The Video-Consulting Emergency protocol: a proposition from the World Society of Emergency Surgery members for the initial management of non-traumatic acute abdomen.
Abdomen, Acute
/ diagnosis
Abdominal Pain
/ diagnosis
Clinical Decision-Making
Clinical Protocols
Confidentiality
Emergency Medicine
Guideline Adherence
Humans
International Agencies
Medical History Taking
Mobile Applications
Physical Examination
Remote Consultation
/ instrumentation
Smartphone
Societies, Medical
Ultrasonography
Journal
Minerva chirurgica
ISSN: 1827-1626
Titre abrégé: Minerva Chir
Pays: Italy
ID NLM: 0400726
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
pubmed:
30
11
2018
medline:
21
12
2019
entrez:
29
11
2018
Statut:
ppublish
Résumé
Our aim is to propose the Video-Consulting Emergency (VCE) protocol as a tool to improve the decision-making process between an on-site emergency physician and a remote acute care surgeon using a smartphone, the FaceTime application, and the Acute Abdominal Decision Making (AADM®) model proposed by World Society of Emergency Surgeons members. The VCE protocol involves the emergency physician and the on-call emergency surgeon. Both must be provided with a smartphone for 24-hour VC with FaceTime application. The AADM® model is a simple, systematic, diagnostic methodology developed by WSES to guide and support physicians throughout the management of acute abdominal pain in the emergency department (ED). FaceTime videoconsulting and the AADM® model con simply systematize the clinical reasoning of the emergency physician when evaluating acute non-traumatic abdomen. The VCE protocol in ED could be fundamental for an effective first surgical screening and it is an interesting clinical tool with the potential to improve clinical evaluation of patients admitted for acute abdomen. The videoconsulting application could decrease healthcare costs related to unnecessary exams, admissions, surgeries or transfers.
Sections du résumé
BACKGROUND
BACKGROUND
Our aim is to propose the Video-Consulting Emergency (VCE) protocol as a tool to improve the decision-making process between an on-site emergency physician and a remote acute care surgeon using a smartphone, the FaceTime application, and the Acute Abdominal Decision Making (AADM®) model proposed by World Society of Emergency Surgeons members.
METHODS
METHODS
The VCE protocol involves the emergency physician and the on-call emergency surgeon. Both must be provided with a smartphone for 24-hour VC with FaceTime application. The AADM® model is a simple, systematic, diagnostic methodology developed by WSES to guide and support physicians throughout the management of acute abdominal pain in the emergency department (ED). FaceTime videoconsulting and the AADM® model con simply systematize the clinical reasoning of the emergency physician when evaluating acute non-traumatic abdomen.
RESULTS
RESULTS
The VCE protocol in ED could be fundamental for an effective first surgical screening and it is an interesting clinical tool with the potential to improve clinical evaluation of patients admitted for acute abdomen.
CONCLUSIONS
CONCLUSIONS
The videoconsulting application could decrease healthcare costs related to unnecessary exams, admissions, surgeries or transfers.
Identifiants
pubmed: 30484600
pii: S0026-4733.18.07963-4
doi: 10.23736/S0026-4733.18.07963-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM