دورية أكاديمية
Role of emergency teleradiology in a mass motorcycle event: the experience of the 2021 International Six Days of Enduro (ISDE).
| العنوان: | Role of emergency teleradiology in a mass motorcycle event: the experience of the 2021 International Six Days of Enduro (ISDE). |
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| المؤلفون: | Stomeo N; Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, Milan, Italy. niccolo.stomeo@humanitas.it., Ghio FE; Critical Care Team, I-HELP, Grezzago, Italy., Pallavicini P; Faculty of Medicine, Vita-Salute San Raffaele University, Milan, Italy., Bonizzato S; Critical Care Team, I-HELP, Grezzago, Italy.; Sport Medicine and Sport Cardiology Unit, MEDITEL, Saronno, Italy., Serini C; Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy., Perera Molligoda Arachchige AS; Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, Milan, Italy., Carenzo L; Department of Anesthesia and Intensive Care Medicine, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy. |
| المصدر: | Emergency radiology [Emerg Radiol] 2023 Dec; Vol. 30 (6), pp. 725-731. Date of Electronic Publication: 2023 Nov 10. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer-Verlag New York Inc Country of Publication: United States NLM ID: 9431227 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1438-1435 (Electronic) Linking ISSN: 10703004 NLM ISO Abbreviation: Emerg Radiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York, NY : Springer-Verlag New York Inc Original Publication: Baltimore, MD. : Williams & Wilkins, c1994- |
| مواضيع طبية MeSH: | Teleradiology* , Fractures, Bone*, Humans ; Motorcycles ; Triage ; Hospitalization |
| مستخلص: | Purpose: Provision of healthcare support at mass gathering sporting events is of paramount importance for the success of the event. Many of such events, like motorsports, have been increasingly taking place in remote and austere environments. In these settings, the use of first-line diagnostic tools, such as point of care ultrasound and portable X-ray, could aid in definitive care on the field for patients with minor trauma while also ensuring fast access to the appropriate level of care for patients requiring hospitalization. Methods: As part of the ISDE 2021 medical response plan, a field hospital equipped with portable digital X-ray and telemedicine was established. Data on patient admission, triage, treatments, diagnostics, and outcomes were collected for analysis. Results: During the 6-day competition, 79 patients sought medical care at the field hospital, with traumatic injuries accounting for 77% of cases. Of these, 47 were athletes and 32 were non-athletes. The majority (91%) arrived spontaneously, while 9% were transported directly. Upon admission, 68 patients were triaged as non-urgent (code 3) and 11 as urgent (code 2). Of those admitted, 69 received treatment and were discharged at the field hospital, while 10 were transferred elsewhere. Notably, four patients had major trauma, two had isolated fractures, and one needed a CT scan after losing consciousness. Overall, 29 missions were conducted on the race field, including 13 primary transports to local hospitals and 6 to the field hospital. Primary transport was primarily due to major trauma. Among 31 patients who had radiological exams, 11 (35.5%) had traumatic injuries. Of these, 5 were treated with braces and casts and discharged without hospitalization, 3 were advised for post-event care, and 3 were hospitalized. In contrast, patients with negative X-rays received on-site treatment, with 7 able to continue competing. Conclusions: In summary, the successful implementation of portable X-ray machines and teleradiology at remote and austere high-risk sporting events holds great promise for enhancing on-site medical capabilities, allowing clinicians informed decisions, avoiding unnecessary hospitalization, and allowing athletes to continue with their competition. Provided that challenges related to cost, safety, connectivity, and power supply are effectively addressed. (© 2023. The Author(s), under exclusive licence to American Society of Emergency Radiology (ASER).) |
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| فهرسة مساهمة: | Keywords: E-health; Medical capabilities; Portable X-ray; Radiation safety; Remote care; Remote settings; Sporting events; Telehealth; Telemedicine; Teleradiology; Traumatic injuries |
| تواريخ الأحداث: | Date Created: 20231109 Date Completed: 20231206 Latest Revision: 20231206 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1007/s10140-023-02183-0 |
| PMID: | 37946090 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1438-1435 |
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| DOI: | 10.1007/s10140-023-02183-0 |