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A smartphone app and cloud-based consultation system for burn injury emergency care

dc.contributor.authorWallis, Lee A.en_ZA
dc.contributor.authorFleming, Julianen_ZA
dc.contributor.authorHasselberg, Marieen_ZA
dc.contributor.authorLaflamme, Lucieen_ZA
dc.contributor.authorLundin, Johanen_ZA
dc.date.accessioned2017-02-16T12:41:15Z
dc.date.available2017-02-16T12:41:15Z
dc.date.issued2016-02-16
dc.identifier.citationWallis, L. A. et al. 2016. A smartphone app and cloud-based consultation system for burn injury emergency care. PLoS ONE, 11(2): e0147253, doi:10.1371/journal.pone.0147253.
dc.identifier.issn1932-6203 (online)
dc.identifier.otherdoi:10.1371/journal.pone.0147253
dc.identifier.urihttp://hdl.handle.net/10019.1/100635
dc.descriptionCITATION: Wallis, L. A. et al. 2016. A smartphone app and cloud-based consultation system for burn injury emergency care. PLoS ONE, 11(2): e0147253, doi:10.1371/journal.pone.0147253.
dc.descriptionThe original publication is available at http://journals.plos.org/plosone
dc.description.abstractBackground Each year more than 10 million people worldwide are burned severely enough to require medical attention, with clinical outcomes noticeably worse in resource poor settings. Expert clinical advice on acute injuries can play a determinant role and there is a need for novel approaches that allow for timely access to advice. We developed an interactive mobile phone application that enables transfer of both patient data and pictures of a wound from the point-of-care to a remote burns expert who, in turn, provides advice back. Methods and Results The application is an integrated clinical decision support system that includes a mobile phone application and server software running in a cloud environment. The client application is installed on a smartphone and structured patient data and photographs can be captured in a protocol driven manner. The user can indicate the specific injured body surface(s) through a touchscreen interface and an integrated calculator estimates the total body surface area that the burn injury affects. Predefined standardised care advice including total fluid requirement is provided immediately by the software and the case data are relayed to a cloud server. A text message is automatically sent to a burn expert on call who then can access the cloud server with the smartphone app or a web browser, review the case and pictures, and respond with both structured and personalized advice to the health care professional at the point-of-care. Conclusions In this article, we present the design of the smartphone and the server application alongside the type of structured patient data collected together with the pictures taken at point-of-care. We report on how the application will be introduced at point-of-care and how its clinical impact will be evaluated prior to roll out. Challenges, strengths and limitations of the system are identified that may help materialising or hinder the expected outcome to provide a solution for remote consultation on burns that can be integrated into routine acute clinical care and thereby promote equity in injury emergency care, a growing public health burden.en_ZA
dc.description.urihttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0147253
dc.format.extent19 pages
dc.language.isoen_ZAen_ZA
dc.publisherPLoS
dc.subjectSmartphonesen_ZA
dc.subjectBurns and scalds -- Treatmenten_ZA
dc.subjectEmergency medicineen_ZA
dc.subjectBurn injuriesen_ZA
dc.subjectApplication softwareen_ZA
dc.subjectMobile phone applicationsen_ZA
dc.titleA smartphone app and cloud-based consultation system for burn injury emergency careen_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyright


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