Examining the Emergency Medical Treatment and Active Labor Act: impact on telemedicine for neurotrauma

被引：1
|
作者：
Shah, Sanjit [1 ]
Yang, George L. [1 ]
Le, Diana T. [2 ]
Gerges, Christina [3 ]
Wright, James M. [3 ,4 ]
Parr, Ann M. [5 ]
Cheng, Joseph S. [1 ,2 ]
Ngwenya, Laura B. [1 ,2 ]
机构：
[1] Univ Cincinnati, Coll Med, Dept Neurol Surg, Cincinnati, OH USA
[2] Univ Cincinnati, Coll Med, Cincinnati, OH 45221 USA
[3] Case Western Reserve Univ, Sch Med, Cleveland, OH USA
[4] Cleveland Clin, Dept Neurosurg, Cleveland, OH 44106 USA
[5] Univ Minnesota, Dept Neurosurg, Minneapolis, MN 55455 USA
来源：
NEUROSURGICAL FOCUS | 2020年 / 49卷 / 05期
关键词：
EMTALA; coronavirus; COVID-19; traumatic brain injury; TBI; subarachnoid hemorrhage; telemedicine; neurotrauma; TRAUMATIC BRAIN-INJURY; SUBARACHNOID HEMORRHAGE; COMPUTED-TOMOGRAPHY; INTRACRANIAL HEMORRHAGE; LOW-RISK; LEVEL; DETERIORATION; GUIDELINES;
D O I：
10.3171/2020.8.FOCUS20587
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
The Emergency Medical Treatment and Active Labor Act (EMTALA) protects patient access to emergency medical treatment regardless of insurance or socioeconomic status. A significant result of the COVID-19 pandemic has been the rapid acceleration in the adoption of telemedicine services across many facets of healthcare. However, very little literature exists regarding the use of telemedicine in the context of EMTALA. This work aimed to evaluate the potential to expand the usage of telemedicine services for neurotrauma to reduce transfer rates, minimize movement of patients across borders, and alleviate the burden on tertiary care hospitals involved in the care of patients with COVID-19 during a global pandemic. In this paper, the authors outline EMTALA provisions, provide examples of EMTALA violations involving neurosurgical care, and propose guidelines for the creation of telemedicine protocols between referring and consulting institutions.
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页码：1 / 6
页数：6
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