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- W1736395374 abstract "Abstract Objective: The aim of the present study was to investigate the feasibility of using a store‐and‐forward Skin Emergency Telemedicine Service (SETS) to provide rapid specialist diagnostic and management advice for dermatological cases in an ED. Methods: This pilot study was conducted at the Princess Alexandra Hospital between August 2008 and August 2009. Study subjects were consenting patients over 18 years of age who presented with a dermatological condition to the ED. The ED doctor sent the patient's history, examination findings and the digital images of the skin conditions to a secure email address, which automatically forwarded this to the teledermatologist. The teledermatologist reviewed the cases and sent advice on diagnosis and management to the referring ED doctor via email and/or telephone. Face‐to‐face follow‐up consultations with the patients were conducted within 2 weeks. The diagnostic and management concordance between ED doctors, teledermatologists and reviewing dermatologists were analysed. Results: A total of 60 patients participated in the present study. SETS provided a rapid response with 56 (93%) of ED consultations receiving a dermatology opinion within 2 h. Face‐to‐face follow up occurred in 50 patients (83%). Statistical analysis showed significant levels of agreement between tele‐diagnosis and ED diagnosis of 71.2% (Kappa 0.42) and tele‐diagnosis and final clinical diagnosis of 98% (Kappa: 0.93). The clinical management concordance was 96% in complete agreement and 4% in relative agreement between the teledermatologists and reviewing dermatologists, based on chart review. Conclusion: The present study has shown that SETS can provide rapid and accurate diagnostic and treatment advice from a specialist for dermatological presentations to the ED." @default.
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- W1736395374 date "2011-06-29" @default.
- W1736395374 modified "2023-10-16" @default.
- W1736395374 title "Incorporating teledermatology into emergency medicine" @default.
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- W1736395374 doi "https://doi.org/10.1111/j.1742-6723.2011.01443.x" @default.
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