Telemedicine Devices in Prehospital Trauma Care: A Scoping Review of Telemedical Actions, Clinical Utilities and Implementation Barriers.
Device-enabled telemedicine is increasingly used in prehospital trauma, but reported workflows remain heterogeneous across operational settings, device types, and study designs. A workflow-oriented synthesis is needed to clarify which telemedical actions are being evaluated, what device categories e...
| Publicado en: | Journal of Medical Systems Vol. 50; no. 1; pp. 1 - 19 |
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| Autores principales: | , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
4/21/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193141568&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193141568 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01485598 4N0 jtl: Journal of Medical Systems issn: 01485598 maglogo: N pubinfo: dt: 4/21/2026 vid: 50 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 193141568 193141568 193141568 10.1007/s10916-026-02389-y 193141568 ppf: 1 ppct: 18 formats: tig: atl: Telemedicine Devices in Prehospital Trauma Care: A Scoping Review of Telemedical Actions, Clinical Utilities and Implementation Barriers. aug: au: Xu, Ziqiang Sui, Weijing Jiang, Weilin Liu, Jingbang Zhu, Hong Xia, Yeru Gong, Xiaoyan Zhuang, Yiyu affil: https://ror.org/00ka6rp58 Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 310000, Hangzhou, Zhejiang Province, China sug: subj: Telemedicine Prehospital Care Trauma Therapy Emergency Medical Services Remote Consultation Wounds and Injuries Therapy Human Scoping Review PubMed Cochrane Library Conceptual Framework Workflow Triage Diagnostic Imaging Methods Monitoring, Physiologic Health Care Delivery Implementation Science Internet Access ab: Device-enabled telemedicine is increasingly used in prehospital trauma, but reported workflows remain heterogeneous across operational settings, device types, and study designs. A workflow-oriented synthesis is needed to clarify which telemedical actions are being evaluated, what device categories enable them, what clinical utilities are reported, and which implementation barriers recur across studies. To map device-enabled telemedicine in prehospital trauma by linking telemedical actions, enabling device categories, reported clinical utilities, and implementation barrier domains. We conducted a scoping review following the Arksey and O'Malley framework and PRISMA-ScR reporting guidance. Four databases were searched for peer-reviewed primary studies published from 1 January 2010 to 1 July 2025. Eligible studies evaluated prehospital trauma workflows in which a device-enabled telemedical function informed triage, diagnosis, monitoring, or treatment decisions. Using inductive content analysis, we mapped included studies to a four-layer framework of telemedical actions, device categories, clinical utilities, and implementation barriers. Twenty-two studies were included. Most evaluations were simulation-based (15/22, 68.2%). Within the retrieved evidence base, most explicitly described telemedical workflows were synchronous (20/22, 90.9%), whereas asynchronous and hybrid functions were less frequently represented. Telemedical actions clustered around remote consultation and telementoring, remote image acquisition with remote interpretation, algorithm-supported triage, and remote physiological monitoring. Reported utilities most often aligned with diagnostic and triage impact and with system coordination and access. Common and overlapping barriers included evidence maturity gaps, connectivity and technical robustness, usability and training burden, governance and system readiness, and operational context constraints. The evidence base for prehospital trauma telemedicine remains early-stage and is dominated by simulation studies, with limited implementation-ready evaluation. An action-oriented evidence map clarifies the telemedical pathways most often studied and the recurrent barriers to translation, suggesting that future progress will depend on real-world evaluations of workflow resilience and implementation readiness rather than device capability alone. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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