Providing Remote Aid During a Humanitarian Crisis

Lewis J. Kaplan, MD, FACS, FCCP, FCCM; Scott Levin, MD, FAOA, FACS; Jay Yelon, MD, FACS; Jeremy M. Cannon, MD, FACS; Samir Mehta, MD; Patrick M. Reilly, MD, FACS; Stephen J. Kovach, III, MD; Derek J. Donegan, MD; Kierstyn Claycomb; Maisie Savchenko-Fullerton; Evhen Filonenko, MD; Vyacheslav Maiko, MD; Roman Kuzmov, MD; Yaroslav Radega, MD; Viktor Pashinskiy, MD; Yuriy Yurievich Demyan, MD; Petro Plesha, MD; Yuriy Demyan, MD; Dmytro Vinnytskiy, MD; Glen N. Gaulton, PhD; Patrick J. Brennan, MD

doi:10.1097/CCE.0000000000000992

Critical Care Explorations (Nov 2023)

Providing Remote Aid During a Humanitarian Crisis

Lewis J. Kaplan, MD, FACS, FCCP, FCCM,
Scott Levin, MD, FAOA, FACS,
Jay Yelon, MD, FACS,
Jeremy M. Cannon, MD, FACS,
Samir Mehta, MD,
Patrick M. Reilly, MD, FACS,
Stephen J. Kovach, III, MD,
Derek J. Donegan, MD,
Kierstyn Claycomb,
Maisie Savchenko-Fullerton,
Evhen Filonenko, MD,
Vyacheslav Maiko, MD,
Roman Kuzmov, MD,
Yaroslav Radega, MD,
Viktor Pashinskiy, MD,
Yuriy Yurievich Demyan, MD,
Petro Plesha, MD,
Yuriy Demyan, MD,
Dmytro Vinnytskiy, MD,
Glen N. Gaulton, PhD,
Patrick J. Brennan, MD

Affiliations

Lewis J. Kaplan, MD, FACS, FCCP, FCCM: 1 Division of Trauma, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Scott Levin, MD, FAOA, FACS: 2 Department of Orthopedics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Jay Yelon, MD, FACS: 1 Division of Trauma, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Jeremy M. Cannon, MD, FACS: 1 Division of Trauma, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Samir Mehta, MD: 2 Department of Orthopedics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Patrick M. Reilly, MD, FACS: 1 Division of Trauma, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Stephen J. Kovach, III, MD: 3 Division of Plastic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Derek J. Donegan, MD: 2 Department of Orthopedics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Kierstyn Claycomb: 4 Penn Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Maisie Savchenko-Fullerton: 5 Rapid Aid Liaison Group, Barvy, Ivano-Frankivsk, Ukraine.
Evhen Filonenko, MD: 6 Department of Orthopedics, Vinnytsia Regional Pirogov Clinical Hospital, Vinnytsia, Ukraine.
Vyacheslav Maiko, MD: 6 Department of Orthopedics, Vinnytsia Regional Pirogov Clinical Hospital, Vinnytsia, Ukraine.
Roman Kuzmov, MD: 6 Department of Orthopedics, Vinnytsia Regional Pirogov Clinical Hospital, Vinnytsia, Ukraine.
Yaroslav Radega, MD: 6 Department of Orthopedics, Vinnytsia Regional Pirogov Clinical Hospital, Vinnytsia, Ukraine.
Viktor Pashinskiy, MD: 6 Department of Orthopedics, Vinnytsia Regional Pirogov Clinical Hospital, Vinnytsia, Ukraine.
Yuriy Yurievich Demyan, MD: 7 Department of Orthopedics, Zakarpattia Oblast Children’s Hospital, Mukachevo, Ukraine.
Petro Plesha, MD: 7 Department of Orthopedics, Zakarpattia Oblast Children’s Hospital, Mukachevo, Ukraine.
Yuriy Demyan, MD: 7 Department of Orthopedics, Zakarpattia Oblast Children’s Hospital, Mukachevo, Ukraine.
Dmytro Vinnytskiy, MD: 7 Department of Orthopedics, Zakarpattia Oblast Children’s Hospital, Mukachevo, Ukraine.
Glen N. Gaulton, PhD: 8 Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Patrick J. Brennan, MD: 9 Department of Internal Medicine, Division of Infectious Disease, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

DOI: https://doi.org/10.1097/CCE.0000000000000992
Journal volume & issue: Vol. 5, no. 11
p. e0992

Abstract

Read online

Humanitarian crises create opportunities for both in-person and remote aid. Durable, complex, and team-based care may leverage a telemedicine approach for comprehensive support within a conflict zone. Barriers and enablers are detailed, as is the need for mission expansion due to initial program success. Adapting a telemedicine program initially designed for critical care during the severe acute respiratory syndrome coronavirus 2 pandemic offers a solution to data transfer and data analysis issues. Staffing efforts and grouped elements of patient care detail the kinds of remote aid that are achievable. A multiprofessional team-based approach (clinical, administrative, nongovernmental organization, government) can provide comprehensive consultation addressing surgical planning, critical care management, infection and infection control management, and patient transfer for complex care. Operational and network security create parallel concerns relevant to avoid geolocation and network intrusion during consultation. Deliberate approaches to address cultural differences that influence relational dynamics are also essential for mission success.

Published in Critical Care Explorations

ISSN: 2639-8028 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Medical emergencies. Critical care. Intensive care. First aid
Website: https://journals.lww.com/ccejournal/pages/default.aspx

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