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Area of Science:

  • Medical technology
  • Remote healthcare
  • Emergency medicine

Background:

  • An innovative teleconsultation platform was developed and validated between 2017 and 2018.
  • The platform served five mountain huts and three remote clinics in the Italian Valle d'Aosta region.

Purpose of the Study:

  • To address general health issues and high-altitude diseases in remote settings.
  • To enable remote diagnosis, advice, and therapy via videoconference.
  • To support healthcare professionals in extreme out-of-hospital environments.

Main Methods:

  • An ad-hoc videoconference system was created for the e-Rés@MONT project.
  • Trained nurses at altitudes of 1500-3500m conducted clinical evaluations and monitoring.
  • Data (anamnesis, vital signs, ECG, echography) were transmitted to physicians at Aosta hospital.

Main Results:

  • A total of 702 teleconsultations were conducted.
  • 47% of cases were dismissed, 51% observed, and 2% required immediate intervention.
  • Physicians averted 30 helicopter/ambulance rescues and hospital admissions.

Conclusions:

  • The e-Rés@MONT platform demonstrated feasibility and effectiveness in providing diagnostic support.
  • The system offered direct and indirect advantages, including proactive reduction of medical complexities.
  • The study discussed pros, cons, and future directions for teleconsultation in remote areas.