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Proceedings Paper

Teleradiology and telemedicine using the advanced communications technology satellite and international maritime satellite at varying bandwidths
Author(s): Robert E. de Treville; Stephen D. Scotti; Morgan P. Williamson; Eric J. Olson; Linda Brink; Ken Isle; Peter Kafaro
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Paper Abstract

The United States military gained experience with a deployed telemedicine team and unit during the deployment of United States military troops to Haiti as part of `Operation Uphold Democracy.' Consults were conducted primarily between the 28th combat support hospital in Haiti and Walter Reed Army Medical Center in Washington, D.C. The Advanced Communications Technology Satellite and International Maritime Satellite services were used for telecommunications during the deployment. A total of 30 telemedicine consultations were performed during the deployment. All consultations were conducted prospectively, and data was entered in a database for later review. Treatment plans and plans for patient disposition were recorded prior to consultation. Following completion of the telemedicine consultations, each case was reviewed to determine the impact of the telemedicine consult upon the treatment plan or disposition. Fifty percent of the consultations resulted in a significant modification in the patient's treatment plan. Seventeen percent resulted in a significant or possible change in evacuation planning. The most frequently used consultants were the dermatologists, radiologists, and hand surgeons. This experience demonstrates that telemedicine can be used effectively in a deployed military environment. In addition, the ability to obtain remote consultations does impact upon medical treatment and upon medical evacuation. Having support personnel in the field was found to be an important factor in utilization of the system.

Paper Details

Date Published: 12 May 1995
PDF: 7 pages
Proc. SPIE 2435, Medical Imaging 1995: PACS Design and Evaluation: Engineering and Clinical Issues, (12 May 1995); doi: 10.1117/12.208816
Show Author Affiliations
Robert E. de Treville, Medical Advanced Technology Management Office (United States)
Stephen D. Scotti, Medical Advanced Technology Management Office (United States)
Morgan P. Williamson, Medical Advanced Technology Management Office (United States)
Eric J. Olson, Walter Reed Army Medical Ctr. (United States)
Linda Brink, Uniformed Services Univ. of the Health Services (United States)
Ken Isle, Army Space Command (United States)
Peter Kafaro, Army Space Command (United States)

Published in SPIE Proceedings Vol. 2435:
Medical Imaging 1995: PACS Design and Evaluation: Engineering and Clinical Issues
R. Gilbert Jost; Samuel J. Dwyer, Editor(s)

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