TeleBAT: mobile telemedicine for the Brain Attack Team.
TeleBAT: mobile telemedicine for the Brain Attack Team.
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DOI：
10.1053/jscd.2000.5867
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发表时间：
2000-05-01
期刊：
影响因子：
--
通讯作者：
Xiao, Y
中科院分区：
文献类型：
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作者：
LaMonte, M P;Cullen, J;Xiao, Y
TeleBAT是我们将集成的移动的电信系统（MTS）应用于急性中风的临床问题。虽然正在努力教育患者在出现中风的第一个迹象时寻求紧急治疗，但我们试图缩短一旦患者被紧急医疗系统所知的治疗时间。救护车护理人员在前往医疗中心的途中获取有关中风患者的有价值的评估数据。我们测试了使用无线数字蜂窝通信的可行性，为中风神经科医生提供实时的视觉访问，在运送到我们的中风治疗中心的患者进行神经系统检查。音频和视频信息，以及病人的生命体征从我们的设施间救护车传输。MTS的设计是用户友好的，包括在救护车内的交钥匙操作和医院临床医生通过互联网浏览器的灵活访问。如果同时连接4个手机，每个手机的带宽为每秒9.6兆字节，则吞吐量为每2秒一张320x240像素的图像。图像质量要求通过使用美国国立卫生研究院卒中量表检查录像的经验性测试来确定。制定了一个评估充分性的框架，并将其定义为当通过视听传输或面对面检查向患者提供视觉访问时，临床医生做出相同临床判断的能力。我们已经展示了移动的远程医疗将院前提供者与卒中中心神经科医生联系起来，从而更接近于将院前运输阶段转变为院前治疗阶段。
TeleBAT is our application of an integrated mobile telecommunications system (MTS) to the clinical problem of acute stroke. Although efforts are ongoing to educate patients to seek emergency treatment at the first signs of stroke, we sought to shorten time to treatment once the patient is known to the emergency medical system. Ambulance paramedics acquire valuable assessment data about a stroke patient en route to a medical center. We tested the feasibility of using wireless digital cellular communication to provide a stroke neurologist with real-time visual access to the neurological examination of patients conducted during transport to our stroke treatment center. Audio and visual information, and patients vital signs were transmitted from our interfacility ambulance. The MTS was designed to be user-friendly and includes turnkey operation inside the ambulance and flexible access through a internet browser by the clinicians in the hospital. With 4 simultaneous cellular phone connections, each with a bandwidth of 9.6 kilobytes per second, the throughput was a 320x240-pixel image every 2 seconds. The image quality requirement was determined through empirical testing by using a videotaped National Institutes of Health Stroke Scale examination. A framework to assess adequacy was developed and defined as the ability of the clinician to make an identical clinical judgment when visual access to the patient was provided by either audio-visual transmission or by face-to-face examination. We have shown mobile telemedicine linking prehospital providers with a stroke center neurologist and thus have come one step closer to transforming the prehospital phase of transport to prehospital phase of treatment.