A Smartphone App and Cloud-Based Consultation System for Burn Injury Emergency Care

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dc.contributor University of Helsinki, Institute for Molecular Medicine Finland en
dc.contributor.author Wallis, Lee A.
dc.contributor.author Fleming, Julian
dc.contributor.author Hasselberg, Marie
dc.contributor.author Laflamme, Lucie
dc.contributor.author Lundin, Johan
dc.date.accessioned 2016-03-29T11:36:02Z
dc.date.available 2016-03-29T11:36:02Z
dc.date.issued 2016-02-26
dc.identifier.citation Wallis , L A , Fleming , J , Hasselberg , M , Laflamme , L & Lundin , J 2016 , ' A Smartphone App and Cloud-Based Consultation System for Burn Injury Emergency Care ' PLoS One , vol. 11 , no. 2 , 0147253 . DOI: 10.1371/journal.pone.0147253 en
dc.identifier.issn 1932-6203
dc.identifier.other PURE: 61467497
dc.identifier.other PURE UUID: ccbc1a51-0029-400c-bdac-482bf239f83a
dc.identifier.other WOS: 000371274400003
dc.identifier.other Scopus: 84960454847
dc.identifier.uri http://hdl.handle.net/10138/161030
dc.description.abstract Background Each year more than 10 million people worldwide are burned severely enough to require medical attention, with clinical outcomes noticeably worse in resource poor settings. Expert clinical advice on acute injuries can play a determinant role and there is a need for novel approaches that allow for timely access to advice. We developed an interactive mobile phone application that enables transfer of both patient data and pictures of a wound from the point-of-care to a remote burns expert who, in turn, provides advice back. Methods and Results The application is an integrated clinical decision support system that includes a mobile phone application and server software running in a cloud environment. The client application is installed on a smartphone and structured patient data and photographs can be captured in a protocol driven manner. The user can indicate the specific injured body surface(s) through a touchscreen interface and an integrated calculator estimates the total body surface area that the burn injury affects. Predefined standardised care advice including total fluid requirement is provided immediately by the software and the case data are relayed to a cloud server. A text message is automatically sent to a burn expert on call who then can access the cloud server with the smartphone app or a web browser, review the case and pictures, and respond with both structured and personalized advice to the health care professional at the point-of-care. Conclusions In this article, we present the design of the smartphone and the server application alongside the type of structured patient data collected together with the pictures taken at point-of-care. We report on how the application will be introduced at point-of-care and how its clinical impact will be evaluated prior to roll out. Challenges, strengths and limitations of the system are identified that may help materialising or hinder the expected outcome to provide a solution for remote consultation on burns that can be integrated into routine acute clinical care and thereby promote equity in injury emergency care, a growing public health burden. en
dc.format.extent 19
dc.language.iso eng
dc.relation.ispartof PLoS One
dc.rights en
dc.subject TELEMEDICINE en
dc.subject DIAGNOSIS en
dc.subject DEPTH en
dc.subject 3142 Public health care science, environmental and occupational health en
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology en
dc.title A Smartphone App and Cloud-Based Consultation System for Burn Injury Emergency Care en
dc.type Article
dc.description.version Peer reviewed
dc.identifier.doi https://doi.org/10.1371/journal.pone.0147253
dc.type.uri info:eu-repo/semantics/other
dc.type.uri info:eu-repo/semantics/publishedVersion

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