October - 20219Tele-HealthWhen most people hear about Tele-Health, they think that this applies to a video conference with their primary care physician, but in reality, this is a much broader subject. For a number of years, most Emergency Departments have been equipped with video communications with neurologists around the clock. If a patient comes to the Emergency Department with signs of a stroke, there are certain time-sensitive decisions that must be made. As soon as the patient's symptoms are identified, a neurologist can evaluate the patient via video conference immediately. This ensures appropriate collaboration between the emergency physician and the neurologist early enough in the care to improve the outcomes for the patient.Advances in technology have also allowed for patients to stay safely at home and still be evaluated by their medical providers. With live video conferencing, patients can connect with their primary care physicians to evaluate all of their medical needs. From blood pressure and diabetes monitoring, even mental health concerns, patients can easily log into their digital device and connect with their doctors or primary care providers. Even more importantly in the midst of a pandemic patients have been able to have the progression of their Covid-19 symptoms monitored while still at home. WearablesOne of the biggest risk factors for stroke is an irregular rhythm called atrial fibrillation. In order to safely treat atrial fibrillation in the Emergency Department, the timeframe of the symptoms must be known. With the advent of wearable technology, patients no longer have to come to the Emergency Department to determine if their heart is in atrial fibrillation. The device can either alert the patient or possibly the cardiologist. This has wide ranging implications, but the most important is the reality that most interventions must occur within a certain amount of time from onset of symptoms. Failure to appropriately determine how long the patient has been in atrial fibrillation could possibly risk blood clots being dislodged from the heart and travel to the brain causing a stroke. With the adequate data on the exact duration of symptoms, patients can be treated appropriately with the confidence that side effects have been minimized.The pandemic has definitely created problems for Emergency Medicine. Even with the various degrees of lockdown across the country due to the pandemic, there have been incredible advances that augment the lives of patients everywhere. Technology will continue to advance, to hopefully improve patients' lives, and therefore improve outcomes. Kenneth PerryWith the Covid-19 pandemic, there has been an obvious concern with healthcare providers being exposed to infected patients and how to mitigate the risk
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