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首页> 外文期刊>Injury >The use of multi-media messaging in the referral of musculoskeletal limb injuries to a tertiary trauma unit using: a 1-month evaluation.
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The use of multi-media messaging in the referral of musculoskeletal limb injuries to a tertiary trauma unit using: a 1-month evaluation.

机译：在以下情况下使用多媒体消息传递将肌肉骨骼肢体损伤转诊至第三创伤单位：1个月评估。

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OBJECTIVES: New developments in telecommunications will have a profound effect on the delivery of medical care throughout the world. In Northern Ireland three trauma centres provide fracture care for their own and surrounding Emergency Departments. All trauma referrals are currently taken by telephone. It is our experience that the verbal description of the radiographs of a musculoskeletal limb injury can be inaccurate, necessitating us to view the plain films of the patient. By utilising a recent advance in telecommunications technology, the launch of mobile handsets with multi-media messaging (MMS) service capability, it is now possible to digitally capture and instantly send an image of a plain film. PURPOSE: To evaluate the use of multi-media messaging as a supplement to the telephone referral of musculoskeletal limb injures. METHOD:: Following a referral using, the emergency physician and the trauma surgeon evaluated the multi-media consult through a survey questionnaire. RESULTS: Between the 1st December 2003 and the 1st January 2004, 46 multi-media consultations were performed. Picture quality was acceptable in all but one of the referrals. In 35 of the 46 referrals the multi-media image of the plain films was felt to improve the management of the patient. In 8 of the 46 referrals the multi-media image of the plain films was felt to change the management of the patient. CONCLUSION: A multi-media messaging store- and forward telemedicine system has potential to facilitate the rapid, cost-effective management of musculoskeletal limb injuries thereby enhancing clinical care.
机译：目标：电信的新发展将对全世界的医疗服务产生深远影响。在北爱尔兰，三个创伤中心为其自身和周围的急诊科提供骨折护理。目前，所有创伤转诊都是通过电话进行的。我们的经验是，对肌肉骨骼肢体损伤的射线照相的口头描述可能不准确，这使我们需要查看患者的平片。通过利用电信技术的最新进展，以及具有多媒体消息（MMS）服务功能的移动电话的推出，现在可以数字捕获并立即发送普通胶片的图像。目的：评估多媒体消息作为肌肉骨骼肢体损伤电话转诊的补充。方法：在转诊后，急诊医师和外科医生通过调查问卷评估了多媒体咨询。结果：在2003年12月1日至2004年1月1日之间，进行了46次多媒体磋商。除其中一个推荐人外，其他所有人都可以接受图片质量。在46个转诊中的35个中，感觉到平片的多媒体图像可以改善患者的管理。在46次转诊中的8次中，感觉到平片的多媒体图像改变了患者的管理方式。结论：多媒体消息存储和转发远程医疗系统具有促进肌肉骨骼肢体损伤的快速，经济有效管理的潜力，从而增强了临床护理。

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