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Vol 68, No 2 (2017)
Case report
Published online: 2017-06-27

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Added value of sending photograph in diagnosing a medical disease declared at sea: experience of the French Tele-Medical Assistance Service

Emilie Dehours1, Alexandre Saccavini1, Pierre Roucolle1, Patrick Roux1, Vincent Bounes1
Pubmed: 28660616
IMH 2017;68(2):122-125.

Abstract

The maritime medical tele-consultation carried out by a doctor from the Toulouse Tele-Medical Assistance Service is currently based on tele-consultation using radiotelegraphy and the complementary transmission of data (photographs, electrocardiogram) via the Internet. In a previous article, we presented the benefits of photograph transmission for trauma management in isolated areas. Through this new series of cases, we wanted to expose the aspect of the medical pathologies and the contribution of sending photographs in their management.

Case reports: Case 1. Myocardial infarction. Case 2. Toxic epidermal necrolysis. Case 3. Tooth abscess. Case 4. Shingles. Case 5. Junctional tachycardia.

The tele-transmission of photographs provides a real diagnostic and follow-up tool for patients suffering from medical pathologies. The constant increase in the number of tele-consultations with the exchange of photographs shows its necessity and the interest of the participants in the development of these technologies.  

References

  1. Dehours E, Tourneret ML, Roux P, et al. Benefits of photograph transmission for trauma management in isolated areas: cases from the French tele-medical assistance service. Int Marit Health. 2016; 67(2): 83–87.
  2. Instruction interministérielle relative à l’organisation opérationnelle de l’aide médicale en mer du 29 avril 1983. http://www.secourisme.info/pdf/txt595. (19 février 2016).
  3. Instruction premier ministre du 29 aout 2011 relative à l’organisation de l’aide médicale en mer. http://circulaires.legifrance.gouv.fr/pdf/2011/11/cir_34077. (19 février 2016).
  4. J.O. du 20 novembre 1996, Division 217, dispositions sanitaires et médicales. http://www.developpement-durable.gouv.fr/IMG/pdf/d217__30-12-15. (19 février 2016).
  5. Arrêté du 2 juillet 1999 relatif à la formation médicale des personnels servant à bord des navires de commerce et de plaisance armés avec un rôle d'équipage. https://www.legifrance.gouv.fr/affichTexte.do? (19 février 2016).
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