ABSTRACT
The number and seriousness of medical problems on passenger-carrying aircraft in flight are increasing. Medical incidents occur at a rate of approximately 10-50 per million passengers carried. Medical equipment carried on commercial aircraft is limited to three items: a first-aid kit, an emergency medical kit and sometimes an automatic external defibrillator. Telephone medicine, a lower level of telemedicine support, is well established for commercial air operations. The availability of satellite telecommunications on passenger-carrying aircraft permits more sophisticated forms of telemedicine. Recent telemedicine experiments have involved the transmission of three-lead electrocardiograms (ECGs), heart rate, blood pressure, arterial oxygen saturation, end-tidal CO2, respiratory rate, body temperature and realtime video. The challenge is to demonstrate that such techniques are practicable, improve patient outcomes and are cost-effective.
Subject(s)
Aerospace Medicine/methods , Emergency Treatment/methods , Telemedicine/standards , Aerospace Medicine/legislation & jurisprudence , Aerospace Medicine/trends , Cardiopulmonary Resuscitation/methods , Emergency Treatment/standards , First Aid/standards , Humans , Telemedicine/economics , Telemedicine/trendsABSTRACT
The information society is continuously pushing to a rapid change und updating of laws and training and qualification programs from which medicine is not excluded. This paper summarises the norms and laws applicable to telemedicine with three basic principles involved: medical practice, data management, and communication technologies. Following the subsidiary principle, the applicable legislative levels are: European Union, National, Autonomous Community, Medical Professional Colleges, and Local Medical Colleges. Contradictory and little innovative issues appear in the results and discussion sections of the deontologic codes, the pressing demand on doctors' awareness and to provide them with technical skills. An exhortation follows to work out an informative-ethic code for the telemedicine practice.
Subject(s)
Education, Medical/trends , Telemedicine/legislation & jurisprudence , Access to Information , SpainABSTRACT
La sociedad de la información obliga a un rápido cambio y adecuación de leyes y programas de formación y capacitación, de los cuales la medicina no está exenta. Este trabajo resume las leyes y normativas aplicables a la telemedicina que afectan a 3 principios: práctica médica, manejo de datos y tecnologías de la comunicación.Siguiendo el principio de subsidiariedad, los niveles legislativos aplicables son: Unión Europea, nacional, Comunidades Autónomas, Organización Médica Colegial (OMC) y colegios de médicos.En los resultados y discusión aparecen aspectos contradictorios o poco innovadores de los códigos deontológicos, la urgente necesidad de concienciar y capacitar a los médicos en las nuevas tecnologías y se exhorta a elaborar un código infoético para la práctica de la telemedicina (AU)
