%0 Journal Article %1 Plischke1999 %A Plischke, Maik %A Wolf, Klaus-Hendrik %A Lison, Thomas %A Pretschner, Dietrich Peter %D 1999 %J Eur J Med Res %K /&/ Allied Computerized, Disaster Emergency Germany; Health Humans; Medical Models, Organizational; Personnel, Planning, Records Services, Systems, Telemedicine, Triage, administration administration; organization %N 9 %P 394--8 %T Telemedical support of prehospital emergency care in mass casualty incidents %V 4 %X In the German emergency medical service system (EMSS) medical treatment can be improved in most of mass casualty incidents (MCI). Currently, the incident commander who is responsible for classification of the victims (depending on their urgency and condition, the so called triage) and ordered transportation uses paper-based documentation. Triage tags are used to identify and classify patients and gather treatment information. This can cause problems in medical treatment and in transportation of injured victims. Object-oriented modelling, simulation, and visualisation of processes can show deficits in treatment and data processing and thereby help to optimise medical workflow and logistics. If documentation by paramedics and emergency physicians is done electronically, all patient records could be send to a telemedical centre for central data administration. A telemedical supported triage tag helps identifying victims and managing detailed identification protocols. The paper-based documentation in emergency would become obsolete, if hospitals can query all protocols, diagnoses, and findings from the telemedical centre. Safety and security aspects can be guaranteed. The complete medical treatment workflow can be supported by telemedicine. Therefore, in case of MCI, telemedicine can optimise medical treatment and exonerate the paramedics from unnecessary documentation.

@article{Plischke1999, abstract = {In the German emergency medical service system (EMSS) medical treatment can be improved in most of mass casualty incidents (MCI). Currently, the incident commander who is responsible for classification of the victims (depending on their urgency and condition, the so called triage) and ordered transportation uses paper-based documentation. Triage tags are used to identify and classify patients and gather treatment information. This can cause problems in medical treatment and in transportation of injured victims. Object-oriented modelling, simulation, and visualisation of processes can show deficits in treatment and data processing and thereby help to optimise medical workflow and logistics. If documentation by paramedics and emergency physicians is done electronically, all patient records could be send to a telemedical centre for central data administration. A telemedical supported triage tag helps identifying victims and managing detailed identification protocols. The paper-based documentation in emergency would become obsolete, if hospitals can query all protocols, diagnoses, and findings from the telemedical centre. Safety and security aspects can be guaranteed. The complete medical treatment workflow can be supported by telemedicine. Therefore, in case of MCI, telemedicine can optimise medical treatment and exonerate the paramedics from unnecessary documentation.}, added-at = {2013-07-30T15:13:48.000+0200}, author = {Plischke, Maik and Wolf, Klaus-Hendrik and Lison, Thomas and Pretschner, Dietrich Peter}, biburl = {https://www.bibsonomy.org/bibtex/26eb01dff2c8af618a2eefda4033e4168/khwolf}, file = {Plischke1999_Mass casualty incidents.pdf:.\\0_Finale Versionen\\Plischke1999_Mass casualty incidents.pdf:PDF}, institution = {Institute for Medical Informatics, Technical University of Brunswick, Fallersleber-Tor-Wall 22, D-38100 Braunschweig, Germany. M. PLISCHKE@TU-BS.DE}, interhash = {cf29ca20e5b623ba9d8d77648843eddb}, intrahash = {6eb01dff2c8af618a2eefda4033e4168}, journal = {Eur J Med Res}, keywords = {/&/ Allied Computerized, Disaster Emergency Germany; Health Humans; Medical Models, Organizational; Personnel, Planning, Records Services, Systems, Telemedicine, Triage, administration administration; organization}, language = {english}, month = Sep, number = 9, owner = {Klaus-Hendrik Wolf}, pages = {394--8}, pdf = {Plischke1999_Mass casualty incidents.pdf}, pmid = {10477508}, timestamp = {2013-07-30T15:13:52.000+0200}, title = {Telemedical support of prehospital emergency care in mass casualty incidents}, volume = 4, year = 1999 }