decrease the time to definitive treatment after initial evaluation.https://www.mdpi.com/2075-4418/13/6/1165hand injuryfinger injurywounds and injuriestrauma centersmHealtheHealth
spellingShingle Francisco R. Avila
Rickey E. Carter
Christopher J. McLeod
Charles J. Bruce
Gunel Guliyeva
Ricardo A. Torres-Guzman
Karla C. Maita
Olivia A. Ho
Sarvam P. TerKonda
Antonio J. Forte
The Role of Telemedicine in Prehospital Traumatic Hand Injury Evaluation
Diagnostics
hand injury
finger injury
wounds and injuries
trauma centers
mHealth
eHealth
title The Role of Telemedicine in Prehospital Traumatic Hand Injury Evaluation
title_full The Role of Telemedicine in Prehospital Traumatic Hand Injury Evaluation
title_fullStr The Role of Telemedicine in Prehospital Traumatic Hand Injury Evaluation
title_full_unstemmed The Role of Telemedicine in Prehospital Traumatic Hand Injury Evaluation
title_short The Role of Telemedicine in Prehospital Traumatic Hand Injury Evaluation
title_sort role of telemedicine in prehospital traumatic hand injury evaluation
topic hand injury
finger injury
wounds and injuries
trauma centers
mHealth
eHealth
url https://www.mdpi.com/2075-4418/13/6/1165
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