Telebation: next-generation telemedicine in remote airway management using current wireless technologies.
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Date
2013-02-15
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Abstract
INTRODUCTION Since the first remote intubation with telemedicine guidance wireless technology has advanced to enable more portable methods of telemedicine involvement in remote airway management MATERIALS AND METHODS Three voice over Internet protocol VoIP services were evaluated for quality of image transmitted data lag and audio quality with remotely observed and assisted intubations in an academic emergency department The VoIP clients evaluated were Apple Cupertino CA FaceTime Skype a division of Microsoft Luxembourg City Luxembourg and Tango TangoMe Palo Alto CA Each client was tested over a Wi Fi network as well as cellular third generation 3G Skype and Tango RESULTS All three VoIP clients provided acceptable image and audio quality There is a significant data lag in image transmission and quality when VoIP clients are used over cellular broadband 3G compared with Wi Fi CONCLUSIONS Portable remote telemedicine guidance is possible with newer technology devices such as a smartphone or tablet as well as VoIP clients used over Wi Fi or cellular broadband