Browsing by Author "Ferguson, James"
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- ItemBig brother could actually help quite easily: telementored "just-in-time" telesonography of the FAST over a smartphone.(2011-08-29) Crawford, Innes; Tiruta, Corina; Kirkpatrick, Andrew W; Mitchelson, Mark; Ferguson, James
- ItemCharacteristics of radio medical advice to fishing vessels in Scottish coastal waters.(2008-04-23) Mitchelson, Mark A; Ferguson, James; Armes, Roland; Page, J GrahamWe examined the emergencies arising on fishing vessels in Scottish Coastal Waters which required ship to shore radio medical advice All calls to the service were identified for the 12 month period from August 2005 A total of 186 calls were received 38 of calls were from fishing vessels During the study period 53 of the calls were trauma related while 47 were medical emergencies Our data suggest that there are many fishermen working offshore with chronic medical conditions Overall 85 of calls from fishing vessels resulted in evacuation as the outcome Improved occupational health screening compliance with health and safety legislation and an evidence based approach to remote medical care may improve seafarer self care and reduce emergency evacuations
- ItemThe delivery of a minor injuries telemedicine service by Emergency Nurse Practitioners.(2008-04-23) Miller, David R; Alam, Khyber; Fraser, Susan; Ferguson, JamesWe conducted a retrospective review to assess the potential for Emergency Nurse Practitioners ENPs to deliver telemedicine advice for minor injuries Over a one year study period 835 patients from 15 minor injury units in community hospitals presented to the minor injuries telemedicine service and were seen via videoconferencing by a doctor at the Aberdeen emergency department A case review showed that overall ENPs were considered capable of treating 470 of 788 new presentations 60 If children under 14 years of age and shoulder injuries were excluded this figure rose to 84 Assessment of all minor injuries via a telemedicine network by medical staff is unnecessary An ENP led service offers a realistic and attractive alternative
- ItemThe Experiences of Young Liver Patients Transferring From Children's to Adult Services and Their Support Needs for a Successful Transition.(0000-00-00) Toft, Alex; Taylor, Rachel; Claridge, Lee; Clowes, Charlotte; Ferguson, James; Hind, Jonathon; Jones, Rebecca; McClean, Patricia; McKiernan, Patrick; Samyn, Marianne; Coad, JaneBACKGROUND The period of transition from pediatric to adult services represents a time when young people need support information and appropriate care in order to successfully move It is a period that is associated with nonadherence and disengagement with care OBJECTIVE To explore the experiences of young liver transplant recipients transitioning to adult services and determine what they require in order to achieve a successful move The research also explored the possibility of using a mobile phone application app as a tool to support transition DESIGN Qualitative approach using novel arts based focus groups and one to one interviews PARTICIPANTS Twenty one young people aged 16 to 25 years 16 health care professionals involved in their care and 7 young people as follow up Participants used services provided by the 3 liver centers in England Leeds Birmingham and London RESULTS Data highlighted the variability of transition pathways in England for young people moving from child to adult health services The results showed that they required clear information regarding transition processes including specific medical information and that there was a shortfall in such information Support was required in the form of a designated transition coordinator or similar specialist who could act as a point of reference and guidance throughout the process Transitions needed to be individualized and based upon transition readiness rather than age although the research showed that age cut offs were still used CONCLUSION Young people welcomed apps to provide information reminders contacts and connections Future research should explore the efficacy of such apps
- ItemHow to do a telemedical consultation.(2006-07-19) Ferguson, JamesIn a telemedical consultation medical information is sought at a distance Two techniques may be used asynchronous store and forward and synchronous realtime Asynchronous consultations have the advantage that the two parties do not have to be available simultaneously email for example has been used successfully for teledermatology Synchronous consultations depend on communication media such as the telephone radio or videoconferencing Successful videoconferencing will involve consideration of four factors the environment session initiation dialogue and session closure The environment is very important for good quality consultations and involves planning equipment and training Recognizing the advantages and limitations of the available media combined with appropriate planning and training will maximize the utilization of teleconsultations
- ItemA low-cost decision support network for electrocardiograph transmission from oil rigs in the North Sea.(2008-04-23) Webster, Karyn; Fraser, Susan; Mair, Fiona; Ferguson, JamesA telemedicine service consisting of electrocardiogram ECG interpretation and advice on the management of chest pain offshore was offered to oil rig installations in the North Sea A total of 14 subscribing oil rigs were supplied with thrombolytic drugs and rig paramedics were trained in their delivery Electrocardiographs could be recorded using a standard ECG machine and then digitized using a scanner for transmission as an email attachment Several oil companies invested in ECG equipment which allowed direct recording of the patient s ECG in electronic form for transmission by email Uptake of the telemedicine service was very rapid The majority of rig medics found the system very easy to use During a 36 month study period from August 2004 47 cases of chest pain were dealt with by telemedicine Of these 47 cases only six patients 13 were airlifted to shore The 41 remaining ECGs did not to have acute changes requiring immediate evacuation The use of email for ECG transmission proved to be highly effective in managing chest pain offshore
- ItemMemorable telemedicine experiences.(2008-03-05) Wooton, Richard; Krupinski, Elizabeth; Hailey, David; Patterson, Victor; Scott, Richard; Whited, John; Whitten, Pamela; Yoo, Sun; Hui, Elsie; Ferguson, James; Van Der Westhuyzen, Jasper; Kayser, Klaus; Mars, Maurice; Martin-Khan, Melinda; Tachakra, Sapal; Scalvini, Simonetta; Shumack, Stephen; Smith, Anthony; Soyer, H Peter; Stachura, Max
- ItemMobile telemetry for pre-hospital thrombolysis: problems and solutions.(2005-07-22) Pedley, David K; Beedie, Stephen; Ferguson, JamesIn the Angus region of Scotland we have used mobile telemetry to facilitate pre hospital thrombolysis by paramedic staff An initial survey demonstrated that connection could be achieved in all but three locations In the first year of operation 229 contacts were received Communication between the ambulance and the base station failed on four occasions 2 Problems with transmission of an electrocardiogram ECG were encountered on 37 occasions 16 The median time for acquisition and transmission of an ECG was 22 min This compares with a median time of 59 min for first ECG in a control group from similar locations who were assessed in hospital Telemetry offers essential back up to paramedics adopting a challenging and extended role Strategies can be developed to deal with signal strength and equipment failure
- ItemMore patients with minor injuries could be seen by telemedicine.(2008-04-23) Mair, Fiona; Ferguson, JamesThe Grampian Minor Injuries Telemedicine Service has been operating since 2001 supporting 15 minor injury units MIUs in community hospitals Currently over 120 new patients are seen each month We conducted a retrospective review to estimate the number of patients who were sent to the main hospital emergency department ED who would have been suitable for telemedicine treatment instead All attendances at three MIUs and onward referrals to the ED during the months January and July 2006 were identified from a database A total of 112 patients were referred from the three MIUs during the study period MIU C which utilized teleconsultations the most referred the lowest proportion of its patients 2 MIU B which had all X rays reviewed by a general practitioner referred the most 85 At MIU B 80 85 of patients referred to the ED without having a teleconsultation could have been managed by telemedicine Telemedicine for MIUs has been repeatedly reported in the medical literature as being successful but widespread usage of this technique remains to be achieved
- ItemA multidisciplinary approach to the treatment of eating disorders via videoconferencing in north-east Scotland.(2003-09-03) Simpson, Susan; Knox, Jane; Mitchell, Derek; Ferguson, James; Brebner, John; Brebner, EileenUntil recently many remote communities in Scotland especially on the northern islands were unable to access specialist eating disorder services The Grampian Eating Disorder Service based in the north east of Scotland has developed a video therapy service that offers specialist psychological and nutritional therapy for sufferers of eating disorders Twelve patients have been treated via videoconferencing Patients consistently rated high levels of satisfaction with all aspects of video therapy and after their last session 67 preferred video therapy to face to face therapy A number of patients commented that compared with face to face therapy they felt more in control and less intimidated in video therapy There was also a trend for patients to become more comfortable with video therapy over the course of treatment Nutritional knowledge increased for all patients and the nutritional content of dietary intake also markedly improved over the course of therapy
- ItemProvision of telehealth to the Scottish Police College.(2008-04-23) Webster, Karyn; Fraser, Susan; Mair, Fiona; Ferguson, JamesA telemedicine service was established for the Scottish Police College with medical advice provided from the Aberdeen Royal Infirmary Use of the service from November 2004 to February 2006 was audited A total of 192 patients presented to the service during the 16 month study period There were 97 teleconsultations The remaining 95 patients 49 were not seen by telemedicine due to technical problems The complaints dealt with were 68 injuries and 32 minor illness n 97 The outcome of the teleconsultation was advice alone 76 referral to a general practitioner 10 and AAndE referral 14 n 97 The treatment advised was over the counter medicine 85 prescription 5 and nil 10 n 97 Even with a 24 connection rate the service overall was perceived as beneficial and the Police College wished to continue to use the service if the technology difficulties could be resolved
- ItemTelemedicine via satellite to support offshore oil platforms.(2008-04-23) Mair, Fiona; Fraser, Susan; Ferguson, James; Webster, KarynOn any one day approximately 15 000 28 000 oil industry personnel are employed in the North Sea oil and gas industry First aid in this remote environment is provided by non medical staff on the rigs Remote specialist advice via videoconferencing should improve the quality of offshore health care and reduce avoidable medical evacuations Satellite communications and videoconferencing equipment was installed on the Alwyn North oil platform with medical advice provided via a call centre in Milan Over a nine month period trial telemedicine links were conducted approximately twice per week The three onshore physicians were very satisfied on each occasion with communications and diagnostic data image quality including the ultrasound screening carried out by the rig provider Remote specialist advice via videoconferencing should reduce unnecessary and or untimely patient evacuation to hospital or onshore for medical assessment
- ItemVideo-hypnosis--the provision of specialized therapy via videoconferencing.(2002-09-09) Simpson, Susan; Morrow, Emma; Jones, Maria; Ferguson, James; Brebner, EileenHypnosis is not normally accessible to patients living in remote areas We conducted a pilot study to evaluate the feasibility of providing hypnosis via videoconferencing using ISDN at 384 kbit s Eleven of 15 patients invited to do so took part Ten of the 11 stated that they were satisfied with the video hypnosis session and all indicated that they would like to have further video hypnosis sessions in the future Sound quality and image quality were acceptable during nearly all sessions in spite of some interference as a result of technical problems and weather conditions The results suggest that hypnosis can be provided successfully via videoconferencing