{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:14:39Z","timestamp":1790295279391,"version":"4.1.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T00:00:00Z","timestamp":1572566400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:p>\n                    <jats:italic toggle=\"yes\">\n                      <jats:bold>Background:<\/jats:bold>\n                      Most deaths in military trauma occur soon after wounding, and demand immediate on scene interventions. Although hemorrhage predominates as the cause of potentially preventable death, airway obstruction and tension pneumothorax are also frequent. First responders caring for casualties in operational settings often have limited clinical experience.\n                    <\/jats:italic>\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic toggle=\"yes\">\n                      <jats:bold>Introduction:<\/jats:bold>\n                      We hypothesized that communications technologies allowing for real-time communications with a senior medically experienced provider might assist in the efficacy of first responding to catastrophic trauma.\n                    <\/jats:italic>\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic toggle=\"yes\">\n                      <jats:bold>Methods:<\/jats:bold>\n                      Thirty-three basic life saving (BLS) medics were randomized into two groups: either receiving telementoring support (TMS, n\u2009=\u200917) or no telementoring support (NTMS, n\u2009=\u200916) during the diagnosis and resuscitation of a simulated critical battlefield casualty. In addition to basic life support, all medics were required to perform a procedure needle thoracentesis (not performed by BLS medics in Israel) for the first time. TMS was performed by physicians through an internet link. Performance was assessed during the simulation and later on review of videos.\n                    <\/jats:italic>\n                  <\/jats:p>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:bold>Results:<\/jats:bold>\n                      The TMS group was significantly more successful in diagnosing (82.35% vs. 56.25%, p\u2009=\u20090.003) and treating pneumothorax (52.94% vs. 37.5%, p\u2009=\u20090.035). However, needle thoracentesis time was slightly longer for the TMS group versus the NTMS group (1:24\n                    <\/jats:title>\n                    <jats:p>\n                      \u2009\u00b1\u2009\n                      <jats:italic toggle=\"yes\">1:00 vs. 0:49<\/jats:italic>\n                      \u2009\u00b1\u2009\n                      <jats:italic toggle=\"yes\">0:21 minu, respectively (p\u2009=\u20090.016). Complete treatment time was 12:56<\/jats:italic>\n                      \u2009\u00b1\u2009\n                      <jats:italic toggle=\"yes\">2:58\u2009min for the TMS group, versus 9:33<\/jats:italic>\n                      \u2009\u00b1\u2009\n                      <jats:italic toggle=\"yes\">3:17\u2009min for the NTMS group (p\u2009=\u20090.003).<\/jats:italic>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">\n                        <jats:bold>Conclusions:<\/jats:bold>\n                        Remote telementoring of basic life support performed by military medics significantly improved the medics' ability to perform an unfamiliar lifesaving procedure at the cost of prolonging time needed to provide care. Future studies must refine the indications and contraindications for using telemedical support.\n                      <\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2018.0173","type":"journal-article","created":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T15:30:48Z","timestamp":1549035048000},"page":"1108-1114","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Rubrum Coelis: The Contribution of Real-Time Telementoring in Acute Trauma Scenarios\u2014A Randomized Controlled Trial"],"prefix":"10.1177","volume":"25","author":[{"given":"Itamar","family":"Netzer","sequence":"first","affiliation":[{"name":"Israel Defense Forces Medical Corps, Tel Hashomer, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew W.","family":"Kirkpatrick","sequence":"additional","affiliation":[{"name":"Departments of Surgery and Critical Care Medicine, University of Calgary, Calgary, Canada."},{"name":"Canadian Forces Medical Services, Ottawa, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mor","family":"Nissan","sequence":"additional","affiliation":[{"name":"Israel Defense Forces Medical Corps, Tel Hashomer, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica L.","family":"McKee","sequence":"additional","affiliation":[{"name":"Canadian Forces Medical Services, Ottawa, Canada."},{"name":"Innovative Trauma Care, Edmonton, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"McBeth","sequence":"additional","affiliation":[{"name":"Departments of Surgery and Critical Care Medicine, University of Calgary, Calgary, Canada."},{"name":"Canadian Forces Medical Services, Ottawa, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Dobron","sequence":"additional","affiliation":[{"name":"Israel Defense Forces Medical Corps, Tel Hashomer, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elon","family":"Glassberg","sequence":"additional","affiliation":[{"name":"Israel Defense Forces Medical Corps, Tel Hashomer, Israel."},{"name":"Bar-Ilan University Faculty of Medicine, Safed, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,11,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.3104"},{"key":"e_1_3_3_3_2","first-page":"S4","article-title":"Died of wounds on the battlefield: Causation and implications for improving combat casualty care","volume":"71","author":"Eastridge BJ","year":"2011","unstructured":"Eastridge BJ, , Hardin M, , Cantrell J, , Oetjen-Gerdes L, , Zubko T, , Mallak C, , Wade CE, , Simmons J, , Mace J, , Mabry R, , Bolenbaucher R, , Blackbourne LH. Died of wounds on the battlefield: Causation and implications for improving combat casualty care. J Trauma, 2011; 71:S4\u2013S8.","journal-title":"J Trauma"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182755dcc"},{"key":"e_1_3_3_5_2","first-page":"S401","article-title":"Causes of death in Canadian Forces members deployed to Afghanistan and implications on tactical combat casualty care provision","volume":"71","author":"Pannell D","year":"2011","unstructured":"Pannell D, , Brisebois R, , Talbot M, , Trottier V, , Clement J, , Garraway N, , McAlister V, , Tien HC. Causes of death in Canadian Forces members deployed to Afghanistan and implications on tactical combat casualty care provision. J Trauma, 2011; 71:S401\u2013S407.","journal-title":"J Trauma"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000259433.03754.98"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/986160"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2013.0034"},{"key":"e_1_3_3_9_2","first-page":"1528","article-title":"Simple, almost anywhere, with almost anyone: Remote low-cost telementored resuscitative lung ultrasound","volume":"71","author":"McBeth PB","year":"2011","unstructured":"McBeth PB, , Crawford I, , Blaivas M, , Hamilton T, , Musselwhite K, , Panebianco N, , Melniker L, , Ball CG, , Gargani L, , Gherdovich C, , Kirkpatrick AW. Simple, almost anywhere, with almost anyone: Remote low-cost telementored resuscitative lung ultrasound. J Trauma, 2011; 71:1528\u20131535.","journal-title":"J Trauma"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2012.0243"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.55460\/G0D7-OBXG"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.014214"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.013914"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000829"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900471"},{"key":"e_1_3_3_16_2","first-page":"S6","article-title":"Remote transatlantic mentored Telemedical support during trauma resuscitation and prolonged field care","volume":"60","author":"Kirkpatrick A","year":"2017","unstructured":"Kirkpatrick A, , Netzer I, , McBeth P, , Hoppenstein D, , McAlister V. Remote transatlantic mentored Telemedical support during trauma resuscitation and prolonged field care. Can J Surg, 2017; 60:S6.","journal-title":"Can J Surg"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/986160"},{"key":"e_1_3_3_18_2","unstructured":"Amenta F Capone L Sibilio F. Telemedical assistance of patients on board ships activity of Centro Internazionale Radio Medico (CIRM) the Italian Telemedical Maritime Assistance Service (TMAS). 2013. Available at http:\/\/cirm.it\/documenti\/cirm_th3-1.pdf (last accessed September19 2018)."},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2014.9989"},{"key":"e_1_3_3_20_2","volume-title":"Smartphone ownership and internet usage continues to climb in emerging economies but advanced economies still have higher rates of technology use","author":"Poushter J.","year":"2016","unstructured":"Poushter J. Smartphone ownership and internet usage continues to climb in emerging economies but advanced economies still have higher rates of technology use. Washington, DC: Pew Research Center, 2016."},{"key":"e_1_3_3_21_2","unstructured":"Blumberg SJ Luke JV. Wireless substitution: Early release of estimates from the national health interview survey January\u2013June 2010. Hyattsville MD: National Center for Health Statistics. 2010. Available at http:\/\/cdc.gov\/nchs\/data\/nhis\/earlyrelease\/wireless201012.pdf (last accessed September19 2018)."},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2018.01.016"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2017.1328168"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/jum.14609"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/tmj.2018.0173","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2018.0173","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2018.0173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:27:11Z","timestamp":1777588031000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/tmj.2018.0173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11]]},"references-count":23,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1089\/tmj.2018.0173"],"URL":"https:\/\/doi.org\/10.1089\/tmj.2018.0173","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11]]}}}