EWMA 2013 - EP428 - UTILIZATION OF STORE AND FORWARD DIGITAL TECHNOLOGY FOR THE ASSESSMENT OF ACUTE WOUND MANAGEMENT

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UTILIZATION OF STORE AND FORWARD DIGITAL TECHNOLOGY FOR THE ASSESSMENT OF ACUTE WOUND MANAGEMENT
Mark Granick1, Ian Hoppe1, Sandra Scott1
1New Jersey Medical School-UMDNJ (Newark, United States).

Published in: Health & Medicine
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EWMA 2013 - EP428 - UTILIZATION OF STORE AND FORWARD DIGITAL TECHNOLOGY FOR THE ASSESSMENT OF ACUTE WOUND MANAGEMENT

  1. 1. Ian Hoppe, MDMark Granick, MD, FACSDepartment of Surgery (Plastic)New Jersey Medical SchoolNewark, New Jersey, USA
  2. 2. Plastic Surgeons in theEmergency Department Top 5 consultantservice Hand injuries Acute wounds Facial fractures Hardest service to get Resident complaints
  3. 3. Study of PS Consultations Inner city university hospital ED Level 1 Trauma Center 4 month study period Collect digital images and basic data on all EDconsults, no Trauma consults Analyzed by store and forward technology
  4. 4. Findings 79 consults 66 male, 13 female, 2-71 years old, mean 35 Hand injuries 14 bony 25 soft tissue 15 complex Head and Neck injuries 4 bony 9 soft tissue 3 complex Other injuries – all soft tissue 1 leg 2 trunk 5 upper extremity
  5. 5. Findings Head and Neck injuries 4 bony 9 soft tissue 3 complex Other injuries – all soft tissue 1 leg 2 trunk 5 upper extremity
  6. 6. Spectrum of InjuriesHand - bony Hand – soft tissue Hand -complex Facial - bonyFacial- soft tissue Facial - complex
  7. 7. Assessment All cases required specialist consultation All cases appropriate for Plastic Surgery All cases educational for the residents
  8. 8. What happened to all theother cases?Incorrect ulnar gutter splint Ineffective thumb spicaSent to Plastic Surgery Clinic374 patients seen in clinic with 44 no shows154 of the 374 seen were ED referrals
  9. 9. QA Analysis All patients referredwere appropriate Numerous patientsmissed First therapeuticintervention is critical Better to call than totreat a latecomplication
  10. 10. Recommendations Digital imaging provides sufficient information to make anaccurate assessment Store and Forward analysis can make ED consultation moreefficient and more effective Digital image review is an appropriate QA tool Develop telemedical/telehealth system with specialists to insureproper initial care Patient privacy Medical Licensing Malpractice International and regional legal boundaries www.iConsultMD.com Real time point of service educational material Available 24/7

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