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Military TBI-What civilian primary care providers should know.
J Family Med Prim Care
December 2021
Traumatic Brain Injury Center of Excellence, Silver Spring, MD.
In June 2019, the Department of Veterans Affairs (VA) launched the VA Mission Act, which expanded veterans' health-care access to the private sector. Since civilian primary care providers may see more veterans in their practice, it will be important to understand the unique experiences, comorbidities, and culture of this population in order to provide optimal care. Military service members (SMs) are at an increased risk for traumatic brain injury (TBI), and comorbidities, such as post traumatic stress disorder (PTSD), increasing the likelihood of prolonged symptoms.
View Article and Find Full Text PDFImplementation of a full-scale prehospital telemedicine system: evaluation of the process and systemic effects in a pre-post intervention study.
BMJ Open
March 2021
Department of Anaesthesiology, RWTH Aachen University, Medical Faculty, Aachen, Nordrhein-Westfalen, Germany.
Objectives: To review the implementation strategy from a research project towards routine care of a comprehensive mobile physician-staffed prehospital telemedicine system. The objective is to evaluate the implementation process and systemic influences on emergency medical service (EMS) resource utilisation.
Design: Retrospective pre-post implementation study.
Utilization, Safety, and Technical Performance of a Telemedicine System for Prehospital Emergency Care: Observational Study.
J Med Internet Res
October 2019
Department of Anesthesiology, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Background: As a consequence of increasing emergency medical service (EMS) missions requiring an EMS physician on site, we had implemented a unique prehospital telemedical emergency service as a new structural component to the conventional physician-based EMS in Germany.
Objective: We sought to assess the utilization, safety, and technical performance of this telemedical emergency service.
Methods: We conducted a retrospective analysis of all primary emergency missions with telemedical consultation of an EMS physician in the City of Aachen (250,000 inhabitants) during the first 3 operational years of our tele-EMS system.
International Stakeholder Community of Pain Experts and Leaders Call for an Urgent Action on Forced Opioid Tapering.
Pain Med
March 2019
Department of Psychiatry, Oregon Health & Science University, Portland, Oregon.
Treatment of Acute Coronary Syndrome by Telemedically Supported Paramedics Compared With Physician-Based Treatment: A Prospective, Interventional, Multicenter Trial.
J Med Internet Res
December 2016
Department of Anaesthesiology, Rheinisch-Westfälische Technische Hochschule, University Hospital RWTH Aachen, Aachen, Germany.
Background: Prehospital treatment of acute coronary syndrome (ACS) in German emergency medical services (EMSs) is reserved for EMS physicians due to legal issues.
Objective: The objective of this prospective, interventional, multicenter trial was to evaluate the quality of telemedically-delegated therapy and the possible complications in patients with ACS.
Methods: After approval by the ethics committee and trial registration, a one-year study phase was started in August 2012 with 5 ambulances, telemedically equipped and staffed with paramedics, in 4 German EMS districts.
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