guest ::
%0 Thesis %A Müller, Anna %T Potenziale der Telemedizin in der Katastrophenmedizin %I Rheinisch-Westfälische Technische Hochschule Aachen %V Dissertation %C Aachen %M RWTH-2025-08398 %P 1 Online-Ressource : Illustrationen %D 2025 %Z Veröffentlicht auf dem Publikationsserver der RWTH Aachen University 2026 %Z Dissertation, Rheinisch-Westfälische Technische Hochschule Aachen, 2025, Kumulative Dissertation %X Telemedicine is already showing great potential in supporting non-medical personnel in the emergency services and conserving medical resources. A shortage of physicians can be expected in disaster medicine, as physicians are needed in a variety of roles. The potential of telemedicine to compensate for this shortage of physicians at the scene was therefore investigated. In contrast to the emergency service, disaster medicine predominantly deploys lower-qualified emergency personnel who are delegated medical measures under telemedical guidance as part of studies as TeleSAN. In an initial study, the telemedicine system was used to treat real patients at a festival. The data shows that the paramedics were able to carry out medical interventions under telemedical guidance without any deterioration in the patient's condition. These measures included the intravenous, inhalation and transdermal application of various medications and intravenous fluid therapy. These can also be transferred to the treatment of typically thermal-traumatic injuries in disaster medicine. In a simulation of a civil protection scenario, it was further demonstrated that telemedicine is not inferior to conventional disaster medicine. For this purpose, ten mock patients were treated by a team consisting of six emergency personnel. The conventional comparison group worked according to the concept of the German Medical Task Force with a physician in the tent. In the telemedicine groups, this physician was replaced by a TeleSAN, a paramedic who uses telemedicine on site to carry out the treatment under telemedical delegation and guidance. In this part of the study, the physician was deployed as a tele-physician. Both studies, as well as the other publications within the TeleSAN project, show the potential of telemedicine for disaster medicine. In particular, compensating for the shortage of physician at the scene is an added value that should be taken into account. At the same time, however, it should be noted that lower-qualified paramedics cannot carry out all complex medical procedures due to their shorter training. For this reason, the telemedicine concept for treatment stations, such as those of the medical task forces, should be expanded to include a personal medical resource that can provide on-site support for all measures that cannot be delegated via telemedicine. However, it should not be assigned to a specific treatment center but should be available to all treatment centers as needed. In initial publications, this component has also been referred to as a “Jumping physician team” and has properties that can outweigh the disadvantages of telemedicine, such as potential system failures. %F PUB:(DE-HGF)11 %9 Dissertation / PhD Thesis %R 10.18154/RWTH-2025-08398 %U https://publications.rwth-aachen.de/record/1019513