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Providing Remote Aid During a Humanitarian Crisis.
Kaplan, Lewis J; Levin, Scott; Yelon, Jay; Cannon, Jeremy M; Mehta, Samir; Reilly, Patrick M; Kovach, Stephen J; Donegan, Derek J; Claycomb, Kierstyn; Savchenko-Fullerton, Maisie; Filonenko, Evhen; Maiko, Vyacheslav; Kuzmov, Roman; Radega, Yaroslav; Pashinskiy, Viktor; Demyan, Yuriy Yurievich; Plesha, Petro; Demyan, Yuriy; Vinnytskiy, Dmytro; Gaulton, Glen N; Brennan, Patrick J.
Afiliação
  • Kaplan LJ; Division of Trauma, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • Levin S; Department of Orthopedics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • Yelon J; Division of Trauma, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • Cannon JM; Division of Trauma, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • Mehta S; Department of Orthopedics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • Reilly PM; Division of Trauma, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • Kovach SJ; Division of Plastic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • Donegan DJ; Department of Orthopedics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • Claycomb K; Penn Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • Savchenko-Fullerton M; Rapid Aid Liaison Group, Barvy, Ivano-Frankivsk, Ukraine.
  • Filonenko E; Department of Orthopedics, Vinnytsia Regional Pirogov Clinical Hospital, Vinnytsia, Ukraine.
  • Maiko V; Department of Orthopedics, Vinnytsia Regional Pirogov Clinical Hospital, Vinnytsia, Ukraine.
  • Kuzmov R; Department of Orthopedics, Vinnytsia Regional Pirogov Clinical Hospital, Vinnytsia, Ukraine.
  • Radega Y; Department of Orthopedics, Vinnytsia Regional Pirogov Clinical Hospital, Vinnytsia, Ukraine.
  • Pashinskiy V; Department of Orthopedics, Vinnytsia Regional Pirogov Clinical Hospital, Vinnytsia, Ukraine.
  • Demyan YY; Department of Orthopedics, Zakarpattia Oblast Children's Hospital, Mukachevo, Ukraine.
  • Plesha P; Department of Orthopedics, Zakarpattia Oblast Children's Hospital, Mukachevo, Ukraine.
  • Demyan Y; Department of Orthopedics, Zakarpattia Oblast Children's Hospital, Mukachevo, Ukraine.
  • Vinnytskiy D; Department of Orthopedics, Zakarpattia Oblast Children's Hospital, Mukachevo, Ukraine.
  • Gaulton GN; Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • Brennan PJ; Department of Internal Medicine, Division of Infectious Disease, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Crit Care Explor ; 5(11): e0992, 2023 Nov.
Article em En | MEDLINE | ID: mdl-38304707
ABSTRACT
Humanitarian crises create opportunities for both in-person and remote aid. Durable, complex, and team-based care may leverage a telemedicine approach for comprehensive support within a conflict zone. Barriers and enablers are detailed, as is the need for mission expansion due to initial program success. Adapting a telemedicine program initially designed for critical care during the severe acute respiratory syndrome coronavirus 2 pandemic offers a solution to data transfer and data analysis issues. Staffing efforts and grouped elements of patient care detail the kinds of remote aid that are achievable. A multiprofessional team-based approach (clinical, administrative, nongovernmental organization, government) can provide comprehensive consultation addressing surgical planning, critical care management, infection and infection control management, and patient transfer for complex care. Operational and network security create parallel concerns relevant to avoid geolocation and network intrusion during consultation. Deliberate approaches to address cultural differences that influence relational dynamics are also essential for mission success.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Crit Care Explor Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Panamá País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Crit Care Explor Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Panamá País de publicação: Estados Unidos