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Telemedicine for Early Treatment of Sepsis

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Telemedicine in the ICU

Abstract

Sepsis is a life-threatening condition that is a leading cause of death in US hospitals and for which early aggressive care can improve survival. Despite decades of quality improvement initiatives and quality measure development, providing guideline-adherent care has proven difficult, especially in small and low-volume facilities. Telemedicine provides a promising strategy to provide clinical expertise at the bedside to improve screening and treatment and to standardize care. Telemedicine networks have focused on clinical monitoring of inpatient floors, critical care units, and emergency departments, and telemedicine-supplemented care may improve care and documentation for patients with sepsis. This chapter reviews critical elements to the design and operation of a telemedicine program focused on sepsis care, including staffing, quality improvement, and protocol development.

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Conflicts of Interest

EKH and BS work for Avera eCARE, a provider of ED-based and ICU-based telemedicine services. BGC serves as a senior policy advisor for the US Department of Health & Human Services. The views here do not necessarily represent those of the US Government.

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Authors and Affiliations

  1. Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA

    Nicholas M. Mohr & Emma C. Nash

  2. Department of Anesthesia Division of Critical Care, University of Iowa Carver College of Medicine, Iowa City, IA, USA

    Nicholas M. Mohr

  3. Avera eCARE, Sioux Falls, SD, USA

    Emily K. Hurst & Brian Skow

  4. Henry Ford Health System, Detroit, MI, USA

    Emily K. Hurst

  5. Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, IA, USA

    A. Clinton MacKinney

  6. Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, PA, USA

    Brendan G. Carr

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  1. Nicholas M. Mohr
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  4. Emma C. Nash
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Correspondence to Nicholas M. Mohr .

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  1. Neuroscience Institute, The Queen’s Health Systems, Honolulu, HI, USA

    Matthew A. Koenig

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Mohr, N.M., Hurst, E.K., MacKinney, A.C., Nash, E.C., Carr, B.G., Skow, B. (2019). Telemedicine for Early Treatment of Sepsis. In: Koenig, M. (eds) Telemedicine in the ICU. Springer, Cham. https://doi.org/10.1007/978-3-030-11569-2_15

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