Telemedicine <ul><li>“the use of medical information exchanged from one site to another via electronic communications to improve patients' health status” </li></ul>American Telemedicine Association, 2010 American Telemedicine Association, 2010
Telehealth <ul><li>often used to encompass a broader definition of remote healthcare that does not always involve clinical services. </li><ul><li>Videoconferencing
After enhancement Doctors-to-the-barrios 2008: n = 58 2009: n = 124
Enhancements to BuddyWorks <ul><li>Shifted to SMS, MMS, Email </li></ul>
Enhancements to BuddyWorks 849 telehealth referrals from remote doctors over a period of 17 months... <ul><li>(15 October 2007 – 31 March 2009) </li></ul>
SMS Telemedicine 3 day old male, home delivered by untrained hilot with CC of fever for one day duration. PE patient is febrile (38.5C), irritable and with poor suck (as observed). im referring this to the hospital for neonatal sepsis. the weather here is so bad ... they could not yet travel by the sea. i do not have IV meds so i just prescrived co-amoxiclav and paracetamol per orem as temporary management.
SMS Telemedicine please avoid co-amoxiclav coz it might cause hepatotoxicity; short of bringing the patient to the hospital, you may give ampicillin 100 mg/k/day IM q12. if ampicillin is unavailable, you may give cefalexin 100 mg/k/day q8 oral
TeleOphthalmology REFER LOR 55 Female suddenly lost sight after 'hitting a spider' she felt on her eye.
TeleOphthalmology <ul><li>Assessment: </li></ul>Acute Angle Closure Glaucoma – left eye <ul><li>Plan: </li></ul>Timolol eye drops – 1 drop on the affected eye 2 x daily Latanoprost eye drops – 1 drop on the affected eye once at night Brimonidine eye drops – 1 drop on affected eye 2 x daily Pilocarpine eye drops – 1 drop 4 x daily on the affected eye Dorzolamide eye drops – 1 drop on affected eye 3 x daily