멀티미디어 원격진료시스템을 이용한 병원간 응급환자 협의진료 모델

Abstract

Purpose: The telemedicine systems for both timely decision of patient transfer and accurate direction of patient treatment through remote consultation are required for better patient care in emergency situation. In this paper, we present noble design methods to implement the emergency telemedicine system suitable for emergency consultation.

Methods: The prototype system designed can encompass multimedia components including radiological images, medical record, biological signals, video conferencing and full-quality video, as well as can transmit changing data in real-time. In the first stage, experimental tests at the local networks analyzed the technical aspects of designed systems, and optimize the parameters subjectively to run them with affordable error. In the Second stage, two medical emergency cases were examined between two hospitals, the first was advanced airway management, and second was the management a patient with cardiac problem.

Results: Experimental tests at the local networks, all multimedia components can be represented to both terminals without any problems. Two cases of clinical experiment have performed to demonstrate the clinical usefullness. Orotracheal Intubation was done successfully by local hospital physician who was directed by specialist at distant hospital. The second case, a patient with cardiac problem was good managed by specialist via this telemedicine system without any problems.

Conclusion: Inter-hospital experiments demonstrate the feasibility to be effectively used at emergency department.