Trauma-informed care in emergency medicine

The role of nurses, pharmacy, telehealth in providing care to patients who have experienced trauma

https://doi.org/10.53730/ijhs.v7nS1.15058

Authors

  • Seham Ahmed Alanazi KSA, National Guard Health Affairs
  • Mohammad Abdullah Almanna KSA, National Guard Health Affairs
  • Dhiyaa Manawer Alanazi KSA, National Guard Health Affairs
  • Sami Mohammed Al Enazi KSA, National Guard Health Affairs
  • Khalid Salem Alaboush KSA, National Guard Health Affairs
  • Badour Subhi Alaujan KSA, National Guard Health Affairs
  • Bander Ahmad Zamzami KSA, National Guard Health Affairs
  • Wadha Abdulkarim Alsaleh KSA, National Guard Health Affairs

Keywords:

telehealth, emergency medicine, COVID-19, nurses, pharmacists, remote patient monitoring, virtual consultations, pre-hospital care

Abstract

Background: The COVID-19 pandemic has accelerated the adoption of telehealth in healthcare, particularly in emergency medicine. The need to minimize physical contact and optimize resource allocation has led to the exploration of telehealth's potential in pre-hospital, inpatient, and post-discharge settings. Aim of Work – This review examines the utilization of telehealth and the role of physicians, nurses, and pharmacists in emergency medicine during the COVID-19 pandemic, highlighting its applications, benefits, and limitations. Methods – A comprehensive electronic search was conducted across six databases (PubMed, Web of Science, Scopus, MEDLINE, Cochrane Library, and Embase) up to 2018. The review focused on English-written, full-text articles that explored telehealth in emergency medicine. A total of 36 articles were selected for analysis. Results – Telehealth has demonstrated its value in pre-hospital care, emergency department (ED) management, and post-discharge follow-up. Key applications include remote patient monitoring, virtual consultations, and tele-triage. Benefits include reduced PPE usage, improved patient communication, and enhanced resource utilization. However, challenges include infrastructure limitations, technical issues, and ethical considerations. Conclusion – Telehealth holds significant potential to enhance emergency medical care, particularly in the context of infectious disease outbreaks. However, further research is needed to address existing limitations and optimize its implementation. 

Downloads

Download data is not yet available.

References

Sood, S.; Mbarika, V.; Jugoo, S.; Dookhy, R.; Doarn, C.R.; Prakash, N.; Merrell, R.C. What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemed. J. e-Health 2007, 13, 573–590. DOI: https://doi.org/10.1089/tmj.2006.0073

Telehealth, Telemedicine and Telecare: What’s What? Federal Communications Commission 2019. Available online: https://www.fcc.gov/general/telehealth-telemedicine-and-telecare-whats-what (accessed on 25 June 2022).

World Health Organization. COVID-19: Operational Guidance for Maintaining Essential Health Services During an Outbreak: Interim Guidance; World Health Organization: Geneva, Switzerland, 2020.

Sharifi Kia, A.; Rafizadeh, M.; Shahmoradi, L. Telemedicine in the emergency department: An overview of systematic reviews. Z Gesundh Wiss 2022, 1–15.

Brasseur, E.; Gilbert, A.; Servotte, J.C.; Donneau, A.F.; D’Orio, V.; Ghuysen, A. Emergency department crowding: Why do patients walk-in? Acta Clin. Belg. 2021, 76, 217–223. DOI: https://doi.org/10.1080/17843286.2019.1710040

Kichloo, A.; Albosta, M.; Dettloff, K.; Wani, F.; El-Amir, Z.; Singh, J.; Aljadah, M.; Chakinala, R.C.; Kanugula, A.K.; Solanki, S.; et al. Telemedicine, the current COVID-19 pandemic and the future: A narrative review and perspectives moving forward in the USA. Fam. Med. Comm. Health 2020, 8, e000530. DOI: https://doi.org/10.1136/fmch-2020-000530

Hayden, E.M.; Davis, C.; Clark, S.; Joshi, A.U.; Krupinski, E.A.; Naik, N.; Ward, M.J.; Zachrison, K.S.; Olsen, E.; Chang, B.P.; et al. Telehealth in emergency medicine: A consensus conference to map the intersection of telehealth and emergency medicine. Acad. Emerg. Med. 2021, 28, 1452–1474. DOI: https://doi.org/10.1111/acem.14330

Hollander, J.E.; Carr, B.G. Virtually Perfect? Telemedicine for COVID-19. N. Engl. J. Med. 2020, 382, 1679–1681. DOI: https://doi.org/10.1056/NEJMp2003539

Morello, F.; Bima, P.; Ferreri, E.; Chiarlo, M.; Balzaretti, P.; Tirabassi, G.; Petitti, P.; Aprà, F.; Vallino, D.; Carbone, G.; et al. After the first wave and beyond lockdown: Long-lasting changes in emergency department visit number, characteristics, diagnoses, and hospital admissions. Intern Emerg. Med. 2021, 16, 1683–1690. DOI: https://doi.org/10.1007/s11739-021-02667-2

Savioli, G.; Ceresa, I.F.; Gri, N.; Bavestrello Piccini, G.; Longhitano, Y.; Zanza, C.; Piccioni, A.; Esposito, C.; Ricevuti, G.; Bressan, M.A. Emergency department overcrowding: Understanding the factors to find corresponding solutions. J. Pers. Med. 2022, 12, 279. DOI: https://doi.org/10.3390/jpm12020279

Ko, K.J.; Kurliand, M.M.; Curtis, K.M.; Palmer, C.M.; Naimer, M.S.; Rodi, S.W.; Agha, Z. Launching an emergency department telehealth program during COVID-19: Real-world implementations for older adults. J. Geriatr. Emerg. Med. 2020, 7, 1–7.

Jaffe, E.; Sonkin, R.; Alpert, E.A.; Magid, A.; Knobler, H.Y. Flattening the COVID-19 curve: The unique role of emergency medical services in containing a global pandemic. Isr. Med. Assoc. J. 2020, 22, 476–482.

O’Sullivan, S.F.; Schneider, H. Developing telemedicine in Emergency Medical Services: A low-cost solution and practical approach connecting interfaces in emergency medicine. J. Med. Access 2022, 6, 1–12. DOI: https://doi.org/10.1177/27550834221084656

Kobeissi, M.M.; Ruppert, S.D. Remote patient triage: Shifting toward safer telehealth practice. J. Am. Assoc. Nurse Pract. 2021, 34, 444–451. DOI: https://doi.org/10.1097/JXX.0000000000000655

Kyriacou, E.; Antoniou, Z.; Hadjichristofi, G.; Fragkos, P.; Kronis, C.; Theodosiou, T.; Constantinou, R. Operating an eHealth system for prehospital and emergency health care support in light of COVID-19. Front Digit. Health 2021, 3, 654234. DOI: https://doi.org/10.3389/fdgth.2021.654234

Kim, Y.; Groombridge, C.; Romero, L.; Clare, S.; Fitzgerald, M.C. Decision support capabilities of telemedicine in emergency prehospital care: Systematic review. J. Med. Internet Res. 2020, 22, e18959. DOI: https://doi.org/10.2196/18959

Kadar, R.B.; Amici, D.R.; Hesse, K.; Bonder, A.; Ries, M. Impact of telemonitoring of critically ill emergency department patients awaiting ICU transfer. Crit. Care Med. 2019, 47, 1201–1207. DOI: https://doi.org/10.1097/CCM.0000000000003847

Uscher-Pines, L.; Sousa, J.; Mehrotra, A.; Schwamm, L.H.; Zachrison, K.S. Rising to the challenges of the pandemic: Telehealth innovations in U.S. emergency departments. J. Am. Med. Inform. Assoc. 2021, 28, 1910–1918. DOI: https://doi.org/10.1093/jamia/ocab092

Cormi, C.; Chrusciel, J.; Fayol, A.; Van Rechem, M.; Abou-Amsha, K.; Tixier, M.; Lewkowicz, M.; Laplanche, D.; Sanchez, S. The use of telemedicine in nursing homes: A mixed-method study to identify critical factors when connecting with a general hospital. Int. J. Environ. Res. Public Health 2021, 18, 11148. DOI: https://doi.org/10.3390/ijerph182111148

Hayden, E.M. Telehealth in EM during the COVID crisis: Lessons learned. In Proceedings of the SAEM Consensus Conference, Virtual, 12–15 May 2020.

Heslin, S.M.; Nappi, M.; Kelly, G.; Crawford, J.; Morley, E.J.; Lingam, V.; Henry, M.; Viccellio, P. Rapid creation of an emergency department telehealth program during the COVID-19 pandemic. J. Telemed. Telecare 2022, 28, 207–212. DOI: https://doi.org/10.1177/1357633X20952632

Kristal, R.; Rowell, M.; Kress, M.; Keeley, C.; Jackson, H.; Piwnica-Worms, K.; Hendricks, L.; Long, T.G.; Wallach, A.B. A phone call away: New York’s hotline and public health in the rapidly changing COVID-19 pandemic. Health Aff. 2020, 39, 1431–1436. DOI: https://doi.org/10.1377/hlthaff.2020.00902

FCC Grant to Expand UVA Health’s COVID-19 Telehatlh Care; University of Virginia Health, Newswise.com, Newswise, Inc.: Palmyra, VA, USA, 2020.

Hamm, J.M.; Greene, C.; Sweeney, M.; Mohammadie, S.; Thompson, L.B.; Wallace, E.; Schrading, W. Telemedicine in the emergency department in the era of COVID-19: Front-line experiences from 2 institutions. J. Am. Coll. Emerg. Physicians Open 2020, 1, 1630–1636. DOI: https://doi.org/10.1002/emp2.12204

Steinberg, R.; Anderson, B.; Hu, Z.; Johnson, T.M.; O’Keefe, J.B.; Plantinga, L.C.; Kamaleswaran, R.; Anderson, B. Associations between remote patient monitoring programme responsiveness and clinical outcomes for patients with COVID-19. BMJ Open Qual. 2021, 10, e001496. DOI: https://doi.org/10.1136/bmjoq-2021-001496

Aalam, A.A.; Hood, C.; Donelan, C.; Rutenberg, A.; Kane, E.M.; Sikka, N. Remote patient monitoring for ED discharges in the COVID-19 pandemic. Emerg. Med. J. 2021, 38, 229–231 DOI: https://doi.org/10.1136/emermed-2020-210022

Khurrum, M.; Asmar, S.; Joseph, B. Telemedicine in the ICU: Innovation in the critical care process. J. Intensive Care Med. 2021, 36, 1377–1384. DOI: https://doi.org/10.1177/0885066620968518

Gordon, W.J.; Henderson, D.; DeSharone, A.; Fisher, H.N.; Judge, J.; Levine, D.M.; MacLean, L.; Sousa, D.; Su, M.Y.; Boxer, R. Remote patient monitoring program for hospital discharged COVID-19 Patients. Appl. Clin. Inform. 2020, 11, 792–801. DOI: https://doi.org/10.1055/s-0040-1721039

Kennedy, N.R.; Steinberg, A.; Arnold, R.M.; Doshi, A.A.; White, D.B.; DeLair, W.; Nigra, K.; Elmer, J. Perspectives on telephone and video communication in the intensive care unit during COVID-19. Ann. Am. Thorac Soc. 2021, 18, 838–847. DOI: https://doi.org/10.1513/AnnalsATS.202006-729OC

Fisk, M.; Livingstone, A.; Pit, S.W. Telehealth in the context of COVID-19: Changing perspectives in Australia, the United Kingdom, and the United States. J. Med. Internet Res. 2020, 22, e19264. DOI: https://doi.org/10.2196/19264

Wittenberg, E.; Goldsmith, J.V.; Chen, C.; Prince-Paul, M.; Johnson, R.R. Opportunities to improve COVID-19 provider communication resources: A systematic review. Patient Educ. Counseling 2021, 104, 438–451. DOI: https://doi.org/10.1016/j.pec.2020.12.031

Schrading, W.A.; Pigott, D.; Thompson, L. Virtual remote attending supervision in an academic emergency department during the COVID-19 pandemic. AEM Educ. Train. 2020, 4, 266–269. DOI: https://doi.org/10.1002/aet2.10460

COVID-19 RESPONSE. ACEP. Medicare Telehealth Coverage Expansion During the COVID-19 Public Health Emergency; Annals of Emergency Medicine: Dallas, TX, USA, 2020.

Bloom-Feshbach, K.; Berger, R.E.; Dubroff, R.P.; McNairy, M.L.; Kim, A.; Evans, A.T. The virtual hospitalist: A critical innovation during the COVID-19 crisis. J. Gen. Intern Med. 2021, 36, 1771–1774. DOI: https://doi.org/10.1007/s11606-021-06675-y

Mendiola, B.; Gomez, C.; Furst, C.; Rasmussen-Winkler, J. Facilitating virtual visitation in critical care units during a pandemic. Holist Nurs. Pract. 2021, 35, 60–64. DOI: https://doi.org/10.1097/HNP.0000000000000432

Chang, J.H.; Sritharan, S.; Schmitt, K.; Patel, S.; Crew, R.J.; Tsapepas, D.S. Home care delivery and remote patient monitoring of kidney transplant recipients during COVID-19 pandemic. Prog. Transplant. 2021, 31, 381–384. DOI: https://doi.org/10.1177/15269248211046005

Logan, A.G.; McIsaac, W.J.; Tisler, A.; Irvine, M.J.; Saunders, A.; Dunai, A.; Rizo, C.A.; Feig, D.S.; Hamill, M.; Trudel, M.; et al. Mobile phone-based remote patient monitoring system for management of hypertension in diabetic patients. Am. J. Hypertens 2007, 20, 942–948. DOI: https://doi.org/10.1016/j.amjhyper.2007.03.020

Annis, T.; Pleasants, S.; Hultman, G.; Lindemann, E.; Thompson, J.A.; Billecke, S.; Badlani, S.; Melton, G.B. Rapid implementation of a COVID-19 remote patient monitoring program. J. Am. Med. Inform. Assoc. 2020, 27, 1326–1330. DOI: https://doi.org/10.1093/jamia/ocaa097

Tabacof, L.; Kellner, C.; Breyman, E.; Dewil, S.; Braren, S.; Nasr, L.; Tosto, J.; Cortes, M.; Putrino, D. Remote patient monitoring for home management of coronavirus disease 2019 in New York: A cross-sectional observational study. Telemed. J. e-Health 2021, 27, 641–648. DOI: https://doi.org/10.1089/tmj.2020.0339

Ostrowska, P.M.; Śliwiński, M.; Studnicki, R.; Hansdorfer-Korzon, R. Telerehabilitation of post-stroke patients as a therapeutic solution in the era of the COVID-19 pandemic. Healthcare 2021, 9, 654. DOI: https://doi.org/10.3390/healthcare9060654

Vieira, A.; Pinto, A.; Garcia, B.; Eid, R.A.C.; Mól, C.G.; Nawa, R.K. Telerehabilitation improves physical function and reduces dyspnoea in people with COVID-19 and post-COVID-19 conditions: A systematic review. J. Physiother. 2022, 68, 90–98. DOI: https://doi.org/10.1016/j.jphys.2022.03.011

Lee, I.R.; Kim, H.W.; Lee, Y.; Koyanagi, A.; Jacob, L.; An, S.; Shin, J.I.; Smith, L. Changes in undergraduate medical education due to COVID-19: A systematic review. Eur. Rev. Med. Pharmacol. Sci. 2021, 25, 4426–4434.

Ardekani, A.; Hosseini, S.A.; Tabari, P.; Rahimian, Z.; Feili, A.; Amini, M.; Mani, A. Student support systems for undergraduate medical students during the COVID-19 pandemic: A systematic narrative review of the literature. BMC Med. Educ. 2021, 21, 352. DOI: https://doi.org/10.1186/s12909-021-02791-9

Ahmady, S.; Kallestrup, P.; Sadoughi, M.M.; Katibeh, M.; Kalantarion, M.; Amini, M.; Khajeali, N. Distance learning strategies in medical education during COVID-19: A systematic review. J. Educ. Health Promot. 2021, 10, 421. DOI: https://doi.org/10.4103/jehp.jehp_318_21

Dabrowski, M.; Steliga, A.; Dabrowska, A.; Smereka, J.; Szarpak, L. Use simulation to improve the effectiveness of PPE in COVID-19. Disaster Emerg. Med. J. 2020, 5, 171–173. [Google Scholar] DOI: https://doi.org/10.5603/DEMJ.a2020.0028

Rivera, R.; Smart, J.; Sakaria, S.; Wray, A.; Wiechmann, W.; Boysen-Osborn, M.; Toohey, S. Planning engaging, remote, synchronous didactics in the COVID-19 pandemic era. JMIR Med. Educ. 2021, 7, e25213. DOI: https://doi.org/10.2196/25213

Runge, A.; Wray, A.; Harding, C. Virtual COVID rounds: A curricular enrichment program for pre-clinical medical students. Med. Educ. 2021, 55, 661. DOI: https://doi.org/10.1111/medu.14512

Boardman, C.; Knight, E.P.; Gavilanes, J.S.; MacMillan, C.; Chatelain, T.; Vick, E.; D’Aubrey, J.; Saville Allard, B. Disseminated tele-OSCE during a pandemic: One university’s experience. J. Nurs. Educ. 2022, 61, 107–110. DOI: https://doi.org/10.3928/01484834-20211128-01

Tsur, A.M.; Ziv, A.; Amital, H. Distance learning in the field of medicine: Hope or hype? Isr. Med. Assoc. J. 2021, 23, 447–448.

Vicente, V.; Johansson, A.; Selling, M.; Johansson, J.; Möller, S.; Todorova, L. Experience of using video support by prehospital emergency care physician in ambulance care—An interview study with prehospital emergency nurses in Sweden. BMC Emerg. Med. 2021, 21, 44. DOI: https://doi.org/10.1186/s12873-021-00435-1

Barsom, E.Z.; Meijer, H.A.W.; Blom, J.; Schuuring, M.J.; Bemelman, W.A.; Schijven, M.P. Emergency upscaling of video consultation during the COVID-19 pandemic: Contrasting user experience with data insights from the electronic health record in a large academic hospital. Int. J. Med. Inform. 2021, 150, 104463. DOI: https://doi.org/10.1016/j.ijmedinf.2021.104463

Dhahri, A.A.; Iqbal, M.R.; Pardoe, H. Agile application of video telemedicine during the COVID-19 pandemic. Cureus 2020, 12, e11320. DOI: https://doi.org/10.7759/cureus.11320

Maravilla, M.I. COVID-19 Survivors Philippines: Towards the promotion of public health during the COVID-19 pandemic. J Public Health 2021, 43, e565–e566. DOI: https://doi.org/10.1093/pubmed/fdab200

Keenan, A.J.; Tsourtos, G.; Tieman, J. The value of applying ethical principles in telehealth practices: Systematic review. J. Med. Internet Res. 2021, 23, e25698. DOI: https://doi.org/10.2196/25698

Imlach, F.; McKinlay, E.; Middleton, L.; Kennedy, J.; Pledger, M.; Russell, L.; Churchward, M.; Cumming, J.; McBride-Henry, K. Telehealth consultations in general practice during a pandemic lockdown: Survey and interviews on patient experiences and preferences. BMC Fam. Pract. 2020, 21, 269. DOI: https://doi.org/10.1186/s12875-020-01336-1

Kumar, S.; Kumar, A.; Kumar, M.; Kumar, A.; Arora, R.; Sehrawat, R. Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: A preliminary study. J. Clin. Orthop. Trauma 2020, 11 (Suppl. S5), S704–S710. DOI: https://doi.org/10.1016/j.jcot.2020.07.026

Satin, A.M.; Shenoy, K.; Sheha, E.D.; Basques, B.; Schroeder, G.D.; Vaccaro, A.R.; Lieberman, I.H.; Guyer, R.D.; Derman, P.B. Spine patient satisfaction with telemedicine during the COVID-19 pandemic: A cross-sectional study. Global Spine J. 2022, 12, 812–819. DOI: https://doi.org/10.1177/2192568220965521

Ramaswamy, A.; Yu, M.; Drangsholt, S.; Ng, E.; Culligan, P.J.; Schlegel, P.N.; Hu, J.C. Patient satisfaction with telemedicine during the COVID-19 pandemic: Retrospective cohort study. J. Med. Internet Res. 2020, 22, e20786. DOI: https://doi.org/10.2196/20786

Pogorzelska, K.; Chlabicz, S. Patient satisfaction with telemedicine during the COVID-19 pandemic—A systematic review. Int. J. Environ. Res. Public Health 2022, 19, 6113. DOI: https://doi.org/10.3390/ijerph19106113

Greenhalgh, T.; Shaw, S.; Wherton, J.; Vijayaraghavan, S.; Morris, J.; Bhattacharya, S.; Hanson, P.; Campbell-Richards, D.; Ramoutar, S.; Collard, A.; et al. Real-world implementation of video outpatient consultations at macro, meso, and micro levels: Mixed-method study. J. Med. Internet Res. 2018, 20, e150. DOI: https://doi.org/10.2196/jmir.9897

Iyengar, K.; Jain, V.K.; Vaishya, R. Pitfalls in telemedicine consultations in the era of COVID 19 and how to avoid them. Diabetes Metab. Syndr. 2020, 14, 797–799. DOI: https://doi.org/10.1016/j.dsx.2020.06.007

Emerson, M.R.; Buchanan, L.; Golden, A. Telehealth simulation with graduate nurse practitioner students. Nurse Educ. 2021, 46, 126–129. DOI: https://doi.org/10.1097/NNE.0000000000000843

Bashshur, R.; Doarn, C.R.; Frenk, J.M.; Kvedar, J.C.; Woolliscroft, J.O. Telemedicine and the COVID-19 Pandemic, lessons for the future. Telemed. J. e-Health 2020, 26, 571–573 DOI: https://doi.org/10.1089/tmj.2020.29040.rb

Published

15-01-2023

How to Cite

Alanazi, S. A., Almanna, M. A., Alanazi, D. M., Enazi, S. M. A., Alaboush, K. S., Alaujan, B. S., Zamzami, B. A., & Alsaleh, W. A. (2023). Trauma-informed care in emergency medicine: The role of nurses, pharmacy, telehealth in providing care to patients who have experienced trauma. International Journal of Health Sciences, 7(S1), 3371–3386. https://doi.org/10.53730/ijhs.v7nS1.15058

Issue

Section

Peer Review Articles

Most read articles by the same author(s)