Telemedicine in the Era of COVID-19 The Virtual Orthopaedic Examination
Telemedicine in the Era of COVID-19 The Virtual Orthopaedic Examination
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DOI：
10.2106/jbjs.20.00609
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发表时间：
2020-06-17
影响因子：
5.3
通讯作者：
Berkson, Eric M.
中科院分区：
文献类型：
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作者：
Tanaka, Miho J.;Oh, Luke S.;Berkson, Eric M.
随着COVID-19大流行的爆发，临床护理向远程医疗就诊的转变加快了。由于目前资源有限，许多择期外科医生被迫冒险利用远程医疗，而在这方面，矫形检查的标准以前尚未完全制定。我们报告我们的经验，协议和方法，以标准化这些访问，以最大限度地提高效益和效率的虚拟骨科检查。在安排时间时，患者被要求为虚拟访问做准备，并得到一份清单。除了在就诊前确认视听能力外，还向患者提供有关摄像机定位、身体定位、设置和着装的具体说明，以提高就诊效率。在检查过程中，可根据需要使用数字化工具。在门诊伤害评估的设置中，系统的虚拟检查可以帮助分类和管理常见的肌肉骨骼疾病。随着远程保健访问的迅速纳入，以及这一流行病的未知未来，远程医疗的利用和能力将继续扩大。未来的发展方向包括开发经过验证的、经过修改的检查技术和新技术，这些技术将允许改进交互式体检，因为我们由于意外的必要性而迅速进入远程医疗领域。
With the onset of the COVID-19 pandemic, the shifting of clinical care to telemedicine visits has been hastened. Because of current limitations in resources, many elective surgeons have been forced to venture into utilizing telemedicine, in which the standards for orthopaedic examinations have not previously been fully developed. We report our experience with protocols and methods to standardize these visits to maximize the benefit and efficiency of the virtual orthopaedic examination. At the time of scheduling, patients are asked to prepare for their virtual visit and are given a checklist. In addition to confirming audiovisual capabilities prior to the visit, patients are given specific instructions on camera positioning, body positioning, setting, and attire to improve the efficiency of the visit. During the examination, digital tools can be utilized as needed. In the setting of outpatient injury evaluations, a systematic virtual examination can aid in triaging and managing common musculoskeletal conditions. With the rapid incorporation of telehealth visits, as well as the unknown future with regard to the pandemic, the utilization and capabilities of telemedicine will continue to expand. Future directions include the development of validated, modified examination techniques and new technology that will allow for improved interactive physical examinations, as we rapidly move forward into the realm of telemedicine due to unexpected necessity.