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Emergencies

Heart attack, stroke, trauma, gastro-duodenal bleeding, metabolic coma, burns, gut-bowel obstruction, high fever attack, thermal injuries, anaphylactic shock , asthma and breathing acute failure, pregnancy complications, poisoning, insect stings, medical injuries and other, may be common situations on the island requiring urgent specialist consult, that is: diagnosis, rapid “decision making” and care, clinical conditions monitoring, correct and safe transfer to the reference hospital avoiding any kind of abuse.

The best way to prevent and “treat” acute complications and emergencies is to perform a continuous monitoring and screening of  resident people with at risk diseases by means of frequent  teleconsult with specialists . Heart attacks, trauma, strokes, shock, bleeding are the most common emergencies over the last past years; a better use of protocols and algorithms in their  treatment  is perhaps needed: good references can be found on the Web (see First Aid, Emergencies, EMS sites) searching for specific key words on Google. When dealing with emergencies (on the field, at the ambulatory room, during the patient’s transportation) you should focus your attention on the rapid “decision making. The  use of telecommunications support  must be done with common sense and on the basis of your personal medical culture and level: telemedicine can be of great help on the field by means of new mobile telephones (GSM, GPRS, UTTS, Palmar cellular phone etc). When treating emergencies at the ambulatory room (Telemedicine Station) you can use the videoconference system as well as the ordinary telephone lines and Emails ( pictures can be sent by attachment);this use, however, must not be an obstacle for your daily medical practice with the patient.

Telemedicine can help you arrange the transportation. You and your personnel (nurses, technicians) should be taught how to use  the Telemedicine Station during emergencies (tele-training, simulations): a successful outcome in these cases depends mostly on the routinely  and “elective” use of the Telemedicine Station . Great importance will have the relationship with Reference Centers and Consultants. The Telemedicine Station can be useful also in the treatment of minor urgent cases, such as injuries, and diseases, dermatology, ophthalmology, odontostomatology, proctology, “medical injuries (drugs)” and other specialist diseases; the balance cost/benefit  should be always considered. People and healthcare operators’ reaction to disaster medicine and mass casualties should be planned as well (see also TIMTEM website index). The importance of health education and information (in emergency situations above all) should be stressed organising seminars and training sessions at schools in remote areas. Unfortunately, all these results have not so far be achieved ; we are working  on the publication of a “First Aid Handbook” devoted to Telemedicine in remote areas, which may be supported by a Telematic Course (TIMTEM Italian Team). Basic Life Supports Courses, BTLS, ATLS for Physicians, Nurses, Technicians, Students, common people are warmly suggested (with Teletraining as well).

Special Websites- 

 

First Aid

 NAVY (www.vnb.org/Standard_FirstAid/toc.html)

 Medicinet (www.medicinet.com

http://pages.prodigy.net/kansaspatemps/kptbookmarkcurrent.htm

 

 -Course on-line

Pain website
http://www.pain.com/

 

-Common Emergencies

http://www.ncemi.org/cse/contents.htm

http://www.medicinenet.com/Script/Main/Art.asp?li=MNI&ArticleKey=224

 

-Special for islands


Marine envenomations

http://www.ncemi.org/cse/cse1022.htm

 Insect Stings
http://www.focusonallergies.com/script/main/art.asp?articlekey=227&rd=1

 

 

Webmaster: V. Paliktzoglou

  
               

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