Telemedicine Applications for the Pediatric Emergency Medicine: A Review of the Current Literature

Rajender Gattu1, Getachew Teshome, Richard Lichenstein

  • 1From the Division of Pediatric Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD.

Pediatric Emergency Care
|February 3, 2016
PubMed

Insights

Telemedicine shows promise in pediatric emergency medicine for improving care quality. However, further research is needed to confirm improved clinical outcomes and address implementation challenges.

Area of Science:

  • Emergency Medicine
  • Pediatric Care
  • Health Informatics

Background:

  • Telemedicine offers innovative solutions for healthcare delivery.
  • Its application in pediatric emergency settings is an emerging field.
  • Understanding its potential and limitations is crucial for effective implementation.

Purpose of the Study:

  • To review existing literature on telemedicine in pediatric emergency medicine.
  • To identify clinical applications and implementation challenges.
  • To assess the impact on quality of care and patient outcomes.

Main Methods:

  • Systematic literature review following PRISMA guidelines.
  • Inclusion of studies in emergency settings across all age groups.
  • Focus on articles related to quality of care and patient outcomes.

Main Results:

  • Telemedicine has potential for real-time decision-making in pediatric emergencies.
  • It can enhance the quality of care for children.
  • Logistic and legal challenges are significant barriers to implementation.

Conclusions:

  • Existing frameworks support telemedicine use in pediatric emergency medicine.
  • Further research is required to validate clinical outcome improvements.
  • Practical aspects like training, accessibility, and resource allocation need exploration.
Abstract

Related Concept Videos

Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
369
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.4K
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
726
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.6K
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
327
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
458