Optimising remote health care delivery in Antarctica: a review of the current capabilities utilised in the British Antarctic Territory
Injury in Antarctica can have a significant impact when considering transfer timelines of several weeks. Medical support to the British Antarctic Territory (BAT) is provided by deployed healthcare professionals and the utilisation of “reach-back” with telemedicine. This is paired with robust trainin...
Published in: | International Journal of Circumpolar Health |
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ftpubmed:oai:pubmedcentral.nih.gov:10316727 2023-07-30T03:56:36+02:00 Optimising remote health care delivery in Antarctica: a review of the current capabilities utilised in the British Antarctic Territory Lowe, Jonathon Warner, Matthew 2023-06-30 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316727/ http://www.ncbi.nlm.nih.gov/pubmed/37389990 https://doi.org/10.1080/22423982.2023.2230633 en eng Taylor & Francis http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316727/ http://www.ncbi.nlm.nih.gov/pubmed/37389990 http://dx.doi.org/10.1080/22423982.2023.2230633 © 2023 Crown Copyright. Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent. Int J Circumpolar Health Arctic Military Conference in Cold Weather Medicine Text 2023 ftpubmed https://doi.org/10.1080/22423982.2023.2230633 2023-07-09T00:57:36Z Injury in Antarctica can have a significant impact when considering transfer timelines of several weeks. Medical support to the British Antarctic Territory (BAT) is provided by deployed healthcare professionals and the utilisation of “reach-back” with telemedicine. This is paired with robust training and familiarisation with a system of modularised deployed equipment. This paper examines the current telemedicine strategy, infrastructure modularisation, and influence from military practice by the British Antarctic Survey Medical Unit (BASMU) for medical care at extreme reach. Current telemedicine practices and utilisation, as well as modular equipment capabilities across the BAT were reviewed to provide an outline of care delivery. Requests varied from expert advice to remote supervision of clinical procedures. Integration of commercially available solutions enabled real-time display of patient physiology. The deployment of modular resources has improved equipment availability and greater standardisation between sites. The sending of case notes and digital x-rays has been generally sufficient but, when greater supervision was required, limited data transfer bandwidth was a challenge. An ongoing review of deployed equipment capabilities may also enhance the ease with which remote support can be offered but an uplift in telemedicine capability will likely require infrastructure upgrades to maintain data transfer from 8000 miles away. Text Antarc* Antarctic Antarctica Arctic British Antarctic Survey Circumpolar Health PubMed Central (PMC) Antarctic Arctic British Antarctic Territory ENVELOPE(0.000,0.000,-90.000,-90.000) International Journal of Circumpolar Health 82 1 |
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PubMed Central (PMC) |
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English |
topic |
Arctic Military Conference in Cold Weather Medicine |
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Arctic Military Conference in Cold Weather Medicine Lowe, Jonathon Warner, Matthew Optimising remote health care delivery in Antarctica: a review of the current capabilities utilised in the British Antarctic Territory |
topic_facet |
Arctic Military Conference in Cold Weather Medicine |
description |
Injury in Antarctica can have a significant impact when considering transfer timelines of several weeks. Medical support to the British Antarctic Territory (BAT) is provided by deployed healthcare professionals and the utilisation of “reach-back” with telemedicine. This is paired with robust training and familiarisation with a system of modularised deployed equipment. This paper examines the current telemedicine strategy, infrastructure modularisation, and influence from military practice by the British Antarctic Survey Medical Unit (BASMU) for medical care at extreme reach. Current telemedicine practices and utilisation, as well as modular equipment capabilities across the BAT were reviewed to provide an outline of care delivery. Requests varied from expert advice to remote supervision of clinical procedures. Integration of commercially available solutions enabled real-time display of patient physiology. The deployment of modular resources has improved equipment availability and greater standardisation between sites. The sending of case notes and digital x-rays has been generally sufficient but, when greater supervision was required, limited data transfer bandwidth was a challenge. An ongoing review of deployed equipment capabilities may also enhance the ease with which remote support can be offered but an uplift in telemedicine capability will likely require infrastructure upgrades to maintain data transfer from 8000 miles away. |
format |
Text |
author |
Lowe, Jonathon Warner, Matthew |
author_facet |
Lowe, Jonathon Warner, Matthew |
author_sort |
Lowe, Jonathon |
title |
Optimising remote health care delivery in Antarctica: a review of the current capabilities utilised in the British Antarctic Territory |
title_short |
Optimising remote health care delivery in Antarctica: a review of the current capabilities utilised in the British Antarctic Territory |
title_full |
Optimising remote health care delivery in Antarctica: a review of the current capabilities utilised in the British Antarctic Territory |
title_fullStr |
Optimising remote health care delivery in Antarctica: a review of the current capabilities utilised in the British Antarctic Territory |
title_full_unstemmed |
Optimising remote health care delivery in Antarctica: a review of the current capabilities utilised in the British Antarctic Territory |
title_sort |
optimising remote health care delivery in antarctica: a review of the current capabilities utilised in the british antarctic territory |
publisher |
Taylor & Francis |
publishDate |
2023 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316727/ http://www.ncbi.nlm.nih.gov/pubmed/37389990 https://doi.org/10.1080/22423982.2023.2230633 |
long_lat |
ENVELOPE(0.000,0.000,-90.000,-90.000) |
geographic |
Antarctic Arctic British Antarctic Territory |
geographic_facet |
Antarctic Arctic British Antarctic Territory |
genre |
Antarc* Antarctic Antarctica Arctic British Antarctic Survey Circumpolar Health |
genre_facet |
Antarc* Antarctic Antarctica Arctic British Antarctic Survey Circumpolar Health |
op_source |
Int J Circumpolar Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316727/ http://www.ncbi.nlm.nih.gov/pubmed/37389990 http://dx.doi.org/10.1080/22423982.2023.2230633 |
op_rights |
© 2023 Crown Copyright. Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent. |
op_doi |
https://doi.org/10.1080/22423982.2023.2230633 |
container_title |
International Journal of Circumpolar Health |
container_volume |
82 |
container_issue |
1 |
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1772813863650066432 |