Possibilities of telemedicine in work to improve survival in multiple trauma victims

Abstract

Background: World experience in providing medical assistance to victims of trauma indicates high efficiency of telemedicine methods in organization of medical care to trauma victims and an effective and adequate implementation of therapeutic and diagnostic measures. Material and methods: We made some analyses of the necessity of the telemedicine consultation and control in 1150 patients with multisystem injuries which assisted 1000 victims in the medical institutions of the second level and 150 victims in the third level institutions. We studied the necessity for the assistance in the diagnosis, recommendations for treatment, and dynamic control. We explored the effectiveness of telemedicine on the example of 110 patients. Results: The use of telemedicine technology in the process of care in patients with polytrauma is appropriate in medical institutions of the second level. There is a difference between the need and feasibility of telemedicine technology in institutions of the 2nd and the 3rd levels with the second level there is a need for treatment guidelines. The use of telemedicine technology can increase the survival of the affected by 14.5% by optimizing the provision of emergency medical care. Conclusions: Conditions of Ukraine’s health care system, do not allow providing full medical and diagnostic care in all medical institutions of Ukraine. Therefore, there is request to continue consulting practitioners in damage control specialty, dynamics of treatment, as well as providing opportunities to discuss and select the optimal therapeutic and diagnostic management.