Preliminary clinical algorithm to optimise remote delivery of paediatric concussion care in Canada’s North
Concussion is a form of traumatic brain injury that affects thousands of children and adolescents across Canada annually. With timely access to comprehensive medical care, the majority of patients with acute concussion will recover within 1–4 weeks. Those who develop persistent post-concussion sympt...
Published in: | International Journal of Circumpolar Health |
---|---|
Main Authors: | , , |
Format: | Text |
Language: | English |
Published: |
Taylor & Francis
2020
|
Subjects: | |
Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595137/ http://www.ncbi.nlm.nih.gov/pubmed/33089768 https://doi.org/10.1080/22423982.2020.1832390 |
id |
ftpubmed:oai:pubmedcentral.nih.gov:7595137 |
---|---|
record_format |
openpolar |
spelling |
ftpubmed:oai:pubmedcentral.nih.gov:7595137 2023-05-15T15:55:23+02:00 Preliminary clinical algorithm to optimise remote delivery of paediatric concussion care in Canada’s North Ellis, Michael J. Mendez, Ivar Russell, Kelly 2020-10-22 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595137/ http://www.ncbi.nlm.nih.gov/pubmed/33089768 https://doi.org/10.1080/22423982.2020.1832390 en eng Taylor & Francis http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595137/ http://www.ncbi.nlm.nih.gov/pubmed/33089768 http://dx.doi.org/10.1080/22423982.2020.1832390 © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by-nc/4.0/ http://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/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. CC-BY-NC Int J Circumpolar Health Review Article (Scoping and Systematic) Text 2020 ftpubmed https://doi.org/10.1080/22423982.2020.1832390 2020-11-15T01:31:46Z Concussion is a form of traumatic brain injury that affects thousands of children and adolescents across Canada annually. With timely access to comprehensive medical care, the majority of patients with acute concussion will recover within 1–4 weeks. Those who develop persistent post-concussion symptoms often benefit from early recognition and referral to multi-disciplinary concussion clinics that have the personnel and resources to meet their complex needs. Youth who live in remote and isolated communities within Canada’s North, a significant proportion of whom are Indigenous, face unique barriers and obstacles to accessing primary and specialised concussion care. Although telemedicine has recently emerged as a tool that can help address these gaps in care, there are presently no clinical guidelines or tools available to assist multi-disciplinary concussion clinics in providing remote concussion care to these medically underserved patients. Here we incorporate literature from a scoping review and our early institutional experience to present an evidence-informed preliminary clinical algorithm and resources to help guide and optimise remote paediatric concussion care delivery in Canada’s North. We also discuss how innovative technologies and partnerships can be leveraged to enhance the delivery of safe, equitable, cost-effective and culturally appropriate care to these communities. Text Circumpolar Health PubMed Central (PMC) Canada International Journal of Circumpolar Health 79 1 1832390 |
institution |
Open Polar |
collection |
PubMed Central (PMC) |
op_collection_id |
ftpubmed |
language |
English |
topic |
Review Article (Scoping and Systematic) |
spellingShingle |
Review Article (Scoping and Systematic) Ellis, Michael J. Mendez, Ivar Russell, Kelly Preliminary clinical algorithm to optimise remote delivery of paediatric concussion care in Canada’s North |
topic_facet |
Review Article (Scoping and Systematic) |
description |
Concussion is a form of traumatic brain injury that affects thousands of children and adolescents across Canada annually. With timely access to comprehensive medical care, the majority of patients with acute concussion will recover within 1–4 weeks. Those who develop persistent post-concussion symptoms often benefit from early recognition and referral to multi-disciplinary concussion clinics that have the personnel and resources to meet their complex needs. Youth who live in remote and isolated communities within Canada’s North, a significant proportion of whom are Indigenous, face unique barriers and obstacles to accessing primary and specialised concussion care. Although telemedicine has recently emerged as a tool that can help address these gaps in care, there are presently no clinical guidelines or tools available to assist multi-disciplinary concussion clinics in providing remote concussion care to these medically underserved patients. Here we incorporate literature from a scoping review and our early institutional experience to present an evidence-informed preliminary clinical algorithm and resources to help guide and optimise remote paediatric concussion care delivery in Canada’s North. We also discuss how innovative technologies and partnerships can be leveraged to enhance the delivery of safe, equitable, cost-effective and culturally appropriate care to these communities. |
format |
Text |
author |
Ellis, Michael J. Mendez, Ivar Russell, Kelly |
author_facet |
Ellis, Michael J. Mendez, Ivar Russell, Kelly |
author_sort |
Ellis, Michael J. |
title |
Preliminary clinical algorithm to optimise remote delivery of paediatric concussion care in Canada’s North |
title_short |
Preliminary clinical algorithm to optimise remote delivery of paediatric concussion care in Canada’s North |
title_full |
Preliminary clinical algorithm to optimise remote delivery of paediatric concussion care in Canada’s North |
title_fullStr |
Preliminary clinical algorithm to optimise remote delivery of paediatric concussion care in Canada’s North |
title_full_unstemmed |
Preliminary clinical algorithm to optimise remote delivery of paediatric concussion care in Canada’s North |
title_sort |
preliminary clinical algorithm to optimise remote delivery of paediatric concussion care in canada’s north |
publisher |
Taylor & Francis |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595137/ http://www.ncbi.nlm.nih.gov/pubmed/33089768 https://doi.org/10.1080/22423982.2020.1832390 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
Circumpolar Health |
genre_facet |
Circumpolar Health |
op_source |
Int J Circumpolar Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595137/ http://www.ncbi.nlm.nih.gov/pubmed/33089768 http://dx.doi.org/10.1080/22423982.2020.1832390 |
op_rights |
© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by-nc/4.0/ http://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/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.1080/22423982.2020.1832390 |
container_title |
International Journal of Circumpolar Health |
container_volume |
79 |
container_issue |
1 |
container_start_page |
1832390 |
_version_ |
1766390870633873408 |