Goals   |   Scenario   |   Testimonials   |   Participants   |   Articles   |   Tools    Typical scenario of how end users interact with the technology    Tommy Smith, a five-year old patient, arrives at the emergency room of St. Alphonsus in Boise, Idaho around 8 p.m. with burns to his head and upper body. His anxious parents who bring him in explain that their son pulled a pot of hot soup off the stove. Tommy has two of themost potentially dangerous burn injuries. First, the severe scalding to his head raises concern about airway trauma and the need for ventilation. Second, pulling the pot from the stove caused burn injuries that are circumferential to his hand and can potentially swell and affect circulation. The emergency room personnel contact the doctor who calls the IBC; an IBC physician will be available 24/7. Personnel at St. Alphonsus wheel in the VSX 7000 and activate the teleconferencing equipment with the HIPAA-approved embedded AES encryption software that ensures secure communication via the internet. The doctor begins collecting and transmitting images of the burn injuries, alternating between the "room view" of the VSX 7000 and the close-ups from the AMD-2500 with a 1-50x zoom. The images are also recorded on a secure DVD recorder to allow for re-evaluation and follow up discussions during quarterly teleconferences; they will then be destroyed. Consistent, robust audio is relayed through the VSX 7000, so no phone is necessary. Meanwhile the on-call IBC physician who is at home, sets up his laptop to securely receive the remote images using the internet and ViaVideo camera with teleconferencing software. Viewing the same images in real-time, the two physicians consult over the phone. Part of the call is additional telemedicine training and part of the call is additional burn training. These activities are not services normally delivered in a non-network environment. There is not a single point of contact at the site with whom IBC will communicate. Instead, there are a variety of hospital doctors and personnel at St. Alphonsus; it is likely that they will need assistance, especially after hours when no IT support is available, using appropriate settings and getting familiar with the equipment. Constant and readily available assistance from IBC is essential to cultivate acceptance and use of this technology. The IBC physician will fill out detailed assessment forms for evaluation. Based on established protocol, the physicians can more accurately triage the patient. The IBC physician will make recommendations. The decision to transport Tommy will be made by the physician at St. Alphonsus. University of Utah Health Sciences Center 50 North Medical Drive, Salt Lake City, Utah 84132 HSC Webmaster Disclaimer