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救急外来における皮膚科遠隔診療の試み
https://redcross.repo.nii.ac.jp/records/17727
https://redcross.repo.nii.ac.jp/records/1772798af5854-dbbd-406e-953c-b7707968cb0a
名前 / ファイル | ライセンス | アクション |
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Wakayama38_05 (888.5 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2021-05-24 | |||||
タイトル | ||||||
タイトル | 救急外来における皮膚科遠隔診療の試み | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | A traial of teledermatology for emergency medicine | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 皮膚科 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 遠隔診療 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 救急医療 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | オンコール当番 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | オンラインコンサルテーション | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | teledermatology | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | emergency medicine | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | on call duty | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | online consultation | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | skin diseases | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
辻岡, 馨
× 辻岡, 馨 |
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著者別名 | ||||||
姓名 | Tsujioka, Kaoru | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 本院救急外来を受診して皮膚科関連疾患を疑われた65症例に対して、皮膚科拘束当番医による遠隔診療を試みた.機器やソフトは市販の汎用品を活用したが、セキュリティ対策に注意を払った。病歴や検査所見も聞き合わせて暫定診断を下し、対処法について電話により診療医に助言を行った。経過が追跡できた症例が51例に上った。皮膚科に入院することになったのは20例.皮膚疾患を抱えているが、諸事情で他科に入院することになったのが8例だった。入院の原因となった上位2疾患は急性皮膚細菌感染症10例、帯状疱疹6例であり、これらで全体の57%を占めた。3例を皮膚科診療対象外と判断した。暫定診断の妥当率は87%であったが、重症度、緊急度の判定に問題はなく、患者への不利益は発生していないと考えられる。遠隔診療の活用によりオンコール当番医の緊急出動はほぼ不要となり、時間外勤務の減少にも寄与できた。 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Teledermatology service by on call dermatologists was tried for 65 patients who complained of acute skin conditions and requested cares at emergency room (ER) of our hospital. Commercially available devices and software were utilized, with consideration for security. As clinical practices, ER doctors took pictures of affected skin and transferred the digital images to the smartphone of an on-duty dermatologist who was outside of the hospital. Based on the images in addition to patient’s history and laboratory data, dermatologists made tentative diagnosis and provided advice to ER doctors by telephone. The course of 51 cases could be pursued and analyzed retrospectively. Out of 28 cases that resulted in admission, 20 cases were managed in dermatology department, while 8 cases in other departments. Major diseases requiring in-hospital treatment were acute bacterial infections (10 cases) and herpes zoster (6 cases), consisting 57% of all. Three cases were judged to be outside the realm of dermatological practice. Tentative diagnosis were proved to be adequate in 87% of the 51 cases and decision made by dermatologists concerning about severity and urgency caused no serious problems and no harm to all the patients. This on-line consultation system had worked well and contributed to the reduction of overtime work of dermatologists, although workload for ER doctors might increase. | |||||
書誌情報 |
日本赤十字社和歌山医療センター医学雑誌 en : Medical Journal of Japanese Red Cross Wakayama Medical Center 巻 38, p. 29-36, 発行日 2021-03-31 |
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出版者 | ||||||
出版者 | 日本赤十字社和歌山医療センター | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1341-9927 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN1051395X | |||||
権利 | ||||||
権利情報 | 日本赤十字社和歌山医療センター | |||||
情報源 | ||||||
関連名称 | 日本赤十字社和歌山医療センター | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
見出し | ||||||
大見出し | 原著 | |||||
言語 | ja |