Abstract
Acute trauma care requires rapid assessment of severity, on-scene stabilisation of vital signs and prompt in-hospital treatment. Timely identification of high-risk surgical candidates facilitates surgical decision-making and allows appropriate tailoring of perioperative management strategies. Acute trauma care requires rapid assessment of severity, on-scene stabilisation of vital signs and prompt in-hospital treatment. Prehospital resuscitation is delivered by emergency medical services in a complex environment where paramedics or emergency physicians make decisions under austere conditions, such as short time frames and with limited information. Telemedicine can provide rapid access to trauma specialists who are not immediately available in person to surmount the barrier of proximity. Telemedical assistance and telemedical prenotification are the major modes for healthcare delivery in prehospital trauma care. Telemedical ultrasound is used to detect fluid retention in the abdominal and thoracic cavities, and thus, to evaluate the urgency of treatment. A key driver will be the accurate use of artificial intelligence (AI) for data analysis and utilisation in terms of decision support. Future innovations in prehospital trauma care, such as aerial systems and mobile applications for resuscitation or mobile robotic arms for prehospital ultrasound controlled by AI, can offer a promising approach.
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Eder, P.A., Rashid, A. (2023). Telemedicine for Prehospital Trauma Care: A Promising Approach. In: Aseni, P., Grande, A.M., Leppäniemi, A., Chiara, O. (eds) The High-risk Surgical Patient. Springer, Cham. https://doi.org/10.1007/978-3-031-17273-1_61
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