DigiGone: Customized Crew Welfare and Remote Management

The Value of a Telemedicine Kit in Transition Care Medical Examinations

Tue, 04 Feb 2025 16:34:53 GMT

Telemedicine kits are becoming indispensable tools for home healthcare providers, particularly during transition care medical examinations (TCMs). While the initial TCM is conducted by a physician who generates revenue from the service, the telemedicine kit significantly benefits home healthcare providers by expediting patient registration for their care services. With a nurse or medical assistant deploying the kit, patients can be quickly evaluated and connected with a physician, ensuring all necessary documentation and approvals are completed more efficiently. This faster onboarding process allows home healthcare providers to register more patients in less time, helping them deliver care sooner and grow their services efficiently.

The ability to “bring the doctor” to the patient through a telemedicine kit is invaluable in initiating care seamlessly. Once patients are on board, home healthcare providers can continue leveraging telemedicine technology to improve how they deliver services. The kits enable nurses and medical assistants to perform follow-up visits, diagnostics, and real-time consultations without requiring patients to leave their homes. This capability allows providers to optimize their schedules and visit more patients daily, all while maintaining a high standard of care. The efficiency gained means better coverage, smarter use of resources, and happier patients.

Beyond efficiency, telemedicine kits help providers build stronger connections with their patients by making care more accessible and personalized. Providers can quickly respond to emerging health concerns, adjust care plans, and ensure ongoing monitoring—all from the patient’s home. This not only leads to better patient outcomes but also boosts the provider’s reputation for being reliable and innovative. By facilitating the registration of more patients and enhancing care once they are onboarded, telemedicine kits are powerful tools that enable home healthcare providers to expand their reach, improve operational efficiency, and thrive in an increasingly competitive market.

In a rapidly evolving healthcare landscape, telemedicine kits are revolutionizing how home healthcare providers deliver care, enabling faster patient onboarding, enhanced service delivery, and stronger connections with patients. By integrating this indispensable technology, providers can streamline operations, improve patient outcomes, and position themselves as leaders in care innovation.

Don’t miss the opportunity to elevate your home healthcare services. Explore how telemedicine kits can help you expand your reach, optimize your resources, and deliver exceptional care. Contact us today to learn more and take the next step toward transforming your care delivery model.

Data Storage, Record Keeping, and the Safer Seas Act

Wed, 28 Feb 2024 20:35:29 GMT

How will every vessel manage up to five years' worth of video and audio records?

Much attention has been given to the video and audio r equirements of the Safer Seas Act. Installing gear that meets all the protocols outlined in the new law — along with the Coast Guard’s specific guidance — will be a major undertaking for the maritime industry this year.

Read about video requirements in the Safer Seas Act.
Audio solutions and the Safer Seas Act.

However, storing and accessing these files might be one of the bigger challenges with this new law. Vessels are required to keep no less than a year’s worth of both audio and video, and up to five years if the recordings are associated with an alleged incident.

It’s estimated that one vessel will require around 72TB of storage space for

a year’s worth of compressed data from a 15-camera system.

The law stipulates that storage can be a physical system on a vessel or through a cloud-based service. But even the most robust platforms out there can’t download that much data in real-time. This means companies need to establish protocols for tamper-proof onboard storage systems and then offboarding those files at intervals for archiving.

Additionally, vessel management companies may need to retrieve specific recordings while following the proper chain of custody, particularly if an incident is reported to the Coast Guard.

DigiGone has a portfolio of solutions to satisfy all of the surveillance requirements within the Safer Seas Act. For decades we’ve worked with vessel companies to install and provide full turnkey services for archiving and retrieving video to review incidents for claims — at times resulting in dismissal of incident liability.

Our digiView product is designed to support:

Turnkey Installation and Operation

DigiView’s systems are NDAA compliant, specifically designed for maritime environments with easy plug-and-play installation that use existing cable runs. This reduces cost and minimizes impact on crew and ship operations. Once installed, systems run autonomously.

Secure Onboard Storage

Transferring recorded data from a standard SASH system with 15 cameras to shore storage via LTE, satellite, or Starlink is expensive. Exporting 30 days of data to an external drive for transfer ashore would require about 30 hours. DigiView securely stores one year, or more, of data onboard vessels, with date and time stamps to ensure recording integrity. We also employ redundancy and robust security measures to safeguard the integrity and physical security of the data.

24/7 Remote Access and Secure Data Export

Authorized personnel can remotely access and export recordings of specific camera views with date/time ranges to support incident investigations. All data retrieval and transmissions use end-to-end 256-bit AES encryption to ensure integrity and privacy.

System Health and Tamper Monitoring

To ensure optimal system performance, digiView can constantly monitor internal system performance and immediately send an alert when an anomaly is detected such as CPU overheat, potential hard drive failure, camera obstructions, unauthorized physical access to the server, or loss of continuity of a device.

Private and Direct Incident Reporting

Our digiView solutions also allow crew or captains to contact authorities directly through a secure video call from the privacy of staterooms.

DigiGone’s experience in managed bandwidth communication tools in the maritime industry is an asset for companies as they work through this year. We can provide a detailed cost-effective solutions package that covers every surveillance aspect of the Safer Seas Act.

Audio and Microphone Requirements for the Safer Seas Act

Mon, 05 Feb 2024 23:33:06 GMT

Audio Regulations in the Safer Seas Act Can Enhance Company Culture and Crew Welfare

The Safer Seas Act is a crucial step in improving the overall climate within the maritime industry. By addressing sexual assault and sexual harassment (SASH), this act — and the U.S. Coast Guard's aggressive interpretation of it — will help correct ongoing problems that have long plagued the industry.

Vessel management companies should see this as an opportunity to prioritize crew welfare while increasing employee retention and improving recruitment efforts.

In addition to video requirements , there are some particular audio requirements with the Safer Seas Act:

Audio equipment needs to be placed in all passageways into which doors for staterooms open.
Audio equipment must be of good enough quality to “ensure reasonable discernment of conversations and words spoken" in the coverage area.
If needed, vessel operators also need to consider noise-canceling microphone technology.
Equipment must be of sufficient sample rate, bit depth and microphone quality to ensure reasonable discernment of conversations and words spoken in all foreseeable ambient noise conditions.
Notices of audio recording must be posted in specific areas.
Access to the recordings is tightly restricted.
Finally, all audio recordings (along with video) should be continuous without interruption and retained for not less than 1 year after the footage is obtained and for five years from the date of any alleged incident.

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But implementing these new laws isn’t just about checking off a list of compliances. The audio regulations can also have a positive impact on your company and the industry as a whole:

1. Deterrence

Knowing actions and sounds are being recorded will deter potential incidents. Employees have a straightforward and visual reminder to abstain from any type of abusive or offensive behavior.

2. Training

Audio recordings can be used to identify problem areas and improve training programs.

3. Transparency

Audio recordings will help increase transparency and accountability within the industry, creating a more open and safe work environment.

4. Recruitment

Implementing all the required video, audio and reporting requirements outlined in the Safer Seas Act means creating a safer workplace. The maritime industry is facing severe labor shortage and focusing on accountability and crew welfare will help recruit new workers.

At DigiGone, we’ve worked in surveillance and security within the maritime industry for decades. We have proprietary audio and video systems, along with storage and anti-tampering solutions, to manage all of the needs of your fleet or vessels. We can provide full turnkey packages based on specific needs that cover all of the regulations in the Safer Seas Act, including:

HD cameras with built-in microphones
IR lights with a 30-meter range
Motion-activated recording, as well as continuous stream
Time and date watermark stamps on all recorded video
Tamper alarms on all equipment
Noise cancelling technology
Video and audio surveillance signage

Contact us today for a consultation so we can help your company not only meet regulations, but improve crew welfare and company culture.

Video Requirements for the Safer Seas Act

Wed, 17 Jan 2024 17:52:42 GMT

An Overview of the New Video and Camera Surveillance Regulations for Safer Seas Act and SASH.

Recently the U.S. Coast Guard issued guidance for the Safer Seas Act, a new law aimed at creating a safer, more equitable workplace in the maritime industry. In this article, we’re looking specifically at the video regulations and how vessel owners and operators need to prepare for the December 2024 compliance deadline.

The aim of the act and subsequent guidance is a significant step forward for the maritime industry. New surveillance, reporting and training are all aimed at enhancing the crew welfare and safety on commercial vessels.

One of the most important points from the act relates to the quality of hardware the USCG is expecting. Pulled directly from their Policy Letter 23-05 :

“The Coast Guard advises that effective surveillance is not simply having a system in place but having sufficient quality of hardware to ensure intelligibility of information captured.”

Below are additional details from that policy letter regarding video camera specs, resolution and placement:

Video equipment must be placed in all passageways where doors from staterooms open.
Video cameras should be positioned so that all doors leading to staterooms are continuously monitored.
If a door requiring coverage is obstructed from view at any point, additional cameras should be installed to ensure continuous coverage.
Video equipment should be of sufficient resolution, frame rate, sensor and lens quality to identify persons and their actions under all ambient lighting conditions.

(Continue reading from email)

Additional requirements will be tied to audio and include:

Audio recording equipment of sufficient rate, bit depth and microphone quality to ensure reasonable discernment of conversations of words spoken.
Noise-cancelling microphone technology installed as needed.
Signage notifying all crew of video and audio surveillance needs to be displayed in easily accessible areas of the required spaces and should be placed at eye level.

digiGone’s video and audio solutions cover all of these requirements, thoroughly and completely. Our custom solutions for vessels or fleets include the following, all of which meet compliance requirements set forth by the USCG:

HD cameras with built-in microphones
IR lights with a 30-meter range
Motion-activated recording, as well as continuous stream available
Time and date watermark stamps on all recorded video
Tamper alarms on all equipment
Video and audio surveillance signage

digiGone’s forte has long been custom-managed-bandwidth solutions — including complete surveillance systems — in austere environments. We can provide comprehensive systems for specific vessels and/or fleets leveraged by our decades of experience in the maritime industry.

Safer Seas Guidance: Key Facts

Mon, 11 Dec 2023 13:47:38 GMT

Vessels have until Dec. 23, 2024 to meet new audio and visual compliance measures as detailed recently by the U.S. Coast Guard.

In November, the U.S. Coast Guard (USCG) issued Policy Letter 23-05 outlining the guidelines for surveillance – both audio and visual – required on U.S. flagged ships under the Safer Seas Act, which was signed into law on Dec. 23, 2022. This new law is an effort to create a safer and more equitable workplace by eliminating sexual assault and sexual harassment (SASH) in the maritime industry.

The new law has a lot of requirements, which we outlined in our article Safer Seas Act Compliance and Solutions . But, in brief vessels will need to:

Install video surveillance and audio systems in certain areas of ships.
Provide training to crew for responding to incidents.
Retain recordings for at least one year.

Since incidents under this law fall within the U.S. Coast Guard’s jurisdiction, they were tasked with providing specifics on these policies. Below is what vessel companies need to know.

Placement of Video and Surveillance Equipment

According to the new law, video and audio surveillance equipment must be strategically placed in passageways into which doors and staterooms open so that every door in the passageway can be continually viewed.

The most important line in the notice might be the following line:

“The Coast Guard advises that effective surveillance is not simply having a system in place but having sufficient quality of hardware to ensure intelligibility of information captured.”

Meaning don’t just have a system, have a good system that can reliably and continually record passageways into staterooms.

Quality and Resolution

According to the USCG, video quality should be of sufficient resolution and frame rate to be able to “identify persons and their actions under all ambient lighting conditions.”

Audio equipment needs to be of good enough quality to “ensure reasonable discernment of conversations and words spoken" in the coverage area. If needed, vessel operators need to consider noise-canceling microphone technology.

The USCG emphasizes that the mission is not to burden ship owners, but rather to promote a safe working environment:

“This focus on quality and clarity of both video and audio surveillance is integral to (...) promote incident prevention and improved incident response measures.”

Notice of Video and Audio Surveillance

Clear and conspicuous signs should be placed in easily accessible areas at eye level for optimal visibility notifying the crew of the presence of video and audio surveillance equipment. The signage needs to be large enough so that it can be read from a reasonable distance.

Access and Recording Keeping

Vessel owners need to protect access to surveillance and ensure it’s not used as part of a labor action against a crew member or employment dispute, “unless used in a criminal or civil action.”

All audio and video surveillance must be retained for one year after the footage is obtained. If surveillance is associated with an alleged incident, it should be preserved for five years from the date of the alleged incident.

Also, all video and audio recordings should have time synchronization, timestamping and metadata (location).

Training

Finally, the last part of this guidance addresses crew training “for the purpose of responding to incidents of sexual assault or harassment.”

Training needs to ensure that individuals:

Retain surveillance records in an objective manner.
“Act impartially without influence from others.”
Include any federal, state, tribal, or local laws and regulations regarding SASH investigations and reporting.

The USCG advises that detailed records be kept for all training sessions, including date, location, topics covered, and personnel present for the training.

In terms of how recordings are stored, the USCG advises that they may be kept “via physical storage on board the vessels or office or via a cloud-based service.”

Deadline for Safer Seas Compliance

All surveillance equipment is required to be installed and functioning by Dec. 23, 2024, or the next scheduled drydock, whichever date is later.

Compliance with this new guidance will be a major project in the upcoming year for many vessel companies. DigiGone has provided assets for the maritime industry for decades, including audio and video surveillance that runs on managed bandwidth applications. We can provide consultation and guidance ensuring ships are in compliance and your vessel is a safe place for all crew.

Why Managed Consumption is Key to Providing Internet in the Maritime Industry

Wed, 08 Nov 2023 21:43:06 GMT

Bandwidth consumption on the high seas can get expensive, but there are ways to manage costs.

The maritime industry is one of the last frontiers of connectivity. Low-orbit satellites, like Elon Musk’s Starlink, along with a flurry of other satellite companies are exploring shallow space in an effort to bring Internet connectivity to the planet’s most remote locations. Phone calls, video chats, TikTok and who knows what else could soon become standard in an industry that has long been known for isolation.

Alas, there are still some hurdles.

Safety4Sea reported that vessels recently outfitted with Starlink satellite have seen a “dramatic improvement in the communication environment, with up to a 50-fold increase in communication speed, enabling seafarers to make video calls with family members and watch videos, which were difficult in the past.”

Looking at Starlink’s website specifically for the maritime industry , the upfront costs aren’t too exorbitant: equipment costs $2,500, and data plans start at $250 per month. The Mobile Priority 1TB plan has a base price of $1,000 per month, or get 5TB for $5,000 a month with “unlimited mobile data inland.”

Reading the Fine Print

Therein lies part of the problem, that last word: inland. The fine print reads “additional mobile priority data available by the GB.” That’s where the problems arise for vessels: a wide-open gusher of connectivity is unleashed onboard and is as quickly consumed. We’re hearing that some maritime customers are using 1 TB of data in seven days and have monthly airtime bills of $25,000 due to overages. These subsequent costs are substantial.

So, how can companies manage their new high-speed connectivity, and support vessel operations while still offering crew the opportunity to connect with friends and family while keeping within budget?

True Managed Bandwidth

Managing bandwidth within budget constraints is certainly possible (if not advisable). But, instead of looking at it as an all-you-can-eat buffet, consider this a la carte. Companies can successfully deploy a holistic communications system for crew that includes video calls while still managing vessel systems, including a CCTV system and telemedicine.

A lot of vessel management companies use a hybrid solution with Starlink as their primary and VSAT as their back up but, they are still having a difficult time staying within their bandwidth plan due to ‘runaway’ application consumption.

There are managed communication and monitoring applications available that significantly reduce bandwidth consumption while providing the tools to support crew welfare and vessel operation initiatives. Consider crew welfare applications, for example: WhatsApp uses 660Kbps. Zoom is 600Kbps. FaceTime is about 400Kbps and WeChat is 266Kbps. As demonstrated in the graph below, there are managed applications available that use one-seventh the amount of bandwidth.

And there are other managed or bandwidth-sensitive applications that support remote monitoring, telemedicine and other technical support requirements as well. Vessel routers can be configured to direct applications requiring high-speed connections to Starlink while directing other applications to VSAT. The combination of managed applications and connectivity routing allows you to budget and allocate airtime more efficiently, supporting additional capabilities you have been wanting to employ (such as recurring training, enhanced telemedicine services, and enhanced video monitoring) to enhance vessel operations. In essence, you can do more simultaneously while using much less bandwidth, which equates to higher productivity, happier and safer crew and increased ROI.

How Managed Bandwidth Benefits Companies
1. Better Recruitment and Retention

A 2021 Seafarer Workforce Report had some bleak projections for the maritime labor force: by 2026 there’s an expected shortage of 26,000 officers. Additionally, Drewry, a global consultancy firm, reported more recently the shortfall is at a record high and will have lasting impacts on the maritime industry. Further, they wrote, “The isolation and loneliness of the industry is definitely a factor.”

Drewry advises companies to look beyond wages and to things like “good communication channels with families at home.”

2. Enhanced Crew Welfare

Having reliable internet access for crews to connect back home is essential. After the pandemic, Marissa Barker, Ph.D., with the University of Washington completed a survey and analysis of seafarer happiness. She found that 45% of mariners reported depression due to lack of access or inadequate access to the internet and 38% reported feelings of depression due to a lack of a cell phone and reliable service.

3. Successfully Manage All Vessel Functions

At the end of the day, onboard systems need to work in conjunction with these communication devices. Management teams should also consider the recent Safer Seas Act and the subsequent bandwidth required for CCTV systems, and potential reporting requirements.

Please contact us for further information on enhancing and streamlining vessel operations as well as secure and efficient communication and monitoring capabilities.

Bridging the Digital Divide in Healthcare: The Pivotal Role of Nurses in Expanding Telemedicine Access

Wed, 08 Nov 2023 21:21:41 GMT

Nurse-led telemedicine is critical for the success of outreach programs

During the COVID-19 pandemic, telemedicine became an essential way to see doctors without the risk of in-person visits and provide services to those who were immobile or homebound. While telemedicine was slowly making its way into mainstream healthcare, the pandemic accelerated the implementation to prevent the spread of the virus. Those changes became a standard as care providers continue to figure out how to deliver care to the patient outside of the hospital and clinic settings. However, the initial transition to telemedicine revealed significant hurdles, such as the 'digital divide'—the gap between those who have ready access to computers and the internet, and those who do not—cultural barriers, and a general reluctance to embrace new technology among certain patient populations.

“Advances in health care technology could potentially facilitate health equity by increasing access to care”

The belief that technological advancements in healthcare could be a lever for health equity fueled a comprehensive analysis by UW Health, the integrated health system of the University of Wisconsin-Madison. Their study, " Disparities in Telemedicine Access: A Cross-Sectional Study of a Newly Established Infrastructure during the COVID-19 Pandemic ," examined the telemedicine engagement of nearly 200,000 patients. The goal was to discern usage patterns and pinpoint the barriers hindering effective telemedicine deployment.

Findings from the study highlighted that while some barriers were infrastructural and potentially required long-term solutions, others were more immediately addressable. These included a lack of familiarity with technological tools and resistance to adopting new methods, as well as physical constraints that limited patients' ability to visit healthcare facilities.

An innovative strategy proposed to mitigate these barriers involves deploying nurses equipped with " telemedicine kits " to patients' homes. These kits could serve as both educational tools and a means to facilitate care. By employing the EDGE (Explain, Demonstrate, Guide, and Enable) training method, reminiscent of the Boy Scouts' learning approach, nurses could foster understanding and confidence in using the technology. This method focuses on maintaining and building a personal connection between the patient and the care provider, offering a hands-on learning experience, and demystifying the technology with the hope of encouraging its adoption.

In summary, while telemedicine has the potential to democratize healthcare, it simultaneously poses a risk of exacerbating existing disparities if not implemented with care and consideration. The study underscores the necessity of concerted efforts across various sectors to ensure telemedicine's equitable distribution. Nurse-led initiatives that empower patients to accept and use telemedicine confidently represent a viable pathway forward. As we embrace an era where technology enables us to connect with patients more efficiently, it is essential to remember that the irreplaceable value of human touch and trust within the provider-patient relationship remains paramount.

*Vivian Hsiao, Thevaa Chandereng, Robin L. Lankton, Jeffrey A. Huebner, Jeffrey J. Baltus, Grace E. Flood, Shannon M. Dean, Amye J. Tevaarwerk, and David F. Schneider (2021) Disparities in Telemedicine Access: A Cross-Sectional Study of a Newly Established Infrastructure during the COVID-19 Pandemic, Appl Clin Inform. 2021 May; 12(3): 445–458.

Published online 2021 Jun 9. doi: 10.1055/s-0041-1730026 Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8189758/ (Accessed: 11 November 2023).

**Image used from https://www.vcuhealth.org/-/media/media/featurednewsimages/rhwp-nurse.ashx

The Revolution of Nurse-led Telemedicine in Home Care: Improving Access, Trust, and Cost Efficiency

Wed, 25 Oct 2023 20:01:31 GMT

Nurse-led telemedicine is redefining home healthcare

In the wake of unprecedented global health challenges, telemedicine has emerged as a beacon of hope, reaching patients in the comfort of their homes. Spearheading this change are nurse-led care at home visits, equipped with cutting-edge telemedicine kits . These visits are more than a mere technological marvel; they are a holistic blend of accessibility, cost efficiency, and the cherished human touch.

“While increasing disease burden and rising healthcare costs in the United States have already contributed to a boost in Care at Home services, the COVID-19 pandemic has created a catalyst to truly reimagine their future.”*

Reaching the Unreachable:

The transformative impact of telemedicine lies in its promise to transcend geographical and physical barriers. As the United States grapples with the remnants of the COVID-19 crisis, there's a pressing need to cater to an aging populace, many of whom grapple with multiple chronic conditions; have limited mobility, struggle with accessing health essentials, and overwhelmingly rely on hospital admissions for care. Yet, the advent of telemedicine kits offers the opportunity to receive quality care right at home. Be it daily physician consultations over telehealth, remote patient monitoring, or meal deliveries; Care at Home caters to a gamut of patient archetypes, from high-risk ones to the healthy and low-risk.

The Cost Advantage:

While ensuring optimal patient care, nurse-led telemedicine home visits also significantly cut costs for healthcare providers. A recent article published by McKinsey & Company estimated the potential to shift up to $265 billion worth of care from traditional facilities to homes, telemedicine promises substantial savings. Notably, care services, ranging from primary care to acute care, have the potential for a home transition. The cost efficiency is further accentuated when considering the reduction in preventable adverse health events and the shift from high-cost care facilities to homes.

For stakeholders, this transformation promises immense value. Payers, for instance, stand to gain from lowered medical expenses while ensuring high-quality care. However, cost savings aren't merely in monetary terms. Reducing hospital readmissions, curtailing the burden on healthcare facilities, and ensuring timely interventions translate to intangible savings in the form of enhanced patient well-being and health outcomes.

“Care at Home could improve the quality of care and the patient experience by providing patients with care in the comfort of their homes and by potentially reducing preventable adverse health events.”*

The Pillar of Trust:

At the heart of the telemedicine revolution is the bond of trust and confidence. In-person nurse-led visits serve as the cornerstone of this bond. While technology ensures accessibility, it's the human touch that fosters assurance. Whether it's comprehending complex medical jargon, navigating the nuances of a new health gadget, or simply having someone to share one's health anxieties with, nurse visits are irreplaceable. They provide a personal touch, ensuring patients feel valued, heard, and cared for. This trust is a critical determinant in patients’ receptiveness to Care at Home, making it an indispensable component of the telemedicine toolkit.

The Path Ahead:

While the current trajectory is promising, the broad-scale adoption of telemedicine hinges on several factors. From ensuring economic viability, raising awareness among physicians, to understanding patient perspectives, the journey is multifaceted. Furthermore, collaboration among payers, healthcare facilities, and technology companies is pivotal. By refining strategies, fostering partnerships, and cultivating awareness, stakeholders can amplify the impact of telemedicine.

In conclusion, as we stand at the cusp of a healthcare metamorphosis, nurse-led telemedicine visits epitomize the future — a future where care is accessible, affordable, and profoundly human. As the world reels from the aftermath of a pandemic, telemedicine's promise is clear: a blend of technology and touch, ensuring that care is never out of reach.

DigiGone is a veteran-owned, service-disabled business based in Largo, Florida, providing custom, managed bandwidth solutions such as digiMed , CrewChat , digiView , and digiChat i n the maritime, oil and gas and mining industries. For more information visit digigone.com/telemedicine to request a demonstration. Or email us at info@digigone.com, or call at 1-727-544-2327.

* Bestsennyy, O., Chmielewski, M., Koffel, A., and Shah, A. (2022) From facility to home: How healthcare could shift by 2025, McKinsey & Company, Healthcare Systems & Services Practice. Available at: https://www.mckinsey.com/industries/healthcare/our-insights/from-facility-to-home-how-healthcare-could-shift-by-2025#/ (Accessed: 23 October 2023).

** Image Attribution

Telemedicine Kits: Revolutionizing Post-Operative Home Visits

Tue, 10 Oct 2023 16:41:14 GMT

Post-operative home care is a game changer resulting in quicker patient recovery times and hospital cost savings.

The landscape of healthcare has witnessed remarkable advances in recent years, with telemedicine kits e merging as a tran sformative tool. In the context of post-operative care home visits, the integration of these kits offers numerous benefits such as improved patient convenience, cost efficiencies, and enhanced outcomes for both patients and hospitals. This article explores the advantages of utilizing telemedicine kits in post-operative home visits, emphasizing the financial benefits for hospitals, significant cost savings with nurse-led visits, reduction in hospital readmission rates, and unparalleled patient convenience.

1. Financial Benefits for Hospitals:
While patient well-being is the primary concern, considering the financial implications of reduced readmission rates for hospitals is crucial. By avoiding readmissions, medical facilities can achieve substantial cost savings. Telemedicine kits enable more efficient post-operative recoveries, allowing hospitals to send patients home earlier and facilitating quicker recovery times. According to a recent article in the ' Shots, Health News' section of NPR , at-home post-operative recovery has shown numerous benefits, contributing to cost efficiencies in hospitals. Thus, investing in telemedicine devices can lead to long-term financial gains.

2. Significant Cost and Savings with Nurse-led Visits:
The integration of telemedicine into post-operative care home visits opens the door for nurse-led assessments. Nurses possess the expertise and training required to address various post-operative complications or concerns. Through the use of telemedicine technology, nurses can provide in-person care during their home visits, offering a personal touch to patients while maintaining virtual access to a variety of specialists in case further consultation is required. This approach ensures timely care delivery and results in significant cost savings. Compared to physician or specialist visits, nurse-led mobile health home visits are notably more cost-effective.

3. Reduction in Hospital Readmission Rates:
Portable telemedicine kits utilized during house calls play a vital role in reducing hospital readmission rates. These kits enable early detection of post-surgical complications or issues through home health visits, facilitating swift interventions. During check-ups, nurses and medical professionals can identify potential concerns and provide immediate guidance, preventing minor issues from escalating into major complications.

4. Unparalleled Patient Convenience:
Post-operative periods can be daunting and stressful for many patients. The recovery phase often requires consistent monitoring, which is where telemedicine devices shine. With these kits, patients no longer need to bear the brunt of regular commutes to healthcare facilities or adapt to the schedules of their healthcare providers. Instead, nurses or medical professionals can make house calls and conduct examinations from the comfort of the patient's home. This not only provides unprecedented convenience for patients but also ensures a more comfortable and less stressful recovery phase.

As the healthcare sector continues to evolve in tandem with technological advancements, the adoption of tools like telemedicine kits becomes imperative. Their benefits, both in terms of patient outcomes and cost savings, are hard to ignore. The integration of these kits into post-operative home visits signifies a future where healthcare is more accessible, efficient, and patient-centric. Hospitals and healthcare providers must seize this opportunity to enhance the quality and scope of their services, ensuring the best for their patients while also realizing significant operational benefits.

HSSE: Cameras and Environmental Compliance in the Maritime Industry

Wed, 27 Sep 2023 15:53:11 GMT

5 Ways Cameras Can Be Tools in Environmental Compliance

The maritime industry has a lot of issues it is grappling with: digital transformation, supply chain uncertainty, piracy, and crew welfare. However, the most costly are environmental regulations and sustainability. Given the industry’s vast reach and impact on the environment, regulations are similarly extensive.

The 2023 International Maritime Organization’s (IMO) Strategy on Reduction of GHG Emissions from Ships has set the industry on a path towards decarbonization, including a commitment to ensure an uptake of alternative zero and near-zero greenhouse gas (GHG) fuels by 2030.

Technological developments will assist in reaching these new goals through various channels, including video surveillance, which can play a significant role in the path towards environmental compliance.

Below are some strategies using video cameras and surveillance to help shipping companies work towards compliance as the IMO pushes the industry towards a goal of net-zero GHG emissions by 2050.

1. Monitor Emissions

Video cameras can be strategically placed near exhaust stacks or other emission sources to monitor air emissions. With a complete surveillance system, video can be accessed on-site/vessel or remotely, allowing engineers to monitor emission activities in real-time or companies to review footage from off-site/ashore locations. This can facilitate timely action in response to compliance issues. This footage can also monitor and optimize engine performance and fuel consumption.

2. Training

Video surveillance footage can be used for training purposes, demonstrating to the crew proper compliance procedures and pollution prevention and improving company compliance with environmental regulations.

3. Audit and Reporting

Video footage can be used to create comprehensive audit trails and compliance reports. This documentation can be invaluable in demonstrating adherence to environmental regulations during inspection audits or disproving allegations. For instance, one of our customer’s vessels was accused of polluting a beach with soot from its stack as it was transiting a canal. Time/Date stamped archived video was retrieved, disproving that allegation. This saved our customer thousands of dollars in fines.

4. Water Quality Monitoring

Surveillance can be used to monitor the quality of discharged water as well. Cameras near discharge points can help detect any unusual or unauthorized pollutants that violate water quality standards.

5. Wildlife Protection

In areas where maritime vessel activity may impact wildlife habitats — particularly protected species — video surveillance can be used to monitor and protect wildlife. Cameras can capture evidence of any harm to wildlife or habitat destruction, helping organizations comply with regulations related to environmental conservation.

As the maritime industry continues to push toward a greener future, video surveillance is a cost-effective and valuable tool for environmental compliance. There are many hurdles to overcome, but the transition to a greener future is imperative.

DigiGone is a veteran-owned, service-disabled business based in Largo, Florida, providing custom, managed bandwidth solutions such as CrewChat , digiView , digiChat and digiMed in the maritime, oil and gas and mining industries. For more information visit digigone.com/crewchat to request a demonstration. Or email us at info@digigone.com, or call at 1-727-544-2327.

Staying Connected at Sea Amid Cybersecurity Threats

Wed, 06 Sep 2023 17:13:49 GMT

As cybersecurity threats grow in the maritime industry, protecting your communications system should be a crew-welfare priority.

Earlier this year more than 1,000 ships were affected by a single ransomware attack. Norwegian-based shipping society, DNV, was forced to shut down servers connected to its ShipManager software after it was hit with file-encrypting malware.

This is just one of many examples of how cyber attacks affect the shipping industry. Thetius, a global maritime technology company, reported in a survey shipowners have paid more than $3 million in ransom attacks over the previous three years, and just combating the threats when a ransom isn’t paid can average well over $1.5 million.

Svante Einarsson, Head of Maritime Cyber Security had this to offer to Seatrade Maritime News on the role of digitalization to prevent cyber security threats in the maritime industry:

“What we do see is, unfortunately, is that in the control system world—the systems on board that are responsible for bringing the vessel from A to B safely—they are lacking maturity in the sense of cybersecurity, especially in comparison to normal IT systems. That leaves loopholes and leaves potential scenarios open where actually the vessels can be at risk.”

The transition to complete digital security — on both new and antiquated systems — could be a decades-long project. But cybersecurity also impacts crew welfare.

When crews rely on technology for their jobs, personal lives and overall welfare, it needs to be a priority.

Here we look at cybersecurity, its connection to crew welfare and how to safeguard your communications systems.

Training and Awareness

It’s crucial that vessel companies ensure crew members are thoroughly trained in cybersecurity protocols. Crews need to be aware of how to spot potential threats. Keep in mind there are a considerable number of pathways for cyber attacks in ports and at sea, which include crew members' cell phones. From top to bottom, everyone in a company needs to know how to recognize and respond to cyber threats with the help of a detailed cybersecurity plan.

Adoption of Fully Encrypted Communication Systems

One of the many platforms that need to be encrypted to protect from malware on a vessel is the communication system. It's also a basic human right for crew members to have access to regular communication with friends and family as part of a holistic crew welfare plan. Crew mental health and well-being are tied to digital communication systems allowing them to stay connected during long voyages.

With that said, it is critical that all calls and communication have a high level advanced (256-bit AES), real-time encryption with dynamic key management. This ensures end-to-end encryption and protects crew’s personal information.

Enhanced Crew Welfare

With a fully encrypted, managed service or application, crew can connect with friends and family or with mental healthcare providers using their own phones with confidence that their conversations are secure. File transfers can either be blocked or not available as a feature to prevent malware or viruses being transferred to the crew member’s phone. A managed service or application also makes data planning easier for directors as they can allocate bandwidth for crew calls while managing fleet bandwidth plans. This will have a windfall of positive effects as data has shown that overall morale and mental well-being are tied to staying connected during long trips at sea.

Protecting fleets and crew from cybersecurity threats could be a decades’ long task as vessels have many systems, some connected, others not. Some antiquated, others new. But there are way to protect your communications systems, which is invaluable to crew welfare.

7 Ways to Mitigate Risk by Addressing Chronic Fatigue in the Maritime Industry

Tue, 15 Aug 2023 15:08:51 GMT

Fatigue is deadly on a vessel. Through unwavering commitments and crew welfare policies, companies can help avoid unnecessary risks caused by fatigue.

Chronic fatigue is a critical safety issue in the maritime industry. Seafarers contend with long shifts in stressful situations, with little downtime all while spending months in isolation which adds to fatigue.

The International Transport Workers’ Federation (ITF) reported in a recent study fatigue that “Safety at sea is more likely to be endangered as crews are not fully alert. The desire for sleep can encourage the taking of shortcuts. Health suffers, now and in the future, through taking poor care of one’s physical and mental health needs.”

The ITF cited comprehensive research that shows one in four seafarers had fallen asleep while on watch. Additionally:

Nearly 50% of seafarers reported working 85 hours a week or more (well above the 72-hour maximum threshold set by the ILO Maritime Labor Convention).
Additionally, 50% reported their working hours were a danger to their personal safety.
And 37% said their working hours sometimes posed a danger to the safe operations of their ship.
Most tragically, the ITF reports that 25% of marine casualties are a result of fatigue.

Fatigue also impairs performance and diminishes judgment and, according to the ITF , can worsen other common issues seafarers deal with like loneliness from lack of communication with friends and family and extended isolation.

How Companies Can Address Fatigue in the Maritime Industry

The ITF advocates for protocols to mitigate risks associated with fatigue on vessels. We’ve outlined these below (1 - 5) and have added a few others that are part of DigiGone’s area of expertise in the maritime industry (6 and 7).

1.Ensure safe crewing levels. The International Maritime Organization sets guidelines for the safe manning of vessels. Tonnage, routes, machinery and tasks are all variables that can affect the numbers. Shipping companies should carefully consider exceeding minimums in order to enhance safety.

2. Enforce maritime maximum working hours. The IMO regulates maximum working hours for crew, which includes 14 hours in any 24-hour period and 72 hours in any 7-day period. Shipping companies must ensure crews adhere to these prescribed limits.

3. Universal recognition of the right to shore leave. Shore leave is a basic human rights issue and something that really came to the forefront during the pandemic. The industry as a whole suffered greatly as mariners left the industry because of excessively harsh conditions . Going forward, shore leave and time off must be a priority for companies looking to retain and recruit top crews.

4. Prioritize a culture of safety on vessels. Management must demonstrate an unwavering commitment to safety that starts at the very top of the corporate ladder. Clear policies must be backed up with effective training and reporting to ensure a full circle of expectations, implementation and continuous improvement.

5. Fatigue must be treated as a serious health and safety issue. Fatigue can be fatal. Companies must set forth policies that are clear and explicit. And captains and crew need to be continuously briefed and trained on these policies.

6. Allow crew to connect with friends and family regularly. Fatigue is in part driven by the isolation and lack of social interaction at sea, coupled with long hours. Technology is now available to allow crews to connect via voice and video calls using managed bandwidth during their downtime. Connecting with friends and family can lift spirits and outlook, warding off feelings of malaise and depression, which exacerbate fatigue.

7. Provide onboard counseling and acute care through satellite telemedicine services. Telemedicine access made giant gains post-pandemic. Crews can connect with therapists or medical professionals in the privacy of their staterooms, either with the aid of a fully equipped, HIPAA-compliant telemedicine kit (for vital signs, neurological assessments, EKGs, etc.) or simply using a cell phone.

These seven essential safety issues aren’t just about creating a safer work environment, these are also about mitigating risk, which affects the bottom line. Kunal Patha is a loss prevention manager at Gard, a marine insurer. In the article Look after your seafarers and they will look after your ship Patha wrote:

“Where seafarers are well looked after and supported, with good onboard culture and work process, we see to a certain extent lower levels of claims.”

Investing in fatigue-prevention as a real safety issue through culture, training and protocols is simply critical.

DigiGone is a veteran-owned, service-disabled business based in Largo, Florida, providing custom, ultra-low bandwidth solutions in the maritime, oil and gas and mining industries. For more information visit digigone.com/crewchat to request a demonstration. Or email us at info@digigone.com, or call at 1-727-544-2327.

Five Critical Ways Connectivity Improves Safety in the Maritime Industry

Wed, 02 Aug 2023 17:54:43 GMT

Managed bandwidth applications and services make life and work aboard a vessel safer while simultaneously improving overall crew welfare.

Managed bandwidth communication systems at sea are helping to improve safety standards. From observing areas of high risk and activity, providing enhanced medical care and access to mental wellness counseling, connecting with remote technical support, and keeping crews connected to friends and family, life aboard vessels is becoming safer.

Following are five critical ways to make the maritime industry safer.

Situational Awareness

Safety is every crew member’s responsibility. Being aware of one’s surroundings and activities onboard a vessel is critical to safe operations aboard the ship. Integrating a managed CCTV system on board that observes hazardous and high-activity areas greatly enhances vessel safety initiatives and increases awareness.

Suppose an emergent situation such as an engine room fire or other vessel event impacts operations. In that case, this managed system will allow onshore vessel managers and engineers to remote in, retrieve and review recorded video and provide critical information unknown to the crew at that time as to activities that led up to the incident, thus assisting with the quick resolution of the incident. The managed system consumes a predetermined amount of bandwidth, thus allowing other communications services to continue to work simultaneously in support of vessel operations.

The passage of the Safer Seas Act extends situational awareness to stateroom entrances and passageways to protect all crew on board from Sexual Assault, Sexual Harassment (read more details about this in our recent article Safer Seas Act Compliance and Solutions).

Companies benefit twofold when they invest in managed onboard and remote monitoring systems. First, it adds a layer of deterrence and detection for the crew from sexual harassment, assault, and bullying. Second, it provides the captain and crew with enhanced situational awareness of activities around the ship. This allows everyone to participate in safer vessel operations by identifying and taking corrective action on potentially unsafe activities, and preventing an incident from occurring.

Virtual Acute Care Medical Clinics at Sea

With telemedicine kits, vessels can remotely connect with physicians from anywhere, allowing any number of ailments to be attended to immediately, including cardiac issues, slips and falls and general illnesses. DigiGone's Standard telemedicine kits have HIPAA-compliant encrypted video and audio transmission. Medical tools on these telemedicine kits include built-in webcams, blood pressure cuffs, glucose meters, electrocardiograms, pulse oximeters, and more. More importantly, these kits are designed to easily integrate with existing networks and systems, providing a critical bandwidth-managed asset that can operate on your communication medium simultaneously with other communication services. In addition, these telemedicine kits can be used as ‘‘walk-in clinics at sea,’ allowing you to treat acute ailments before they develop into serious illnesses. A healthy crew is a safer crew.

Connect With Mental Health Providers

For the maritime industry to thrive, companies must take direct actions to ensure all crew members get the mental healthcare they need at sea. While the maritime industry is isolating, managed telemedicine and communication systems allow mariners to connect with mental health professionals, as needed, from anywhere. Using personal cell phones or telemedicine kits, the crew can set up and virtually attend appointments with a counselor from anywhere, including the privacy of their stateroom. Mental wellness is critical for safe vessel operations.

Communicate with Onshore Support

Finally, with managed bandwidth systems, crew and captains can stay connected with technical support teams, port authorities, support centers, and shipping companies while at sea. Fast and efficient communications via managed bandwidth connectivity allow crews to get necessary operational updates, counseling for any issues that arise at sea, technical assistance, and emergency response when needed, all at the same time.

Crews Can Connect with Friends and Family, Enhancing Crew Welfare

The pandemic highlighted the challenges mariners face at sea, including, but not limited to, depression brought on by the inherent isolation of the job. Thankfully, many companies are expanding crew welfare initiatives. With managed bandwidth applications and services, like DigiGone’s CrewChat, crew members can connect with friends and family via voice and video using their cell phones from anywhere. These calls require a minimal portion of a vessel’s bandwidth, meaning other necessary systems can continue running while crew members keep in touch with family. Happy crew, happy boat, safer voyage.

With the introduction of increased bandwidth availability, vessel management companies have the opportunity to improve their vessel productivity. But, they need to develop a bandwidth management plan and select bandwidth-sensitive applications and services to take advantage of the increased bandwidth and manage it judiciously while maintaining critical vessel operations.

DigiGone's products and services are designed to integrate easily within your bandwidth management plan. Using 256-bit end-to-end AES encryption, they are both bandwidth sensitive and secure. All transmissions are secure and proprietary to you. Unlike other applications and services, with DigiGone, no one has access to or sees your information and transmissions, not even us.

Safer Seas Act Compliance and Solutions

Tue, 18 Jul 2023 19:45:44 GMT

digiGone offers a suite of custom solutions for compliance with the Safer Seas Act.

The Safer Seas Act (SSA) of 2022 is designed to make the maritime industry safer for all crew aboard a vessel. It sets forth new guidelines that all U.S. flagged commercial ships must follow regarding incidents of sexual assault and sexual harassment (SASH).

While the new act offers broad protections for seafarers, it also implements new requirements for security video, training, and reporting and penalties for noncompliance.

The National Law Review recently provided a breakdown of the Safer Seas Act and the possible legal implications. The National Law Review advises:

“(...) vessel owners, operators and employers must and should be mindful of this new law and take action to comply with the SSA’s new reporting, training and surveillance requirements.”

Below we break down the three main elements and how digiGone along with our suite of solutions from digiView can provide customized solutions.

I. REPORTING

Under the new law, vessel owners and operators must report all SASH complaints and incidents that violate any law or company policy. These reports now must be made to the USCG “immediately” after the owner or operator gains knowledge of an incident.

The report must contain:

Name, role, and contact information of the person making the report
Name and official number of the vessel
Time and date of the incident
The geographic location of the vessel when the incident occurred
A brief description of the sexual assault or harassment

After the initial report is sent to the USCG, a more detailed report must be sent within 10 days. The penalty for failing to send these reports ranges from $5,000 to $50,000 per violation.

II. TRAINING

All employers must ensure SASH and harassment policies and procedures are up-to-date and clear. Part of the SSA ( 46 U.S.C. § 3203 ) stipulates that SASH policies and procedures be part of a safety management system (SMS) that includes annual training covering prevention, bystander intervention, reporting, and investigation.

III. SURVEILLANCE

New Video Regulations

All vessels with 10 individuals on board for overnight accommodations on a voyage of more than 600 miles — along with a few other stipulations which can be found here — must maintain a video surveillance system, installed no later than December 23, 2024, or during the vessel’s next scheduled drydock, whichever is later ( 46 U.S.C. § 4901(c)(1) ).

• Placement of Video Cameras

Video surveillance equipment has to be placed in all passageways on which doors from staterooms open, in a way that ensures visibility of every door in each passageway.

• Signage Requirements

Once installed, “clear and conspicuous signs” must be placed on board the vessel notifying all crew members of the presence of video and audio surveillance.

• Video Storage

All video and audio surveillance has to be retained for a minimum of one year after obtaining the footage. However, any video or audio associated with an alleged incident must be preserved for a minimum of five years after the alleged incident.

• Use of Video Recordings

Access to video and audio surveillance records cannot be used as part of a labor action against crews or for an employment dispute unless used as part of a criminal or civil action.

How DigiGone Can Help

Our forte is custom managed-bandwidth solutions, including surveillance systems, in austere environments. We can provide systems for specific vessels and fleets.

Below we break down exactly how digiGone and digiView can provide a whole fleet or vessel solutions.

Beyond setting up these systems, one of the primary challenges with compliance is getting a detailed report to the USCG within 10 days: How will captains review all the necessary videos, capture still images, and transmit reports all while at sea? DigiGone can help you create a plan to ensure these new requirements are met timely and without disruption to operations at sea.

digiView Solutions

Complete user-managed, remote oversight of video surveillance systems 24/7 from anywhere. digiView allows for on-demand live video streams, with multi-use viewing plus time and date stamps.
End-to-end encryption along with fully proprietary and secure systems; no one (not even DigiGone) can access your surveillance.
Customized system solutions for specific fleet or vessel needs. We offer high-def resolution systems designed to operate in the maritime environment.
Our CrewChat product allows mariners to make secure and private calls, using minimal bandwidth — in their staterooms for reporting needs.

No matter your situation, digiGone's proprietary software and hardware solutions means we can customize plans. With more than a decade in the remote-maritime telemedicine and voice/video communications industry, we offer stewardship in these sectors. Contact us today for specific information at 727-544-2327 or email at info@digigone.com.

DigiGone is a veteran-owned, service-disabled business based in Largo, Florida.

In Sync: Managed Bandwidth and Crew Welfare

Wed, 21 Jun 2023 21:13:13 GMT

How Companies Can Leverage Bandwidth for Better Crew Health

A career in the maritime industry is tough, no question. Few industries rival the challenges mariners face from long deployments, isolation, rigorous workloads and the potential for real danger on several fronts. Mariners have proven that not only can they persevere through these challenges, but they were also able to endure a pandemic and ongoing geopolitical issues. All while propping up our global supply chain.

Needless to say, it’s long overdue that crew welfare has come to the forefront of the industry.

Studies have shown that mariners experience significant incidents of depression. Dr. Marissa Barker with the University of Washington found that 45% of mariners reported depression due to lack of access or inadequate access to the Internet on a vessel during COVID. Additionally, 38% reported feelings of depression caused by a lack of access to a cell phone or inadequate service while in port, harbors, and inland waterways.

During the pandemic, a lack of communication was a bigger contributor to depression than having to quarantine. That says a lot.

And while these numbers are striking, Kurt Ellison at the University of Washington College of the Environment writes that Dr. Barker’s study likely underreports the true numbers:

“This study captured less than 1% of credentialed mariners in the U.S. and relied on self-reporting, suggesting that respondents were those most motivated to participate in the survey. My experience suggests that maritime work is often a ‘culture of silence.’”

Ellison, who has worked as a mariner, points out that the study leans on licensed officers when there are likely two or more unlicensed crew members for every licensed officer, who are less inclined to voice a complaint (if they’re even asked).

This culture of silence helps no one. Aside from your employees working in miserable situations, when given the chance, they’ll walk.

Not being able to connect with family and friends during deployment significantly contributes to feelings of depression. In her report, Dr. Baker recommends ways to increase mental health and well being, which primarily focuses on access to mental health services aboard a vessel through services like digiMed .

As well, a simple phone call can be a lifeline. Either to friends and family or to mental health services. Access to reliable video and voice communications should be a right not an amenity, especially given how readily available the technology is.

This is why DigiGone created CrewChat . And it’s simple:

A 3MB application management program (AMP) is remotely installed on the vessel or location network.
Crews download the CrewChat app and schedule times to make calls.

Most importantly, CrewChat uses no more than 70Kbps of a vessel’s total 256Kbps (less than 30%), allowing all other essential vessel operations to continue as calls are made.

Not only do seafarers have a right to basic communication, prioritizing crew welfare will increase recruitment and retention and boost crew morale.

DigiGone recently launched CrewChat an ultra-low bandwidth voice and video communications tool for remote locations. Combined with our experience in the maritime and telemedicine industry, we offer stewardship in this sector. For more information visit digigone.com/crewchat to request a demonstration. Or email us at info@digigone.com, or call at 1-727-544-2327.

CrewChat is a product from DigiGone. DigiGone is a veteran-owned, service-disabled business based in Largo, Florida.

"Overstretched and under-resourced"

Wed, 03 May 2023 19:49:31 GMT

A Holistic Approach to Crew Welfare

A 2022 report titled “Overstretched and under-resourced: the corporate neglect of port welfare services for seafarers,” looks at the role of welfare centers at ports established to assist mariners on shore leave.

The study was prompted by an article written by Karen McVeigh with The Guardian during the early days of the pandemic. McVeigh spoke with Reverend Dennis Woodward, who was one of 20 chaplains to board ships in the port in Rotterdam, offering fellowship to the 500,000 seafarers who passed through each year. But, after the pandemic hit, Rev. Woodward was the last man standing: the only volunteer left checking on the mariners.

From The Guardian :

“As he travels from ship to ship, he now dons disposable gloves, keeps two metres from the crew and stops at the top of the gangway, rather than enter vessels. But he doesn’t wear a face mask: he feels it is important to show his face.

“They are anxious and lonely,” Woodward, a chaplain for the Mission to Seafarers, told the Guardian. “One seafarer almost cried when I told him I was the last chaplain still visiting ships in the port. He was a seafarer from the Philippines and, like myself, had two small children. He was misty-eyed.”

“Overstretched and under-resourced,” looked at funding for volunteer organizations and stakeholder support services at ports and determined that across the globe these centers required “remedial action.”

The report suggests that funding for port welfare services be raised through reasonable levies, adding that such levies would be “inconsequential” when considering the operating costs of vessels and ports.

We previously wrote about seafarers being the ‘Forgotten Army’ of the sea, largely responsible for the global supply chain of goods, food, medical supplies and countless other items. During the pandemic, mariners endured extended trips, often in very stressful and isolated situations. Ports were a small point of reprieve; even though at the time many weren’t allowed to disembark.

But to the bigger point: While we can’t control pandemics and adverse events — from natural disasters to port strikes — the technology is now available for seafarers to be able to connect with their friends and families from anywhere .

Mariners should no longer have to rely on volunteer-based port welfare centers to speak with chaplains or doctors. Ultra-low bandwidth satellite-based communication solutions allow crews to speak — via both video and voice — to anyone from anywhere.

Further, as the report authors pointed out, it’s an affordable investment considering the full costs of operating a vessel. We've also previously written about the cost savings with recruitment and retention , as well as fewer insurance claims when crews are happy.

As well, entire telemedicine networks are established allowing crew to have consultations — with doctors, mental health experts, or chaplains — all in the privacy of their own staterooms.

The report highlights the ongoing difficult conditions facing mariners and ends with a note that while it’s premature to undertake a post-COVID assessment, early indications are that the pandemic has increased the need for port-based welfare services adding, “However, neither the need for such research nor the pandemic itself, should be allowed to delay the implementation of urgently needed change."

But why wait for the port when many of these services can be addressed at sea?

CrewChat is a product from DigiGone. DigiGone is a veteran-owned, service-disabled business based in Largo, Florida.

Customizing Business and Crew Welfare Solutions

Wed, 12 Apr 2023 20:45:17 GMT

The DigiGone Difference: Tailored Ultra-Low Bandwidth Solutions for Remote Locations

Since 2007, DigiGone has specialized in telemedicine — long before it became a medical buzzword in 2020. Our telemedicine line of products and services, digiMed , has been an industry standard, bringing virtual walk-in clinics to remote locations.

And because we’re a specialized technology company with autonomy and expertise, we’ve been able to customize our ultra-low bandwidth products — including telemedicine, remote asset monitoring, and communications — to fit the unique needs of our clients. We’ve helped the maritime, oil and gas and mining industries adapt to the world around them.

CrewChat, A Purpose-Driven Solution

And that’s exactly why we created CrewChat, an ultra-low bandwidth video, voice, and text communications tool for remote locations.

During the pandemic, ‘the forgotten army’ of mariners were stuck on ships, in ports, and in many places in between. Six-month contracts extended into a year or more. Cases of depression and mental health issues plagued seafarers who were isolated from friends and family for extended periods.

As a result, a robust crew welfare plan is something all vessel management companies have to address.

One of the primary components of a crew welfare plan is allowing seafarers to connect with friends and family. As we’ve written about before, having internet access will be seen as a right, not an amenity, especially with the much-needed tech-savvy younger workforce. Further, a solid crew welfare program enhances morale, which, research has shown, mitigates risk on vessels and helps increase recruitment and retention .

Business and Crew Welfare Solutions

Like many of our solutions-based products, the CrewChat platform and app were created with the industry's needs in mind. Our platform allows for product customization based on specific needs.

Since DigiGone is at its core a technology company, we’re able to marry CrewChat with our telemedicine technology, digiMed . Now seafarers can connect with doctors, including mental health specialists, for consultations in the privacy of their own quarters, from anywhere at any time.

DigiGone also has the ability to address remote asset monitoring with our product digiView , which has proven critical in both lawsuits, incident response time and crew safety. And with DigiChat, companies can connect with crew for on-the-job training, meetings, and repairs that might otherwise take weeks to facilitate.

Customization is truly what sets us apart.

This is all under the umbrella of ultra-low bandwidth, end-to-end encrypted telecommunications. Bottom line is, our specific product lines address the unique needs of industries, including maritime, oil & gas, remote medicine, and mining.

CrewChat is our latest product that:

Delivers ultra-low bandwidth video, voice, and text communications in remote areas.
Consumes no more than 70Kbps for uplink and no more than 100Kbps downlink.
Provides true end-to-end encryption using NIST-approved 256-bit AES.
Consists of two primary components, an app that is downloaded on crew phones and an Application Management Program.

DigiGone launched CrewChat an ultra-low bandwidth voice and video communications tool for remote locations in January 2023. Combined with our experience in the maritime and telemedicine industry, we offer stewardship in this sector. For more information visit digigone.com/crewchat to request a demonstration. Or email us at info@digigone.com, or call at 1-727-544-2327.

CrewChat is a product from DigiGone. DigiGone is a veteran-owned, service-disabled business based in Largo, Florida.

How Crew Welfare Curtails the High Cost of Turnover

Mon, 27 Mar 2023 12:37:40 GMT

Crew welfare isn't just about working conditions, it's financially wise.

When workers quit, the ripple effects linger long. And not just in terms of productivity, but given the complicated and specialized nature of the maritime industry, a high turnover also means high costs.

The Society for Human Resource Management (SHRM) reports that replacing an employee costs a company 6 to 9 months of that job’s salary. Imagine your company has just 2,000 employees, with an average pay of around $50,000. Replacing just 15% of your staff, which is a below-average turnover rate, costs $7.5 million annually at a minimum. Further, getting a new employee to reach full productivity can take a year.

Two of the leading factors for employee turnover according to an EBN , a human resources management company, includes well-being and work-life balance. Simply tweaking your crew welfare plan to address these factors can save companies millions annually.

The Path Ahead

The Seafarer Workforce Report from 2021 shows some sobering projections for the future of the maritime industry labor force.

The demand for officers has risen more than 11% since 2015
There’s an expected shortfall of 26,000 officers by 2026
Shipping must "significantly increase" its recruitment levels to stay ahead of labor needs

A variety of factors make a career in the maritime industry particularly hard. Long periods away from home, along with challenging work conditions, and safety concerns are compounded by isolation and limited social interaction. When crews on ships are comprised of multiple nationalities, that can also severely limit the interactions onboard a vessel.

Because of these factors, focusing on crew welfare can’t be viewed as an employee benefit: it’s an issue of providing fair and reasonable working conditions that affects the bottom line.

A report in The Asian Journal of Shipping and Logistics looked at employee engagement as a predictor of seafarer retention. When considering the isolation on board vessels, the author of the report noted, “The only outlet is telephone calls to families which may not always be available, or at a considerable cost to the crew."

In the end, the report summarized:

"It must be remembered that due to unsatisfactory work experiences, quality officers not only leave the shipping company, but also the industry which loses out on the years of accumulated knowledge to the detriment of the company as well as the industry."

A Bottom-Line Issue

We all know that recruitment and retention in the maritime industry will continue to get more competitive as jobs require more technical savvy. Focusing on an enhanced crew welfare plan isn’t a matter of just attracting crew, it’s about the health of your overall business operations and bottom line.

CrewChat is a product from DigiGone. DigiGone is a veteran-owned business based in Largo, Florida.

Mitigating Risk Through Crew Welfare

Thu, 09 Mar 2023 13:23:51 GMT

Crew welfare continues to be a critical issue in the maritime industry. Protecting seafarers' basic rights to respectable working and living conditions is a pressing matter that got highlighted during the most strenuous times of the pandemic when the world learned the significance of this essential line of work.

While many shipping-related issues related to the pandemic have unraveled, crew welfare will continue to prevail.

Kunal Pathak, a Loss Prevention Manager at Gard, a marine insurer, recently wrote a piece “Look after your seafarers and they will look after your ship.”

As an experienced authority in global marine insurance, he sees a direct link between the level of support provided to seafarers and the level of crew claims.

“Where seafarers are well looked after and supported, with good onboard culture and work process, we see to a certain extent lower levels of claims.”

Placing Monetary Value on a Happy Crew

Low morale brought about by feelings of isolation or depression can lead to increased safety risks due to a lack of focus and enthusiasm for work. When companies make seafarer well-being a priority, it exceeds the individual; a happy mariner means a healthier operation overall.

According to the Union of Marine Insurance, global marine insurance premiums in 2021 reached $33 billion, up 6.4% from 2020 due to higher trade volumes. Individual claims average more than $10 million each. Additionally, with these claims come legal fees and investigation costs. Not to mention the long-term damage done to reputations.

While accidents and incidents are inherent in the business, as Pathak points out, taking care of your crew is perhaps one of the most economical ways to mitigate claims.

Connecting Crew with Family and Friends

While Wi-Fi onboard vessels is not mandatory, it could be the difference between an in-sync crew and a malaise one. Depression from feelings of isolation is well-documented in the maritime industry, and ensuring crews can connect with friends and family while at sea is an easy way to address this.

The sooner ship owners and management adjust to a robust crew welfare plan, the better, particularly as the workforce becomes increasingly digitally savvy and connected. It will behoove the vessel company that realizes GenZ views connectivity as a birthright, not just an amenity.

It’s on HR managers and departments to derive and implement crew welfare initiatives, but it’s also an issue of risk mitigation; a happy crew will have fewer incidents.

An Easy Sell

Convincing management of the benefits of expanded crew welfare might still be a challenge, but looking after crew mental health, as Pathak wrote in his article leads “to fewer accidents and illnesses and thereby fewer claims.” For those looking at the bottom line, this should be an easy sell.

Contact us with questions about CrewChat , a communications tool that provides ultra-low bandwidth voice and video connections in remote locations.

‘The Forgotten Army’

Fri, 17 Feb 2023 17:33:26 GMT

CrewChat is an Ultra-Low Bandwidth Video and Voice Communication Tool that Prioritizes Crew Well-Being

Since the pandemic, the paradigm between seafarers and vessel management has shifted: The world learned the crucial role the shipping industry plays in everyday life. It’s not just big businesses that rely on the vast network of ships and mariners for parts and goods, but also essential items on store shelves. By volume, more than 80% of global trade is transported by sea.

That vast shipping network is propped up by more than two million merchant seafarers. During the pandemic, while shoppers were wondering why shelves were empty of essential items, a plight was occurring at sea.

“The Forgotten Army”

In an interview with APNews , Guy Platten, the Secretary General of the International Chamber of Shipping, called these seafarers “the forgotten army of people.” At the time, June 2020, more than 150,000 mariners were stranded at sea and another 150,000 were stuck waiting on shore, trying to get back to work or home. Contracts were extended for months or canceled altogether, exacerbating a stressful and uncertain time.

If any good came out of this, it was shining a spotlight on how important the shipping industry is to the world.

And from that, we learned the importance of mariner well-being.

Marissa Barker, Ph.D., with the University of Washington completed a survey and analysis of this very issue. In her report, The US Mariner Mental Heath and Wellbeing During COVID-19 and Beyond, she studied the impact the pandemic had on crew well-being.

Dr. Barker focused on five different mental health outcomes (depression, anxiety, stress, post-traumatic disorder, and suicidal ideation) among 1,559 mariners; 89% of who had actively sailed during the pandemic. Some key findings from the study are below:

Mariners reported that “fairly often” or “very often” they had no access to the Internet or phone; those with scores indicating depression experienced these scenarios more frequently.
Of those with scores indicating a major depressive order, only 35% indicated they had someone to talk to when feeling sad or stressed.
45% of mariners reported depression due to a lack of access or inadequate access to the Internet on a vessel.
38% reported feelings of depression caused by a lack of access to a cell phone or inadequate service while in port, harbors, and inland waterways.

During COVID, crews reported that lack of communication was a bigger contributor to depression than having to quarantine.

Recommendations based on the report included increasing “social support for mariners abroad a vessel.”

The Good News

The report also found that most mariners enjoy their work and value their job. Allowing crews to communicate with family and friends is a crucial step in not only supporting crew well-being but also boosting morale and increasing retention.

CrewChat does just that. Using end-to-end encrypted technology, mariners can talk with friends and family from anywhere in the world. CrewChat allows for both voice and video calls, using an ultra-low bandwidth satellite link.

CrewChat functions much like Zoom in that a unique link is created for each call, which is sent out to the recipient in advance. Because of CrewChat’s proprietary software program, no more than 70 Kbps is used for each call, a relatively small amount, which is key for far-remote locations.

As for vessel management, an Application Management Program (AMP) is installed on the vessel, and from there the program is a self-contained and maintenance-free application.

Prioritizing crew welfare is not only the right thing to do but could impact business in a big way. Providing simple access to a communications tool that allows seafarers to see faces and hear voices from home is a simple way to do that. The old adage is true, take care of your crew and they will take care of you.

DigiGone Launches CrewChat, a Game-Changing Crew Welfare Solution

Tue, 17 Jan 2023 22:20:51 GMT

CrewChat is an ultra-low bandwidth voice, video and text communication tool for remote locations.

DigiGone has launched an ultra-low bandwidth voice, video and text communication tool, CrewChat , which allows crews working in remote locations to connect with family and friends. On the heels of the pandemic when workers were isolated from families for months at a time — underscoring the difficulties of this essential industry — investing in crew welfare is paramount. CrewChat delivers on that.

DigiGone, founded in 2007, specializes in developing and providing encrypted, ultra-low bandwidth communication tools and software applications for remote locations. With CrewChat, mariners, miners, oil and gas workers, and other essential workers around the world will be able to make voice and video calls from anywhere.

A study by Marissa G Baker, PhD, at the University of Washington, reported that during COVID, lack of communication was a bigger contributor to depression than having to quarantine.

Further, 38% of mariners surveyed reported feelings of depression caused by lack of access to a cell phone or inadequate service while in port, harbors or inland waterways.

How it Works

An Application Management Program (AMP) is remotely installed on a vessel’s or site's local server. Crew members then download the CrewChat application to their phones and select a day and time for the video call. The user selects a contact from their device’s contact list, which generates a one-time secure meeting link that is sent to the recipient via email or SMS; the recipient does not download the CrewChat application, but simply clicks on the link at the scheduled time. The CrewChat application automatically adds the call to the user’s calendar.

Privacy and Security

Compared to other video and audio communication providers, only CrewChat provides true end-to-end encryption (256-bit AES) and privacy. Calls and videos are never recorded, phone data is never downloaded and locations are never tracked.

Technical Features

CrewChat delivers voice, video and text capabilities. Uplink connections consume no more than 70Kbps and a downlink consumes no more than 100kbps per meeting or call.

This proprietary product uses ultra-low bandwidth software that easily installs on existing vessel or site servers. Crew will download the CrewChat app to their phone and create a one-time link to send to call recipients using email or SMS. Multiple calls can be scheduled at once.

About DigiGone

DigiGone was founded in 2007 and is based in Largo, Florida. DigiGone is a service-disabled, veteran-owned small business that creates encrypted ultra-low bandwidth tools for use in a variety of industries, including healthcare, commercial maritime, yachting, fishing, mining and oil and gas.

For more information about this product contact Mike Dunleavy at 727-544-2327, or info@DigiGone.com .

Or visit the CrewChat website at digigone.com/crewchat.

Portable Telemedicine Kit For Yachting From DigiGone®

Wed, 13 Jul 2022 18:59:51 GMT

digiMed portable telemedicine kits are a streamlined telemedicine kit making remote medical care delivery from hard-to-reach locations even easier. Developed to bring medical care to patients around the world, it's essential for every vessel, aircraft, workplace and remote location.

In the yachting world, telemedicine should not be used just for emergencies. You should be able to use your telemedicine service as your ‘walk in clinic at sea’ just like you can go to an acute care clinic ashore.

And like that acute care clinic, the doctor should be able to examine you using various tools to accurately diagnose the issue and determine a course of treatment for you. Whether it is a runny nose, a constant headache or you are having a tough time coping with a stressful situation and you want to talk with a professional, you should not have to wait until your next port of call.

DigiGone® just released its digiMed® Standard Telemedicine kit which is ideal for yachters. Small, rugged, and simple to use like all their other products, the digiMed Standard is your ‘walk in clinic at sea’. There is no need for physicians to purchase any special equipment or install any applications. It is provider agnostic, meaning they simply access a secure web portal using their PC, MAC, or mobile phone, and you are connected!

The digiMed Standard comes with eight medical devices and tools and is priced at under $8,000.00. Some of our customers have one for their main vessel, and one for each tender.

And as an enhancement option, DigiGone now offers their Augmented Reality headset which replaces the kit’s tablet. Put the headset on like you do a hat, turn it on and you are securely connected to your care provider. All the medical devices and cameras send their data through the headset to the doctor just like the tablet. It is 100% voice command controlled, freeing up your hands to provide better care to your family or crew member.

About digiGone
Founded in 2007, DigiGone® develops specialized encrypted medical and communication software applications and hardware. We also develop products that provide our customers with the ability to monitor their remote assets from around the world. DigiGone® is also known for its award-winning telemedicine kits and service which provide our customers with immediate access to medical professionals wherever they are via live, encrypted videoconferencing. These products and services are all created with the needs of our unique client base in mind. DigiGone® products are currently being used in numerous environments around the world by a variety of entities including government healthcare institutions, commercial maritime ships, yachts, fishing and mining companies, law enforcement agencies, U.S. and foreign military, special operations, and intelligence organizations.

Improve Access to Care With The Right Telemedicine Kit and Service

Thu, 03 Feb 2022 16:18:15 GMT

Telemedicine kits and service can be a cost-effective solution for providing medical care to patients wherever they are.

While many people take for granted that they can easily access medical care if they’re sick, hurt or injured, it’s estimated that nearly 1 in 5 of Americans live more than 10 miles from the nearest hospital.* Worldwide, the problem is even more pronounced with hospitals more likely to be found in densely populated cities while many remote areas lack access.

Proximity to medical care isn’t the only challenge; some people lack transportation, and mobility issues mean that it can be difficult to travel even short distances for medical care. In addition, many people work in remote locations, such as those related to energy production, mining, on oil rigs, and commercial shipping and fishing vessels. It can be challenging to provide timely medical care to workers in these hard to reach locations.

Telemedicine kits and service can provide a solution to these challenges, improving access to medical care for patients wherever they are.

Home Care

In recent years, numerous medical facilities, especially in rural areas, have closed due to financial constraints, consolidation and other reasons. This has exacerbated an already serious issue, leaving many people without close proximity to a hospital.

For patients who need care, the absence of a nearby medical facility can mean a 30 minute or longer drive each way to the hospital; that’s assuming that the patient has access to a car or other transportation, which is not always the case. Certain medical conditions can mean that a patient may unable to drive, and outside of urban areas, access to public transportation is often limited.

Proximity to a care, lack of reliable, affordable transportation and mobility issues are even more challenging for those with chronic conditions, as they may need to get to a medical facility frequently. How can telemedicine help to improve access to care in situations like these?

By having a telemedicine kit with the appropriate diagnostic tools, a nurse or nursing assistant can make home visits, take a patient’s vital signs, and electronically share that information with doctors or specialists anywhere. Medical professionals can conference with the nurse and patient via secure video to diagnose, treat, and follow-up to ensure optimal patient care – all without a trip to the hospital.

Remote Worksites and Maritime Vessels

For remote worksites like oil rigs, energy production or hard to reach locations, a worker with an injury or symptoms might typically have to be evacuated offsite for evaluation. Similarly, for a shipping or fishing vessel, or a yacht at sea, a crew member in need of a medical evaluation could mean possibly having to divert to a port, which can cause significant lost time and expense.

A well-equipped telemedicine kit can allow for assessment of non-emergency injuries or symptoms onsite so workers or crew members can be diagnosed more quickly. In addition, with the ability to connect virtually to doctors 24/7, workers and crew members can be evaluated, treated and monitored without the need for time-consuming and costly medical evacuations or diversions.

Having the right telemedicine kit with the necessary tools and secure connectivity allows doctors to diagnose and treat patients remotely and is a cost-effective solution to improve access to medical care, treating patients wherever they are.

About DigiGone

DigiGone ® develops remote communication and medical care solutions, including telemedicine kits and service, which provide our customers with the ability to connect virtually with medical professionals wherever they are via live, encrypted videoconferencing.

*Pew Research Center, How far Americans live from closest hospital differs by community type (December 12, 2018)

DigiGone® Introduces digiMed® Mini Telemedicine Kit For Remote Medical Care

Wed, 19 Jan 2022 18:27:51 GMT

digiMed Mini is a streamlined telemedicine kit making remote medical care delivery from hard-to-reach locations even easier. Developed to bring medical care to patients around the world, it's essential for every vessel, aircraft, workplace and remote location.

LARGO, FLA. (PRWEB) JANUARY 13, 2022

With the growing need for telemedicine in a variety of settings including home health care, rural areas, marine vessels, remote worksites and more, DigiGone developed the digiMed Mini . Small, lightweight and rugged, the digiMed Mini is designed to bring medical care virtually to anyone around the world, wherever they are.

The digiMed Mini uses DigiGone’s award winning secure, ultra-low bandwidth communication software to connect doctors and specialists from around the world with patients, even in hard-to-reach environments. Its secure video capability and included diagnostic tools allow for assessment of symptoms or injuries from the most remote locations, securely, anytime.

With the ability to connect virtually to doctors 24/7, the digiMed Mini is ideal for Manufacturing Facilities, Oil Rigs, Commercial and Fishing Vessels, Yachts, Long-term Care Facilities and more. Plus, it’s system and provider agnostic – it works on any network without special equipment or dedicated broadband connectivity requirements and is priced to fit every budget.

The digiMed Mini is the medical care access option that can help keep patients, customers and workforce safe and healthy, even in the most remote locations.

View the original press release here .

Growth in Telehealth Use Post-COVID-19 Is Here To Stay

Wed, 12 Jan 2022 17:18:08 GMT

Telehealth is a growing part of health care post-COVID-19, with physicians and patients discovering the many ways it can improve access to care.

In the early days of the COVID-19 Pandemic, telehealth use surged, with the number of “virtual” office visits and outpatient care estimated to be 78 times higher in early April 2020 vs. February of that year.* This was driven largely by the temporary closures of most medical offices for any purposes other than COVID or emergencies. And for some time, many patients were hesitant to go for in-person office visits and risk exposure to COVID in a waiting room.

While utilization of telehealth has not remained at such dramatically elevated levels, it has stabilized at a rate 38 times higher than before the pandemic, with an estimated 13 – 17% of visits occurring virtually. While this rate can depend on a number of factors, including medical specialty, adoption of technology, and more, the clear message is that telehealth will be a part of medical care post-COVID-19.

Convenience

Consider a typical doctor appointment, which generally involves a patient driving to the office or medical facility, parking, checking-in, waiting to see the doctor, and then the actual visit, which may only last for only 15 to 30 minutes. In other words, the travel to and from the doctor appointment often lasts longer than the actual appointment itself!

While most patients accepted this process as an inevitable part of seeing their doctor, the use of telehealth during COVID-19 showed many that there is a different way. Instead of driving and waiting, in many cases patients could log on to their computers and connect via video with their doctor. They could describe their symptoms, ask questions, and perhaps even “show” their doctor a cut or rash for examination.

Access to Care

Many patients continue to use telehealth for its convenience, but for others, in remote areas or with limited mobility or access to transportation, telehealth may be their only real access to care.

Across the country, many patients are not in close proximity to medical facilities. This can mean hours-long drives each way when they are in need of health care. For those with chronic conditions, this situation is exacerbated as they frequently need care and may not have reliable access to transportation. This can lead to symptoms or conditions being ignored and worsening.

Telehealth can help provide solutions to these challenges. For simple consultations, patients can use video conferencing to check-in with their doctor, monitor treatment and more. For more involved care, home health aides or certified nursing assistants can visit the homes of patients, and using a telemedicine kit with diagnostic tools, take vitals, examine the patients, and share this information with doctors or specialists at any medical facility, no matter how far away.

Effective Option

The initial surge in the use of teleheath may have been driven by the challenges caused by COVID and related closures, but patients continue to use telehealth because it can be an effective option.

Certain medical specialties, such as mental health, have had particularly high telehealth adoption rates (50%) and patients have reported satisfaction and their intention to continue using telehealth going forward. In addition, a majority of physicians view telehealth more favorably now than they did before COVID-19.*

Cost Savings

As the cost of health care continues to increase, many look to telehealth as an opportunity for cost savings. Some possible savings are straightforward: if a trip to the emergency room can be avoided and a patient can instead be diagnosed and a course of treatment determined using telehealth, the savings can equal hundreds or even thousands of dollars.

Other scenarios for cost savings are more complex. Typically a doctor or medical office will have to invest in tools, training and technology to provide telehealth. This can come in the form of video conferencing software, cameras, telemedicine kits and more. To maximize this investment, the doctor or medical office will need to have a strategy in place to help patients understand how and when they can use telehealth services effectively.

What Will Telehealth Look Like?

Telehealth can be used across multiple settings for different purposes. In some cases, all that will be needed is for each participant – doctor and patient – to have a computer, tablet or phone for a video call. But there are certain limitations to the effectiveness of a telehealth visit using only a home computer and camera. The doctor doesn’t have the tools that they would typically use to collect vitals and other information from the patient, making diagnosis of more complex symptoms difficult via telehealth. To be effective in more settings, additional tools are needed.

An important component in effective telemedicine is having a kit with the necessary tools that allow doctors to diagnose and treat patients remotely.

About DigiGone

*McKinsey & Company, Telehealth: A quarter-trillion-dollar post-COVID-19 reality? (July, 2021)

Bring Medical Care Virtually to Anyone Around the World with digiMed Mini

Wed, 08 Dec 2021 16:19:53 GMT

digiMed Mini is the streamlined telemedicine kit making remote medical care delivery easier and more cost-effective.

The demand for telemedicine has experienced significant growth in a variety of settings including home health care, rural areas, marine vessels, remote worksites and more. As a leader in telemedicine kits and service, DigiGone recognized this need and developed the digiMed Mini to bring medical care virtually to anyone around the world, wherever they are.

A Safe and Healthy Workforce

Small, lightweight and rugged, the digiMed Mini is essential for every vessel, aircraft, workplace and remote location. Its secure video capability and included tools allow for assessment of symptoms or injuries onsite, so crew or workers can be diagnosed more quickly.

The digiMed Mini offers immediate access to doctors 24/7, so workers can be evaluated, treated and monitored without the need for costly and time-consuming medical evacuations or diversions.

Works Where Others Can’t

Because it uses DigiGone’s award winning secure, ultra-low bandwidth communication software the digiMed Mini works reliably in remote, hard-to-reach environments including at sea, on oil rigs, and in isolated areas. The secure multi-party video calling capability allows for multiple medical specialists in different locations to collaborate simultaneously no matter where they are.

Cost Effective

The digiMed Mini contains essential tools needed to provide remote medical care to patients around the world, and it does so at an accessible price that fits into your budget. It can enhance workforce safety, making it a must have for Manufacturing Facilities, Oil Rigs, Commercial and Fishing Vessels, Yachts, Long-term Care Facilities and more.

Its affordable price and portable, easy-to-use design also make the digiMed Mini ideal for Home Health Care delivery, Fire Trucks, Ambulances, Long-term Care Facilities, Tertiary Medical Facilities and more. Plus, it’s system and provider agnostic so it works on any network without special equipment or dedicated broadband connectivity requirements.

The digiMed Mini is the cost-effective medical care access option that can help keep patients, customers and workforce safe and healthy, even in the most remote locations.

Supply Chain Challenges Underscore the Need for Remote Monitoring and Collaboration

Thu, 04 Nov 2021 14:48:39 GMT

digiTech and digiView offer solutions that enable businesses to resolve issues and increase efficiency even in low bandwidth, hard-to-reach environments.

With bottlenecks in the supply chain—labor, containers, shipping, ports, trucks, railroads and warehouses – expected to persist well into 2022, the need is greater than ever for solutions that can increase operational efficiency while saving time and money.

For over a decade, DigiGone has been creating products that provide customers with the ability to communicate, collaborate and monitor remote assets around the world. Now more than ever, these products are helping businesses address the challenges of today.

Resolve Issues Quickly and Efficiently

Situations like equipment repairs can often mean that an expert would need to travel to evaluate a situation and diagnose the problem. In the past, this could mean days spent identifying the right resource and then travel time to a remote location. Given today’s tight labor force, where an expert might have a backlog of jobs, that timeline could grow to weeks or longer.

With digiTech ’s secure, hands-free, voice-based collaboration solution, you can have “eyes on the situation” in real time. If parts need to be ordered, that can be done without having to wait for on-site examination of the problem.

Businesses can virtually connect with subject matter experts or other resources around the world, allowing for faster resolution to the problem and overall increased equipment uptime.

Monitor Remote Assets

Supply chain bottlenecks are also causing increased times at sea and in port. This makes the ability to monitor remote assets around the world even more important.

digiView provides customers with oversight of remote assets 24/7, including real-time video and still images. Businesses can achieve instant visualization of the situation, enhancing safety and overall operational efficiency.

Works Where Others Can’t

Because digiTech and digiView were built to work in low bandwidth, hard to reach environments, they allow for cost-effective, visual communication and monitoring from even the remotest of locations where higher bandwidth options won’t work reliably. In addition, encryption protects your communication and ensures safety.

Solutions for Your Business

DigiGone has solutions that allow your business to solve problems in minutes, not days. As teams and managers are able to communicate visually, there are more opportunities for remote collaboration and informed decision making.

Whether it’s training, inspection, repairs or other issues, digiTech and digiView are are advancing the way that businesses connect, especially in today’s challenging environment.

Schedule a demo today.

Adapting to New Times with the digiTech Solutions Headset

Mon, 22 Mar 2021 15:22:56 GMT

digiTech Solutions provides on-the-job training, virtual repairs and keeps crews safe.

It could take months for the maritime industry to unravel from the problems caused by the COVID-19 pandemic. And while, hopefully, the worst is behind us, there were some changes to business practices during the past year that may stick. Many companies were forced to work leaner and adapt at a moment's notice, forcing their hand at learning new technologies to train workers, keep teams connected and crews safe.

To that end, over the past year, DigiGone has adapted its product line to the new ways of conducting business during and after the pandemic. We partnered with RealWear for a hand-in-glove solution: integrating digiTech with a RealWear HMT-1 headset that allows engineers, subject-matter experts and crews to collaborate in the remotest of locations.

Seamless Collaboration

With our digiTech solution, team members from different locations can talk, share images, tap into a camera and upload documents all simultaneously. Say a bosun is supervising a cargo offload, they can:

Share their headset video camera
Communicate with other team members
Access the voice-controlled operating system to take pictures of damaged containers or goods
Use the viewer, which is similar to holding a tablet at arm's length, to observe activities on the other side of the load
All hands-free

Bonus: Rugged by design and purpose-built for industrial environments, the headset stands up in loud, dusty or wet situations.

On-the-Job Training

One major problem for the maritime industry during the pandemic has been training new mariners. Marine Log recently wrote , "As new courses and ways of conducting maritime training are underway, there is a need for seasoned mariners to continue their education and undergo refresher training, especially for Coast Guard courses."

On-site training with digiTech is a perfect solution for that important transfer of knowledge. One study by GlobalFoundries found these "wearable computers" can cut training time down by 30 to 50%, "When workers can access technical documents through HMT-1, the foundry doesn’t need to take equipment offline to train new hires."

Reduce Downtime

In the same vein, repairs can be conducted in a virtual environment. Engineers can fully assess the situation and guide crews through a repair, getting operations back online quickly.

Inspections can often be handled in the same manner. To adhere to social-distancing protocols, many companies are moving to virtual inspections to keep their crews safe.

This video demonstrates how Seaport Steel uses the headset for troubleshooting and repairs .

Avoid Unplanned Medical Diversions and Delays

Our digiTech solution can also integrate into a telemedicine program to connect with doctors 24/7. With ships log-jammed at ports, medical visits are much more complicated. Now medics can assess symptoms or treat minor injuries without having to hold a smartphone or adjust a computer for the doctor to see the patient; their hands are free to use diagnostic tools for a complete evaluation.

Both of these measures keep boots off boats and any potential exposure to viruses at bay.

Increase Operational Efficiency

Bottom line is in all of these scenarios, digiTech helps increase operational efficiency. With shipping delays causing frustration across the globe, don’t let other factors complicate logistics. This new technology allows for virtual collaboration, training and since it's a DigiGone product, it’s available just about anywhere in the world.

Schedule a demo today .

New Durable Headsets Enhance Surveillance and Collaboration

Tue, 12 Jan 2021 13:46:11 GMT

The new RealWear & DigiGone AR Headset is a hand-in-glove collaborative solution.

Businesses and industries across the globe have adapted their strategies over the past year, adjusting to many “new normals.” Some predict that business will never be the same. There’s an increased reliance on technology, more remote collaboration and less business travel. Companies are also discovering creative ways to connect and are reassessing growth opportunities.

Now more than ever companies should leverage technology to protect assets and monitor remote sites while minimizing travel and saving their bottom line .

Monitor Onsite Operations, Assets and Work-Flow

Closed Circuit Television (CCTV) systems are becoming more prevalent in monitoring manufacturing processes, mining operations, oil and gas extraction, transportation and commercial shipping. Companies need to have eyes on their operations, allowing for instant situational awareness which is critical to timely decision making.

The RealWear AR headset is a new hand-in-glove collaboration and monitoring tool that DigiGone recently integrated into its digiView video-monitoring platform . This asset allows businesses to monitor sites and assets in an entirely new way. Imagine a bosun supervising cargo being loaded onto a ship from the deck while at the same time controlling the vessel’s CCTV system, using just voice commands to view the loading from other angles. This enhances operational safety and provides crews with hands-free situational awareness to ensure a smooth transition of cargo.

DigiView easily integrates with existing CCTV systems to provide an exponential enhancement to remote monitoring capabilities with a quick return on investment.

A RealWear DigiTech headset allows crews to:

View CCTV with the headset display pod, which is equivalent to viewing a tablet at arm’s length
Collaborate with others from remote locations during operations
Share camera/view simultaneously showing activities from their onsite perspective
Record video or take pictures using voice commands, which can be saved for future use

This 100% hands-free multipurpose device is intrinsically safe and outfitted with noise-canceling headphones and integrated speakers that allow users to easily communicate with others. The headset can be worn with standard hard helmets, bump caps and safety glasses. It’s purpose-built for loud industrial environments.

Reduce Reliance on Travel

Additionally, with the recent pandemic, companies have had to reassess the risks of travel: What’s the cost of potentially exposing an isolated crew to someone who just traveled through a busy airport or city? If a virus is introduced to a worksite, how long will operations shut down? What’s the full cost of that?

But, inspections and oversight still need to take place. DigiView CCTV combined with digiTech are a unique tool set that can allow businesses to run smoothly, avoid shutdowns while keeping everyone safe and increase ROI. And since it’s a digiGone product, it’s proven to work in austere environments.

For more information about the headset and how it can be seamlessly integrated with your existing video-surveillance system, please learn more on our website or contact us via email at sales@digigone.com.

Why Telemedicine & AR Headsets Are A Smart Long-Term Investment

Tue, 17 Nov 2020 19:47:51 GMT

Crew health, a safe work environment and avoiding costly diversions or delays are the three primary benefits of telemedicine.

Necessity is the mother of invention, right? And while some may think telemedicine is the result of the pandemic, the need for remote care has been around a lot longer than COVID-19. However, social-distancing protocols and government shutdowns pushed virtual healthcare into the spotlight almost overnight. Patients and doctors were given no other choice but to work outside their comfort zone and adapt. And now, many will likely never go back to another appointment at a busy hospital if at all possible.

Modern Healthcare recently published an article , “Predicting the Future Role of Telemedicine.” Their first forecast: Telemedicine will become a standard service offered across all care settings.

For the maritime industry, this is good news. Crew health, a safe work environment and avoiding costly diversions or delays are serious problems facing the industry right now. And since it’s predicted that the pandemic will last well into the summer of 2021 if not longer, vessel owners should have by now adopted a thorough telemedicine plan. Below we explore why the cost of this pales in comparison to even to just one diversion. And, the peace of mind offered is really invaluable.

A Long-Term Investment

Telemedicine is a worthwhile long-term investment, particularly for the maritime industry, because of a substantial infrastructure investment across the board. Just through the CARES Act alone, the U.S. Congress doled out more than $200 million in grants to healthcare providers. World over, it’s impossible to estimate the resources assigned to strengthening networks in order to provide seamless remote care options for both providers and patients.

A Walk-In Clinic At Sea

For vessel owners, a strong telemedicine network means that if a crew member becomes ill, they have access to immediate care; a virtual walk-in clinic at sea. Instead of diverting to a crowded port, hospital or city center, which costs a lot of time and money, crew members can be evaluated anywhere, anytime.

This is especially true for COVID-19 risk assessments. If there’s been a possible coronavirus exposure aboard a ship, doctors can access symptoms and discuss contact-tracing protocols to advise patients and captains on the best next steps without having to make a trip to port.

Moreover, by avoiding unnecessary trips to port, crews avoid further risk of exposure.

AR Headsets for Optimal Continuity

Augmented reality (AR) headsets are the next level of technology for telemedicine. Even in ultra low-bandwidth environments doctors are able to connect with patients in a manner like never before. While a designated medical officer (DMO) wears the AR headset, a doctor can assess patients almost like they are in the room with them. All the while, the DMO has both hands free allowing them to explicitly follow instructions given by the doctor, unencumbered by having to hold a phone or device for the doctor. There’s also technology available that allows doctors to zoom in and out on certain areas, capture images and share or save videos. Need to perform a suture onboard? A doctor can literally guide a DMO through every single stitch.

A Telemedicine Tool Like No Other

DigiGone has partnered with RealWear for this hand-in-glove solution : Using their state-of-the-art hardware with our customized, autonomous software, designed to work in ultra low-bandwidth environments, we’ve created a telemedicine tool like no other.

Further, DigiGone has created a virtual training program that allows DMOs to learn how to use the headset quickly and seamlessly. And because DigiGone creates the software, customizations are possible.

A Timely Investment

For the maritime industry, it gets down to three key issues: keeping your crew healthy, providing a safe working environment and avoiding costly delays or diversions. If you haven’t invested or upgraded your telemedicine platform recently, it’s a great time to do so now .

Hendrick Marine Sets Sail with Tools & Protocols in Place

Mon, 09 Nov 2020 20:39:39 GMT

In the new normal, a telemedicine kit along with COVID-19
protocols help keep yachts sailing.

Recently the Center for Disease Control and Prevention (CDC) allowed the no-sail order for cruise ships to expire and introduced a pathway for resuming services so long as companies can assure the safety of passengers. Prior to booking passengers, the program requires that cruise lines embark on mock voyages with crews to demonstrate their ability to keep everyone healthy using extensive COVID-19 protocols.

Fortunately, for yachts, the process of ensuring a safe environment: 1) Isn’t such a stretch of the imagination and 2) doesn’t require near that much time or government regulation.

Regardless, due to the COVID-19 pandemic, travelers’ expectations have shifted. It’s not just about clean sheets and bathroom sinks anymore; travelers need to know that they and their families are safe. At the same time, we also know travelers consider vacations at sea as an option for avoiding crowded resorts and restaurants. A recent study showed a 39% increase in interest over last year in small ship or expedition cruises for the upcoming year.

And, as we’ve said before , customers shouldn’t even have to ask what precautions are being taken to prevent the spread of the coronavirus. A thorough plan should be the first thing on your website and other marketing channels.

We recently spoke to Rocky LaSorsa, fleet captain for Hendrick Marine, about how they have adjusted during this time and what permanent industry shifts he sees going forward.

Create A Specific Plan

Captain LaSorsa said his passengers don’t always come out and ask about protocols, perhaps out of respect because they’re usually guests of the Hendrick family, but he says that doesn’t diminish his responsibility for ensuring a safe environment.

“Immediately when coming aboard they see us wearing masks and changing gloves regularly, as well as wiping down every contact surface as much as possible. We have UV lights and anti-microbial filters in every air handler. We also spray a misting anti-viral cleaner around the entire vessel before and after every trip to completely disinfect every surface,” Captain LaSorsa said.

All crews are tested for COVID-19 and antibodies before any guest interaction. And everyone on board has to provide details on recent contacts and travel history. Additionally, there are daily temperature and symptom checks. Captain LaSorsa has had no complaints about any of it -- the opposite if anything and he sees this as standard operating procedures for the foreseeable future.

“We’ve also enhanced cleaning and disinfecting practices including galley sanitizing with quaternary solution, PPE, flash-frozen foods and less food handling by the crew,” Captain LaSorsa said.

A Clinic At Sea

After setting sail, risks don’t suddenly disappear. COVID-19 symptoms can present as long as two weeks after exposure. Captain LaSorsa uses telemedicine and virtual doctor visits to ensure the safety of his guests and crew while at sea.

“Throughout 2020, we used our digiMed Five Plus kit routinely to help combat COIVD-19,” Captain LaSorsa says. “When someone thinks that they are symptomatic, we immediately get them on the unit and in front of a GWU [George Washington University*] medical professional to discuss their symptoms and to direct us with a course of action to best help the patient, as well as keep the rest of the guests and crew onboard safe.”

Captain LaSorsa can mitigate risks of a widespread outbreak based on the advice of the doctors. A real-time medical diagnosis takes the guesswork out of the next best steps. Perhaps most importantly, having this technology and medical access available 24/7 eases anxiety for both crew and passengers.

“Our kit has changed the way in which we medically care for guests and crew. It has increased our confidence-level in response to all medical situations and is vital to combat medical emergencies at sea,” says Captain LaSorsa.

More importantly, these “virtual walk-in clinics at sea” build confidence in potential customers. Families need vacations and are seeking safe ways to travel. With clear and specific protocols in place and a telemedicine kit as a safety net, there’s no reason not to set sail.

*Digi+Doc is a tier-one remote medical service offered by George Washington University’s Maritime medical access program, which leverages their decades of experience and innovation with remote, around the clock care. The program allows immediate access to more than 500 physicians and specialists through a virtual, first-person diagnosis.

AR Headsets Are A Timely Solution to a Costly Pandemic

Mon, 19 Oct 2020 19:33:05 GMT

This hands-free rugged collaboration tool makes operations safer and more efficient.

Augmented reality (AR) headsets have the potential to transform the mining industry. Worker health, job site efficiency and operational safety are just a few areas that could benefit from the utilization of this burgeoning technology.

AR is not the same as virtual reality (VR); AR involves sharing your sightline in real-time with others and includes the ability to view data on a screen that is similar to holding an iPad at arm's length. This hands-free customizable tool allows crews in remote places to collaborate with specialists, inspectors or engineers anywhere.

DigiGone has recently collaborated with the manufacturer of these headsets, RealWear, for a hand-in-glove venture, combining their durable hardware with our secure software, which is optimized for low-bandwidth environments, solution-specific for the mining industry.

Our digiTech Solution not only provides remote collaboration between the customer and subject-matter experts, but also enhances remote medical assistance and integrates seamlessly with existing surveillance systems providing our customers with extra sets of eyes.

Below we’ve outlined several scenarios where an AR headset can help your business.

Employee Health and Safety

Keeping crews healthy, especially during the coronavirus pandemic, is paramount. Restricting travel to worksites is one way to combat this. This spring more than 700 mines across the world were shut down due to COVID-19. In the maritime industry they’ve coined the phrase “keep boots off boats;” instead of contractors embarking on vessels for inspections or repairs at ports, the crew can use an AR headset to virtually collaborate with inspectors or vendors, ensuring the virus isn’t brought on board, potentially causing a shut down for weeks.

For example, if equipment needs to be inspected, an on-site crew member can share real-time video from the camera of the headset, perform an inspection while communicating with someone else remotely, and instantly receive expert guidance or feedback. This eliminates the need for travel and gets your equipment back in operation as quickly as possible resulting in an increased ROI.

For medical support, AR headsets can virtually bring a doctor on site in case of a medical emergency in the remotest of locations. While the designated medical officer securely shares real-time diagnostic information, a doctor can virtually assess the situation quickly and either supervise treatment of the patient or assist with coordination of evacuation.

Virtually bringing advanced medical support to remote locations through an AR headset not only enhances the level of medical services you provide your crew, but can also save you money by avoiding unnecessary evacuations and reducing crew downtime.

Enhance Efficiency

If a piece of equipment needs to be repaired, instead of shutting down operations, an AR headset can be employed, drastically reducing downtime. Due to increased travel restrictions and hard borders , people might very well be required to quarantine (depending on company policies) prior to arriving on site, extending the time of shutdowns and driving-up operational costs. Prepositioning an AR headset or sending one to the location could minimize the impact these restrictions would have on operations and keep business on schedule.

Training and certification on key pieces of equipment or operational procedures is an investment for your company and critical to smooth operations. Being able to remotely provide that onsite training can be a significant cost saver both in actual cash outlay for travel and housing expenses, as well as time reduction in getting the crew member qualified.

Some companies in the offshore drilling industry use intrinsically safe AR headsets to mentor junior field technicians ; they’re able to train on new equipment or learn new procedures virtually, while being guided by senior support staff ashore.

Operational Safety

A key differentiator of some AR headsets over others is that they give users a heightened level of situational awareness while working. They are intrinsically designed to create safer working conditions and operate in rugged locations where Internet connectivity is restricted.

In some operations a second set of eyes is crucial for the safety of your crew. Being able to remotely monitor what your crew member is actually seeing enhances the level of operational safety. But, what if you can also monitor their activities from different viewing angles by ‘tapping’ into your remote sites’ CCTV system or cameras installed on your excavators? Not only can an AR headset enhance the safety operations for your crew, but improve efficiency by identifying and preventing incidents before they happen.

Ease of Use

The use of an AR headset should be intuitive and the training provided should be simple to understand, apply directly to the device’s and application’s use and be available remotely, onsite. In addition, the headset should be voice controlled and completely hands free. Finally, you should be able to easily communicate with others, even if you are in a loud noise environment. This link is an excellent example of the RealWear HMT-1 noise cancelling abilities during a remote inspection of a motorcycle in a Harley-Davidson shop .

Telemedicine is Changing How Emergency Care is Managed

Wed, 07 Oct 2020 18:26:47 GMT

Hospital systems and local governments are getting creative with how emergency care is managed. And telemedicine is at the center of it all.

The pandemic has strained the healthcare system across the country, particularly in places dealing with natural disasters like wildfires and hurricanes. Focusing resources– either physical or human–on those who truly need it is a critical priority. Alleviating the flow of people, and thus disease, to medical facilities is just as important.

Hospital systems and local governments are starting to take a closer look at how emergency care is managed. They’re getting creative in an effort to provide care in the smartest way possible.

Some are pairing telemedicine technology with first responders, particularly for chronic 911 callers and remote areas. When answering calls instead of transporting patients to a hospital, on-site medics collaborate virtually with a doctor using encrypted real-time technology and tools to triage patients. The overall aim is to provide immediate care, away from busy hospitals and reduce the number of transports.

Below we look at a few scenarios being tried across the country.

Reducing Hospital Transports

The Los Angeles County Fire Department is testing a program specifically aimed at non-emergency 911 callers. The program aims to assist mildly-ill patients by having an advanced provider, such as a nurse practitioner, evaluate patients through a video dashboard, along with an option to connect an emergency room doctor.

“The program connects patients who do not require emergency care with a provider who can assess the patient’s condition, provide a treatment plan, and even call in prescriptions to support the treatment plan,” Los Angeles County Fire Battalion Chief Roland Sprewell told the Antelope Valley Times.

So far, the program has allowed the fire department to divert “many patients” who would have typically been transported to a hospital; instead they are treated on-site. This allows the county to preserve precious space and resources at hospitals for those who truly need it.

COVID-19 Triage

Another similar pilot program was recently launched in Virginia to connect Virginia Commonwealth University (VCU) emergency medicine physicians with first-responders, lowering the strain on their busy EMS and hospital system. From a press release :

“When emergency medical service agencies in Virginia’s rural Essex, Westmoreland or Richmond counties respond to a call for a patient with COVID-19 symptoms, first responders are now able to communicate in real-time with VCU Health emergency medicine physicians using telehealth technology. VCU Health physicians are able to evaluate the patient and discuss the risks and benefits of transport to a hospital versus remaining in the home.”

First-responders are able to rapidly make decisions about what is best not only for the patients, but also take into consideration the possibility of exposing many others through a hospital transport.

Chronic 911 Calls

The San Rafael Fire Department in California is testing a similar strategy for chronic 911 callers. This pilot program is aimed at tackling repeat non-emergency calls which make up about 11% of all medical calls according to an article in The Marin Independent Journal .

A fire engine and ambulance still respond to calls, but they also send a “DirectConnect” team, which includes a county nurse and a social worker. They arrive in a separate vehicle and take the lead in providing care for the patient.

The pilot program fills a gap between the level of care paramedics can provide and an emergency room, which is wide. Ideally, the DirectConnect team can intervene, provide the appropriate level of care and avoid transport to a hospital. And since these are chronic callers, the social worker is able to look at the bigger picture and address the issue behind the repeated calls.

The program is currently being tested four days a week, six hours a day before being implemented full-time.

The Expanding Role of Telemedicine

Hospital transports and admissions are costly. Being able to provide treatment on-site rather than transporting patients is ideal. And now with a pandemic, isolating the sick, preventing the spread of infection, saving space at hospitals for those who truly need it is a priority.

Enhanced Tools

Using a doctor/patient consult interface or, even more exciting, new augmented reality (AR) headsets, allows remote care providers to collaborate with doctors safely and securely anywhere.

Plus, the technology within telemedicine kits continues to get savvier. In addition, quad core tablets with a built-in webcam, as just mentioned, AR headsets allow for a fully immersive and collaborative experience . With a camera on the headset, the onsite caregiver can share their view of the patient, which also allows them to work hands-free. Doctors, specialists or emergency room physicians can see and hear everything at the remote location and even access data from diagnostic tools being used.

The diagnostic tools in a telemedicine kit are designed to provide for a complete triage and enhanced-level of care . A digital blood pressure cuff, glucose meter, electrocardiogram, pulse oximeter, USB otoscope and handheld ultrasound device are all commonly found in telemedicine kits.

Working Smarter Not Harder

Since the pandemic has hit, officials are starting to understand the importance of using technology to mitigate the flow of patients to hospitals. Simply stated, it’s better for everyone.

Hopefully, one of the examples detailed above sparks an idea of how your team can provide care in a safe more efficient way.

Fighting Malaria in the Time of COVID-19

Mon, 28 Sep 2020 15:35:41 GMT

The COVID-19 pandemic could undo decades of work in Africa's fight against malaria.

Recently The Lancet published a study that looked at the impact the COVID-19 pandemic has had on fighting malaria in Africa. Led by Daniel J. Weiss, PhD, the outlook is troubling:

“Under pessimistic scenarios, COVID-19-related disruption to malaria control in Africa could almost double malaria mortality in 2020, and potentially lead to even greater increases in subsequent years. To avoid a reversal of two decades of progress against malaria, averting this public health disaster must remain an integrated priority alongside the response to COVID-19.”

For the past 20 years, cases of malaria had been on the decline across Africa primarily due to the widespread distribution of antimalarial drugs and insecticide-treated nets (ITNs). It’s estimated that millions of lives were saved.

But, that effort required massive coordination between multiple sectors of the medical community in Africa and beyond. Frontline healthcare workers, hospital administrators and field personnel all played a part in getting supplies to remote communities. Now with the inherent risk of community-spread of COVID-19, logistics and distribution is very complicated. The authors of the report point out that workers are often unavailable to travel or can’t complete work because of illness.

An even bigger factor is, according to the study, “malaria control relies heavily on the decision making of patients and their families, including choosing to leave their homes to seek care for febrile children and receiving ITNs delivered at antenatal clinics or schools.”

These families are now faced with the risky scenario of traveling to busy towns or cities to receive treatment or preventatives for malaria and potentially exposing themselves to COVID-19.

How Telemedicine Helps Combat Both Malaria and COVID-19 Transmission

Virtual Walk-In Clinics Anywhere

Either through high-tech mobile units or something as simple as a backpack, physicians can set-up walk-in clinics anywhere, even in the remotest of locations. Portable telemedicine kits come equipped with many of the same instruments found in clinics and hospitals. Portable solar panel kits ensure power round the clock and small satellite transceivers allow for connectivity anywhere. Instead of requiring patients to travel long distances, they can remain isolated and still receive care.

Sophisticated Portable Care

The tools and instruments in telemedicine kits are increasingly savvy. For example, portable ultrasound devices are extremely popular because of the broad range of use and maneuverability they offer. The images can be displayed on a mobile phone or laptop screen, which can be shared with specialists at other locations. This handheld tool can literally fit in a pocket and can play an important role in prenatal care, COVID-19 diagnosis and other medical issues like deep vein thrombosis.

Other tools available in telemedicine kits include glucose meter, electrocardiogram, pulse oximeter, stethoscope, otoscope and a built-in webcam. Telemedicine and walk-in clinics can provide a high-level of care and diagnosis anywhere. And augmented reality (AR) headset technology is currently being developed that will allow for a hands-free, voice-activated, fully collaborative experience.

Remote Collaboration

A key aspect of telemedicine is that even if a medical crew is in a remote location, they can easily collaborate with specialists anywhere.

For example, in the early days of the pandemic medical teams started using portable ultrasound devices in remote areas to scan lungs. They then shared those images with specialists at a hospital who were able to provide real-time diagnosis to determine if patients needed to be transported to a hospital for life-saving care. This was key in preventing unnecessary travel–and potential COVID-19 exposure–in busy cities and mitigating the flow of patients to already-overwhelmed hospitals, while at the same time providing immediate diagnosis to sick patients.

Data Collection

Data collection is essential to providing comprehensive care to communities. Doctors, health organizations, administrators and scientists make healthcare decisions based on data, not hearsay or conjecture. With remote care and virtual clinics, physicians are able to constantly gather the invaluable data needed to make these types of decisions. Trends emerge and life-saving actions can be taken. Response to outbreaks–including COVID, malaria, or ebola–are more immediate.

Mitigate Potential Outbreaks

And by allowing communities to isolate rather than travel to seek care, communicable diseases are better contained.

Medical Care for All

With the power and potential of telemedicine, there’s no reason that every village in Africa shouldn’t have a solar powered mobile clinic with access to basic care, real-time diagnosis all backed-up by virtual access to hospitals. This will not only help mitigate the spread of communicable disease like COVID-19, but will also ensure the continuous care and prevention for diseases such as malaria.

DigiTech and RealWear AR Headsets: Keeping ‘Boots off the Boat’

Wed, 23 Sep 2020 21:35:52 GMT

Using technology to keep crews healthy and vessels moving.

After global shipping came to a halt this spring due to the COVID-19 pandemic, ports and shipping lines are now starting to move again.

Logistics reporter Costas Paris with The Wall Street Journal wrote on Sept. 4: “Container imports are flowing back into the U.S. after a six-month hiatus, with U.S. retailers knocked back by pandemic-driven lockdowns now stocking up before the holiday season.”

Keeping crews healthy by minimizing, at all possible costs, potential exposure to the COVID-19 virus is now imperative. Once at sea, this shouldn’t be a problem, but while in port, medical screenings, crew changes, commissioning of equipment and repairs are all opportunities for exposure.

The good news is technology is available through augmented reality (AR) headsets to help mitigate the risks, while also allowing all crucial functions to get completed safely and on time -- or potentially even faster.

DigiGone has recently partnered with RealWear for a hand-in-glove venture that combines a secure, hands-free, voice-based, collaboration tool that’s purpose-built for low bandwidth, hard-to-reach environments.

Our digiTech Solution has a built-in camera and flashlight, headphones and speakers along with an adjustable display pod, which appears like a 7” tablet at arm’s length. Users can access data files with voice-activated commands allowing for a completely hands-free experience.

With this technology, crews can collaborate with teams from anywhere, in real-time, allowing them to complete important work promptly, increasing both efficiency and the bottom line.

Below are four scenarios where digiTech can keep your crew and vessel moving and keep ‘boots off boats.’

Scenario 1: INSPECTIONS

Some shipping lines simply aren’t allowing vendors or inspectors on vessels right now because the risk isn’t worth it. This is where digiTech can be invaluable.

Harley-Davidson recently demonstrated the ease of use of a RealWear headset in a bone-rattling loud garage. A mechanic was wearing the headset and an engineer at another location was tapped in. RealWear’s superior noise cancellation technology allowed them to fully communicate and the engineer was able to see everything the mechanic was doing while going through the 10-point inspection.

This is a perfect example of the capabilities of the RealWear headset; only loaded with digiGone software, it can be used in low-bandwidth locations such as oil rigs, mines and vessels at sea.

For comparison, they tried the same 10-point inspection using an iPhone. The results were clear:

• RealWear's hands-free headset was considerably easier to use.

• The noise-cancellation capability of the headset was phenomenal.

• And, of course, an iPhone wouldn’t be able to provide a clear video or a smooth connection in a low-bandwidth environment.

Scenario 2: COMMISSIONING of EQUIPMENT

The digiTech solution can also be used for commissioning of new equipment. This tool and technology was specifically designed for a seamless transfer of knowledge from designers, engineers and experts to those who are not as familiar with the machinery.

This allows crews to avoid exposure to individuals who might have traveled through busy cities and airports to board their vessel, potentially shutting things down for weeks if the personnel are required to isolate after such travel.

Scenario 3: COVID-19 SCREENINGS

Since this summer many vessel owners are using virtual medical screenings before all crew changes to ensure all personnel are healthy and free of any COVID-19 symptoms before embarking.

But, what’s unique about the digiGone solution is telemedicine is already a part of our product line.

Using the Five Plus Telemedicine kit , crews can connect to the digiMed® Consult Dashboard to live stream face-to-screen consultations with doctors 24/7 from anywhere in the world. Diagnostic information, such as temperature and pulse rate, can be shared instantly via encrypted data. DigiGone’s Doctor Consult application can be used in the RealWear headset.

Scenario 4: REPAIRS

Imagine a situation where instead of making a costly diversion to repair equipment, a crew member can use an AR headset to consult with technicians and engineers from sea.

In this video , a foreman at Seaport Steel uses the headset to repair machinery while collaborating with engineers. They’re looking at the same thing he’s seeing through the camera and are able to guide him through a repair. This type of collaboration is a game-changer for remote worksites and vessels that require regular maintenance and repair.

Now more than ever, being able to collaborate remotely, provide remote medical support, ‘keep boots off boats’ and seafarers safe is paramount.

Fortunately, DigiGone’s technology is available to make that happen.

Telemedicine is Changing How Long-Term Care Facilities are Managed

Tue, 08 Sep 2020 21:46:11 GMT

Telemedicine is emerging as a sustainable solution for residents at long-term facilities. Not only is it safer for both patients and care providers, but it also enhances treatment options, and it’s financially sustainable.

Patients in long-term care facilities are some of the most vulnerable members of our communities. Chronic diseases, comorbidities and strenuous rehabilitation regimes make their care both critical and complicated. Layered on top of that is the fatal risk of exposure to COVID-19; as of Sept. 7, 2020, more than 50,000 patients in long-term care (LTC) facilities had died from the COVID-19 virus, which accounts for more than 40% of all US deaths.

Improved Collaboration for Better Care

Karen S. Rheuban MD, director and co-founder of the University of Virginia Center for Telehealth, spoke with the American Medical Association (AMA) recently and explained that since the arrival of COVID-19, they’ve had to transition their focus and compared this shift to a Blockbuster versus Netflix model: Instead of using telehealth services to increase access to just primary care and urgent care during normal business hours, it has taken on a much broader scope. Care is drastically improved through remote collaboration with dialysis centers, clinics and other specialty provider locations, 24/7. This applies to both inpatient and outpatient use.

Real Case Scenario

In August, Dr. Laurie Archbald-Pannone, a geriatric specialist and associate professor of medicine at the University of Virginia, shared their approach in developing a collaborative care model using telemedicine. Together with doctors, nurses, emergency responders and local public health experts, they studied how hospitals and academic medical centers can work successfully with LTC facilities.

In addition to coordinating widespread testing, Dr. Archbald-Pannone explains, “We have improved their [patient] access to sub-specialty care with telemedicine, a great tool for patients.”

To establish these collaborative virtual appointments, a nurse practitioner leads a telementoring training program for facility administrators and clinical teams, addressing any technical questions prior to the first appointment.

“We helped arrange telemedicine visits with critical care doctors who used a virtual stethoscope to listen to heart and lung sounds remotely and connect in a real-time video chat with a resident, nurse and primary care physician. This kind of care, we discovered, is effective, efficient and much easier on the resident; instead of a trip to the hospital or doctor’s office, patients can receive treatment and talk to a physician from the nursing home.”

Dr. Archbald-Pannone points out that telemedicine also helps to alleviate chronic staffing problems at LTCs. With greater access to doctors and timely treatment, patients recover quicker and require fewer transfers to larger facilities, again, reducing their risk of exposure.

Comprehensive Diagnostic Tools

Telemedicine kits allow for real-time virtual consultations through an encrypted video-conferencing application, providing a continuum of care in a safe environment. Diagnostic data shared through HIPPA-compliant software allows specialists to make immediate care decisions.

Other tools available in telemedicine kits include an electrocardiogram, electronic stethoscope, otoscope and an ultrasound device, all of which can be remotely controlled by specialists. A telemedicine kit can easily be carried to a patient’s room, or set up as a virtual walk-in clinic anywhere.

The telemedicine kit needs to be easy to use, training should be simple and hands-on. In addition, the kit needs to be affordable and integrate with existing Internet connectivity and able to export patient data into existing medical record systems.

The Bottom Line

On the Aug. 10 episode of the AMA’s virtual daily update , medical leaders and experts tackled the very complicated issue of the cost associated with virtual innovation in treating patients.

Nick Doughtery , managing director at Mass Challenge Health Tech, participated in the call and, after talking about telemedicine, offered the following:

“They [care providers] think so much about the patient, but they forget that this lives within a world where you have to be able to afford it, or it has to be able to create that return on investment. Otherwise, it's not going to be adopted.”

Vice president of managed accounts at Moving Analytics Beth Andrews , illustrated the ROI succinctly:

“When you look at the area that we're in, in providing virtual cardiac rehab, currently patients are participating at under 20%. Our [virtual] programs are achieving over 80% participation.

“And when you complete cardiac rehab, you are doubling your post-event life expectancy. You are reducing your chances of a second event. And you are also able to increase your health factors. Health systems and health plans, insurers, they are seeing a reduction in readmissions. So it all just makes sense. And we see that acceleration now, and it's here to stay.

“When we start seeing patients recovering quicker, requiring less transfers, the bottom line for their health and overall medical costs are positively impacted.”

Compound Value

When compounding the value of collaborative managed care available 24/7 in a low-risk environment, while at the same creating faster recovery times and more positive health outcomes and creating a positive ROI, it’s a resounding win-win.

Five Ways AR Headsets Are Transforming Operations at Industrial Sites

Mon, 31 Aug 2020 20:43:26 GMT

The digiTech/HMT-1 headset allows your skilled workforce to collaborate safely and efficiently by gaining access to resources and data quickly from anywhere.

Imagine a scenario where a piece of machinery has completely shut down a worksite. It could be a myriad of situations; from a problem on a remote oil rig to a maritime asset. An engineer needs to see the equipment to assess the problem and assign a solution, however getting on-site during the COVID-19 pandemic is all but impossible.

Virtual platforms and digital solutions are now crucial in these industrial settings. With travel restrictions and the risk of spreading the virus, many companies have seen a drop in production or lapse in preventative maintenance, which according to the U.S. Bureau of Labor Statistics was an issue even before the pandemic.

The use of augmented reality (AR) headsets at industrial sites such as oil and gas platforms, maritime vessels, and mining sites is changing the practice and pace of major repairs by connecting these isolated and critical industries to the expertise often on the other side of the planet.

AR Headsets: Transforming How Industries are Managed

DigiGone® recently collaborated with RealWear Inc. to integrate our technology solutions, digiTech® , with their rugged AR headsets, the HMT-1. This hand-in-glove venture is a simple and secure collaboration tool purpose-built for low bandwidth environments.

The digiTech/HMT-1 headset allows your skilled workforce to collaborate safely and efficiently by gaining access to resources and data quickly from anywhere.

Remote Collaboration

The HMT-1 headset allows users to share their real-time point of view with collaborators anywhere in the world.

In addition to verbally guiding the worker through an installation, inspection or repairs, collaborators can send the user text, images, and videos to aid the operations. These resources appear through a sight-line view that is the equivalent of a tablet.

The voice-controlled navigation system is simple to use and allows crew to keep their hands free for repairs, maintain better-focus and optimal situational awareness.

Faster and Cheaper

Considering global travel restrictions, boarding an airplane, vessel or entering a plant might be impossible, if not risky.

The digiTech Solution eliminates the requirement for travel in a remarkable number of instances. There will always be scenarios that mandate an individual make the trip and maintain a physical presence until the task is complete. But consider the return on investment for getting machinery back online without the cost of travel, logistics and the downtime while awaiting specialists.

Less Down Time

Engineers and remote operators can virtually consult with on-site technicians to guide them through inspections or minor repairs before issues escalate. The user’s camera can zoom in on specific areas. Documents can also be sent to the crew for reference, should they need it, and even stored in the headset for later use.

Testing, commissioning, inspections, trial runs, and complete repairs can all be handled through virtual collaboration.

Increased Safety

Another key benefit is the inherent safety of the digiTech RealWear headsets. Workers’ hands are free. Their sight is not impaired. They’re not trying to flip through a cumbersome binder or balance a laptop, while at the same time performing a repair. They’re able to maintain full situational awareness and completely focus on the task in front of them while being guided by remote engineers or technicians.

Low Bandwidth Functionality

digiTech’s software is extremely effective in low bandwidth environments. This is not only a functional concern but a financial one. Digitalization of the workforce will depend on the available connectivity and the price thereof. A solution that consumes minimal bandwidth and allows other applications to run simultaneously will save you money while increasing efficiency.

Below is a quick bullet point summary of the cross-platform capabilities of the HMT-1 and digiTech Solutions headset:

Capture still images

Record video

Initiate calls from either the remote worker or inspector/engineer

Include multiple participants

Send documents and schematics to the worker’s view

Zoom in and out of those documents to examine their details

Save photos and videos locally on the HMT or remotely

True end-to-end encryption using 256-bit AES

Customers can have complete control of their communication security by integrating the DigiGone server application into their network

Versatility; not only does the digiTech Solution support remote collaboration, it:

Integrates with CCTV systems providing the onsite supervisor or bosun with enhanced situational awareness, and
Supports remote telemedicine services , significantly enhancing the level of care being provided to remote patients

If you would like to receive a free demo for your company, please let us know and we’ll schedule an appointment.

Sailing Through The Storm

Mon, 17 Aug 2020 14:36:36 GMT

There’s no nice way to put it: 2020 is and will continue to be a doozy for many industries, including travel.

A recent report by Myriad & Travel Market Report sheds light on travelers' shifting preferences:

• Compared to the prior year, travel agents are seeing a 43% increase in demand for smaller, more private vacations.

• Travel agents are seeing a 44% increase in demand for private cabins or villas.

• There's a 39% increase in interest over last year in small ship or expedition cruises for the upcoming year.

• Most travelers are interested in vacations at North American and Caribbean beaches.

HOLD STEADY

The survey by Myriad reveals some interesting information about the rest of 2020 and early next year: while Americans are changing travel plans, they definitely still want to get away. After months of quarantine in busy cities, people are looking for escapes.

With a bit of preparation and strategy, boat owners can certainly adapt and set sail this year.

TRANSPARENT AND THOROUGH PLANS

One of the key takeaways from the report is summarized in this quote from a travel advisor:

“Keep us informed of the openings and new protocols to assure our clients.”

Whether a charter or not, COVID-19 protocols and a safety plan for bad weather are paramount. If you have a website, a brochure, social media pages or any type of advertising, this information should be prominent.

Hopefully, at this point a telemedicine kit is part of your comprehensive safety plan. If so, be sure to let potential clients know that with a telemedicine kit onboard, you have a virtual walk-in clinic anywhere, and that it is designed to work in low bandwidth environments. A doctor consultation is a phone call away no matter what cove you’re tucked away in.

CLEAR PROTOCOLS

Second, be very transparent about your COVID-19 protocols for staff and guests through signage and detailed sanitization procedures. By having clear policies in place, you're reassuring potential clients that their safety comes first and foremost.

Savvy businesses will look at this as a time to lure in new clients. Focus on communicating the ease, safety and freedom of a vacation on the water.

Embrace this time as an opportunity, not so much a challenge. But, always be prepared.

Click here to learn more about our complete telemedicine kit solutions.

How Telemedicine Can Keep Seafarers Healthy and Ports Open

Tue, 28 Jul 2020 15:02:59 GMT

On July 9, the International Maritime Organization (IMO) reported that 13 nations have committed to easing border restrictions at ports allowing mariners, some who have been stranded since March, to make their way home.

“This step represents significant progress to help resolve a growing crisis facing the maritime industry and enable hundreds of thousands of stranded seafarers to go home or join ships,” said the IMO in the release.

While designating seafarers as essential employees alleviates a huge humanitarian and commerce problem, the pandemic is still spreading rapidly in many places. And by the looks of things, it could continue to spread for the next year or longer. No one knows.

So, even though crews are moving again, taking all the necessary precautions to keep them safe is paramount. Following are a few lessons that have come to the forefront in terms of seafarer health.

A Path Forward

Derek Andresen is a program manager of innovative practices in emergency medicine at George Washington University . He oversees the maritime medical remote program, which includes remote/international and domestic consultation services, case management, medical repatriation and medical services coordination.

In early July, his office received a phone call from a vessel at port that feared its crew had been exposed to COVID-19.

“That call came in at 9:30 a.m. By 2 p.m. we were wheels-up headed that way,” Andresen recalls.

After testing every sailor on board, he was back in his clinic the next morning with the tests.

If someone on a vessel becomes sick or has potentially been exposed, Andresen says it’s important to have a plan, but be ready to adjust at a moment’s notice due to the complexity of the challenges the pandemic presents.

“We have to be smart in how we approach things. No one has walked down this path before,” says Andresen. “We’re fortunate that we have big clients, so we’re involved in a lot of conversations and we have to groupthink about what’s the best path forward.”

Presuming Positive

As for recommendations, Andresen says it’s a case-by-case basis, “If someone is presenting symptoms, you have to start by asking background questions: When was the last time you were in port? Did you go out? Did you wear a mask?”

And then you have to gauge how risky their behavior was. Did they go to crowded places in a busy city?

“At that point, if it’s been five to seven days since they went out,” Andresen says, “and they’ve started developing symptoms, which is the normal timeframe for COVID to present with symptoms, then you start to develop a picture.”

Since there isn’t COVID testing on boats, it’s important to presume they’re positive, which means a 14-day quarantine.

Also keep in mind that even if a symptomatic crew member isn’t very sick, the coronavirus could affect someone else entirely differently, “Some people handle it fine, while others are on a vent in 12 hours,” Andresen says.

Strategies for Crew Changes

Crew changes present are a big risk to the maritime industry. But a few smart strategies are being employed to mitigate those risks.

The Maritime Executive reported that vessels in Singapore have been using telemedicine to assist in crew changes. Instead of sending doctors onboard, they use encrypted video applications and tools that come with telemedicine kits to contact doctors who then complete full clinical evaluations in real-time.

Beyond temperature checks, doctors can remotely consult with crew members in real time as to who they have been exposed to recently, as well as how to travel safely to avoid getting exposed. Being able to safely embark and disembark, and not be an “active spreader,” will be crucial in keeping the maritime industry moving.

Another important tool is an ultrasound device that comes optional with telemedicine kits . Doctors in Spain and Africa have used this tool successfully to triage COVID-19 patients. Using the video application, a doctor can remotely access the device to guide the designated medical officer onboard to assess the condition of the patient's lungs.

Additionally, Andresen says it’s becoming a common practice to plan for a 14-day quarantine for all crew before and after trips. This is a safeguard for not only the mariners, but also whoever they will be around next; either their families or another crew.

Keep Moving Safely

The maritime industry has been walloped since the COVID-19 pandemic and seafarer health has borne the brunt of it. But, with technology, including telemedicine kits that provide a virtual walk-in clinic onboard, proper planning and communication, the industry can keep moving safely.

Five Reasons Why Telemedicine is the Right Cure at Just the Right Time

Mon, 29 Jun 2020 23:16:07 GMT

The future of telemedicine is bright. Patients across the country are getting their first dose of virtual care and, for the most part, they love it. Many see crowded waiting rooms a thing of the past, as perhaps they should be.

The telemedicine industry as a whole was thrust into the spotlight when the pandemic hit, but fortunately the major components and technologies were already in place allowing for an almost seamless move to virtual care.

Here’s a look at five key factors that contributed to the success of telemedicine, all of which will sustain it long term.

Remote Monitoring for Ongoing Care

One of the most important aspects of telemedicine is that it allows high-risk patients who require ongoing care to stay isolated as much as possible. Of course, diagnosis, treatment plans and consultations will often be handled in-person. But after, say, an arduous chemotherapy regimen or surgery, instead of asking a patient to travel to a crowded hospital, remote health care allows them to stay home, greatly reducing the risk of contracting an infection or virus.

Medical facilities are investing millions into infrastructure to support this type of remote care. Just recently, Baystate Medical Center in Springfield, MA, was granted almost $1 million through the CARES Act to procure “remote monitoring platforms focused on obstetrics, diabetes, and hypertension, (...) and videoconferencing equipment to enable telehealth visits.”

As well, Stony Brook University Hospital of New York was awarded just under $1 million for similar platforms to “enhance virtual visits” for on-going care for high-risk patients.

With a telemedicine kit , patients can check-in virtually, upload basic diagnostic information and speak to a doctor. The technology and tools are simple to use and can be controlled remotely by the medical provider.

In other scenarios, a nurse can travel to the homes of patients to gather basic diagnostic information, just like they would at an office, then share scans, screens and data from the telemedicine kit with a doctor.

Faster Internet For All

Broadband internet infrastructure has long been a major obstacle in enhanced remote health care. But, now the government is stepping in. Legislators have recently introduced bills aimed at channeling funds to rural areas; like the Moving Forward Act which would direct $1.5 trillion toward rebuilding broadband internet infrastructure in underserved communities, “prioritizing those with persistent poverty.”

Another bill that was recently introduced is strictly aimed at speeding up the process. The Accelerating Broadband Connectivity Act incentivizes “winning bidders of the Rural Digital Opportunity Fund auction to complete their build-out obligations on a shorter timeline.”

Triage Care Anywhere

In terms of triage care at remote locations, telemedicine kits pack a powerful punch. Many come equipped with all the basic tools found in a doctor’s office, such as a pulse oximeter, glucose meter, digital thermometer, electrocardiogram, stethoscope, otoscope and optional equipment, like ultrasound tools. This means that a walk-in clinic can be set-up anywhere. Instead of ambulatory services, health care providers can deploy teams of medical assistants to areas and with a telemedicine kit provide the same services patients would receive at a hospital.

This type of coordinated large-scale care is often rolled out after natural disasters; instead of patients traveling to a hospital, which might be impossible for a multitude of reasons, groups of medics travel to patients. Two key features of telemedicine kits make this possible: a satellite terminal ensuring reliable connectivity and a solar power kit which ensures the kits stay charged all the time.

Care can then be monitored and coordinated at one location, while doctors remotely triage and diagnose patients in the field.

Portable Ultrasound Tools

The advancement of portable ultrasound tools has been a game changer in fighting the COVID-19 pandemic. In Africa and Europe, doctors have used the devices to examine lung health of patients battling the novel coronavirus. Using this small pocket-sized tool, they can assess the severity of infection and then determine the level of care required.

Also, physicians in the field are able share their screen (or scans) with specialists in real-time at a central location. This allows for a greater coordination of care and for more patients to be screened and treated.

Secured Connections, Advanced Technology

A big concern with the adoption of telemedicine was liability. Recently the publication Insurance Business spoke with Greg Ferrell, vice president of professional liability for Admire Insurance Group, about patient safety and privacy.

“I don’t think it can be sold high enough that the relief this activity [telemedicine] gives to hospitals and urgent clinics is massive,” Ferrell said. “If everyone who was using a telemedicine platform to see a provider right now was standing in line at the hospital, the healthcare system would be completely overwhelmed.”

With that, Ferrell said we’re fortunate that the pandemic happened now and not five years ago, when there would have been significant security concerns.

“In a way the emergence of COVID-19 and the practice of telemedicine to address it came at a good time in that telemedicine has been ramping up so much over the last few years that the technology is really pretty spot on, and so is the security,” Ferrel said.

Putting all of these factors together – remote care capabilities, far-reaching broadband connectivity, mobile and triage units, sophisticated equipment and heightened security – the importance of telemedicine during the pandemic is simply invaluable.

And now that a large swatch of patients and doctors have realized its full benefits and potential, luckily, it’s here to stay.

Building Trust and Winning Customers During the Covid-19 Pandemic

Mon, 22 Jun 2020 17:14:57 GMT

The pandemic has thrown the world for a loop in many ways. There’s an element of unpredictability to everything right now. And while some industries have been hit hard, including travel, with the right precautions and protocols, yachting may very well come out just fine on the other side of this.

Families who had plans to visit crowded tourist spots or theme parks are now looking for less chaotic options. Couples who typically lounge at resorts or on the decks of massive cruise ships are also seeking ways to avoid the masses. And after being cooped up for most of the year, there’s a renewed sense of appreciation for nature.

Boat owners and charter companies should capitalize on this. Below are five ways to manage this smartly.

Create a Fully Transparent Plan

Your first order of business is to create COVID-19 policies that outline all safety measures and protocols your business will adopt. The Centers for Disease Control and Prevention (CDC) makes it easy; they provide guidelines to plan, prepare and respond to the pandemic.

In general, your plan should include things like checking symptoms among crew, establishing embarking/disembarking procedures, cleaning after each set of guests and ensuring your telemedicine capabilities.

Each scenario will be different based on your itinerary, area of travel, capacity and resources, but it’s important to nail down how you will deal with situations. The worst-case scenario would be to find your crew or passengers in a potentially unsafe situation, as it relates to COVID-19, and only then try to figure out what you should do. Stay ahead of it.

Post Visuals as Reminders for Passengers and Crew

The CDC has an assortment of signs and resources for businesses and public spaces, including some that are travel-specific. And they’re available in 29 different languages. By sticking with the CDC’s resources, your message is consistent and follows their data-based guidelines.

Here are a few CDC links:

What you should know about COVID-19 to protect yourself and others

COVID-19: Quarantine vs. Isolation

Help Protect Yourself and Others in Public Settings

Symptoms of COVD-19

Stop the Spread of Germs Poster

High-Risk Traveler Alert

Please Read Before Entering

Make a few copies of signs that are relevant to your business, and then laminate and hang them in strategic spaces around your boat, dock or business.

Highlight Your Telemedicine Capabilities

Telemedicine is definitely a new normal in the COVID-19 world. Most standard telemedicine kits come with tools that are common in doctors' offices, such as a glucose meter, digital thermometer, electrocardiogram, stethoscope, otoscope and an ultrasound tool. Perhaps most importantly, though, you can contact a doctor using the encrypted video application from anywhere.

Several of our yachting clients had suspected coronavirus cases with their crew or guests and contacted their telemedicine providers for assistance. Using our telemedicine kits , the doctors remotely examined the patients and provided guidance on how to handle and treat the patient. This avoided transporting the patient to a hospital, potentially exposing the hospital occupants to the disease or vice versa.

If someone falls ill, they can receive a full diagnostic check-up and a doctor can be contacted for a diagnosis. There’s no guessing involved. The captain can decide, with confidence, their next move; either to isolate an individual, divert to a port or keep sailing.

Get Your Plan in Front of Customers

The most important step of all is to get your protocols in front of customers!

A quick audit of a handful of charter companies revealed absolutely zero information on how they’re dealing with the coronavirus. This feels like an oversight at best and a missed opportunity at least. There should be a tab or banner on your website that is delegated for COVID-19 policies and procedures.

Let customers know you have a virtual walk-in clinic onboard and specific COVID-19 procedures. Also promote the fact that your crew is trained on proper sanitizing procedures . Did you install a new air purification system that eliminates mold spores, bacteria and viruses from the air? Then, let people know! Transparency builds trust.

Ways to Promote Your Plan:

• Social media posts. Many potential customers will go straight to your Facebook or Instagram pages. Promote your plan there.

• Landing page on website. Make sure customers can easily find your plan when they go to your homepage.

• Marketing brochures and materials. If you produce seasonal marketing materials direct customers to your website for your full plan. Mention it in brief in printed materials.

• Send out a press release. If your clientele are in a specific area, put your plans for sailing amid COVID-19 in an email and send it to news outlets.

Adapt As Needed

Flexibility is a big part of the new normal. Being able to adapt to a constantly changing landscape is paramount. Stay informed of local government advisories, as well as the CDC. People will long remember how they were treated by companies during this time, so don’t risk your business for one trip or even one season.

This will pass. And right now many are just trying to keep their heads above water. Invest time in your COVID-19 plan, take stock of your telemedicine kit and create transparency around it. There will be smooth sailing on the other side of this.

The Role of Telemedicine Kits in Slowing the Spread of COVID-19 in Africa

Mon, 15 Jun 2020 21:01:33 GMT

The COVID-19 pandemic has brought vital parts of Africa’s economy to a standstill. From The Wall Street Journal, June 12, 2020:

“Along East Africa’s borders, medical workers in hazmat suits take throat swabs from truck drivers in makeshift clinics [...] creating traffic jams as long as 50 miles and bringing critical trade routes to a sudden halt.”

The World Bank estimates these disruptions will cost sub-Saharan Africa between $37-$79 billion this year alone. In an effort to mitigate this health and financial catastrophe, the bank has urged governments to establish field hospitals along major transportation corridors in East and West Africa.

Dr. Matshidiso Moeti, the regional director of the World Health Organization in Africa, recently said that cases are “accelerating,” which she attributes primarily to lack of adequate supplies, particularly testing kits.

The United Nations warns that 300,000 Africans could die as nations hit a peak infection rate in the coming months. A South African COVID-19 Modeling Consortium recently predicted 3.5 million cases in South Africa alone by November.

COVID-19 has planted its roots and managing the spread will require a collective and comprehensive approach to protect the welfare of communities across the continent.

Telemedicine Kits and COVID-19

Data Collection

Doctors and government officials need data to make important decisions when it comes to the welfare of their countries. With the use of telemedicine kits and COVID-19 tests, both of which are small and easy to transport, patients can be examined and tested easily. These results are then forwarded to a “fusion cell” where the data is collected, collated and analyzed to assist decision-makers on next steps and resource allocation to fight the pandemic.

Power and WiFi

In terms of delivering healthcare to a community, the two most critical assets to secure are power and internet connectivity. Telemedicine kits can easily be outfitted with solar panels to store energy, ensuring a sufficient charge at all times. As well, a simple satellite terminal that easily attaches to the kit provides reliable internet connectivity.

Remote Clinics and Field Hospitals

Telemedicine kits are essential for establishing remote healthcare facilities. The portability of these kits allow physicians to quickly set up walk-in clinics anywhere. Tools that are common in most doctors' offices, such as a glucose meter, digital thermometer, electrocardiogram, stethoscope and otoscope, are standard in most kits.

A handheld ultrasound device, which is an optional add-on, has proven to be a powerful tool in fighting COVID-19 (see “Ultrasound Triage” section below).

Plus, the encrypted video application makes connecting doctors and sharing screens easy. A specialist in one central staging area can connect to field doctors anywhere.

Mobile Units

Mobile or ambulatory units can also easily be deployed to remote areas. These units don’t necessarily have to be ambulances; with telemedicine kits, vans and buses can easily be transformed into mobile clinics. With the encrypted video application, units can stay in constant contact with each other and central command, coordinating care and allocating assets as needed.

Distance Learning

Telemedicine kits can also be used as an important training and learning tool. Again, the encrypted video application allows physicians to interact with teams in the field to oversee educational initiatives.

For example, the video application can be used to demonstrate to a community important personal hygiene methods, like proper handwashing, to prevent the spread of COVID-19.

Ultrasound Triage

Doctors in Spain and Italy, hard-struck with COVID-19 hospitalizations early in 2020, were among the first to use ultrasound as a way to triage patients. A comprehensive report was published, and physicians are working on a way to standardize the use of ultrasounds in fighting the pandemic.

As well, physicians in Africa have used handheld ultrasound devices as part of telemedicine kits in remote locations to examine lungs to determine the severity of an infection. The technology allows them to share their screen (or scans) with specialists in real-time at a central location for a more timely and accurate diagnosis.

This is a force-multiplier for COVID-19 detection; one specialist can virtually be in several clinics at once. And only those patients who truly need hospitalization are transported to medical facilities.

Lessen the Burden on Hospitals and Flatten the Curve

All of the scenarios described above are essential because they lessen the burdens on overwhelmed clinics and hospitals in busy city centers. In addition, they keep people at home instead of traveling, which also helps to reduce the spread of COVID-19.

Staying Ahead of the Curve

Until a vaccine is widely available, using telemedicine kits to coordinate care at field hospitals and through mobile units will be instrumental in preventing the spread of the pandemic. Fortunately, with the proper leadership, this is a very realistic and achievable mission.

Telemedicine and Hurricane Preparedness During a Pandemic

Thu, 04 Jun 2020 13:54:34 GMT

Telemedicine kits serve as crucial and life-saving links during turbulent and unpredictable times

With hurricane season officially underway in the Atlantic Basin, disaster preparedness is top of mind for many healthcare providers. And with extreme weather patterns on the rise, communities around the world are facing unpredictable natural disasters all too often.

In many cases, after these weather events communities are cut off from medical care just when they need it the most. Downed trees, washed out roads, floods and a myriad of other hazards make getting to a hospital dangerous or impossible.

To complicate matters even further, the world is dealing with the COVID-19 pandemic; typically if a large storm is predicted to hit an area, a community shelter will be established for those who need to evacuate. Will that even be an option in 2020?

Further, in the days and weeks following a major storm, medical facilities typically see an uptick in visits. How will they enforce social distancing guidelines during those busy times?

Shelters with Enhanced Screening and Logistics

The first issue many communities will have to tackle is establishing shelters that adhere to health protocols in some manner.

“If evacuation occurs, emergency managers may need to get creative,” wrote the authors of a Rand Corporation report on this very issue. There will need to be enhanced screening at facilities and elderly or at-risk individuals may need to be kept apart from others. Hotels might need to play a role along with larger evacuation centers.

“There's a much higher possibility that supplemental facilities, such as military shelters and hospitals, may be needed,” meaning that traditional forms of care and shelter will be stretched thin.

Sounds overwhelming, right? Well, there are several ways to prepare in advance using telemedicine kits. Below we’ve outlined specific solutions on how you can provide remote health care -- and a sense of calm -- during times of chaos.

WIFI and Power Anywhere

In terms of delivering healthcare to a population of people, the two most critical assets to secure after a disaster are power and internet connectivity. Establishing a reliable source for both of these will make the difference in being able to truly help people.

Telemedicine kits can easily be outfitted with portable solar panel kits to store energy ensuring a sufficient charge at all times. Assuming the telemedicine kit is fully charged before being deployed, a solar panel kit has the capacity to store power throughout the day so the telemedicine kit can stay on 24/7.

As well, telemedicine kits can be outfitted with a small, inexpensive satellite terminal that easily attaches to the kit to provide connectivity in remote areas or where cell towers have been damaged.

Finally, some telemedicine kits are provider agnostic. Meaning any physician can simply access the kit using their existing network without any special equipment. This significantly increases the availability of medical expertise to the stricken area.

Establishing Mobile Units

Mobile or ambulatory units are a very effective method for delivering care, especially during a pandemic, when it’s best to deter patients with minor injuries or illnesses from traveling to a hospital. These ambulatory units can easily be deployed to isolated areas or to answer calls where patients can’t/shouldn’t travel.

These units don’t necessarily have to be ambulances. Vans or buses can essentially be transformed into roving clinics. Telemedicine kits equipped with electrocardiogram, pulse oximeter, otoscopes, stethoscopes, high-definition cameras and portable ultrasound devices that connect to the hotspot on an iPhone can provide care instantly.

Further, these mobile units are specifically designed to connect those within the medical community, allowing for better coordination of care. For example, a primary care physician can contact a specialist, from anywhere, for a second opinion or formal diagnosis wherever needed.

By taking care to patients, these types of units can stay in the field helping others and lessening the burden on hospitals. Additionally, they help keep people socially distanced (further lessening the burden on a medical facility by preventing a pandemic outbreak in a community.)

Establishing Virtual Walk-In Clinics

If a mobile ambulatory clinic isn’t feasible, walk-in clinics in remote areas are also highly effective. In this case, patients come to a certain area where they can be examined by a team of doctors who are using telemedicine kits the same way they would use equipment in their offices.

A myriad of ailments can be treated in these scenarios. In Africa, doctors use portable ultrasound devices to examine lungs for infections (an indicator of COVID-19) and to provide prenatal care to pregnant women. Telemedicine kits have the ability to easily integrate a variety of examination cameras and devices depending on the specific needs of an area.

And, just like with the mobile clinics, doctors can use secure lines to connect directly to specialists for a second opinion. If a transport to a hospital is needed, that can be arranged, but once again, one of the goals of providing care through a telemedicine kit is to slow the flow to large medical facilities.

Communications & Medical Staging Area

Another benefit of telemedicine is the ability to establish a medical staging area anywhere there is a need. Using secured lines and WiFi connected to satellite, a doctor or group of doctors can create a central hub to coordinate logistics and care. As groups or mobile units are deployed throughout an area, they can refer back to the doctor(s) at the central staging area for consultations and diagnosis.

Paramedics, firefighters, nurses or physicians in the field can use real-time video conferencing tools in a telemedicine kit to confer and collect basic diagnostic information.

Many of those medical tools can be remotely controlled from another location and the screens can be shared. This allows the doctors and specialists at the central staging area to essentially be in multiple places at once and triage who needs to go to the hospital and who can be treated on-site.

Further, as the central hub, medical professionals can keep tabs on what major issues a community is dealing with in order to coordinate further care or treatment.

The Calm After the Storm

The presence of coordinated medical care in a chaotic situation provides a sense of calm. Parents with children, those caring for the elder or disabled look to doctors for reassurance during and after a time of uncertainty.

With a pandemic, all of these fears and anxieties are heightened. People are scared to go to a hospital. Being able to take care of patients -- through mobile units, remote clinics or medical staging areas -- is not only safer for everyone, but valiant.

A Guide to Telemedicine Funding and Grants

Tue, 26 May 2020 17:33:05 GMT

A Guide to Telemedicine Funding and Grants

One clear impact of the COVID-19 pandemic is robust adoption of telemedicine . Virtual care is simply safer for everyone and it increases accessibility to care. Perhaps most importantly, it frees up space in hospitals and at doctors’ offices for those who urgently need it.

A report by Global Market Insights predicts the telemedicine market is set to be valued at $175.5 billion by 2026, an almost 20% growth.

Entities across the country are seeking ways to prop up our telemedicine infrastructure to provide enhanced and continuous care to patients. If you’re in the healthcare industry and need funding to expand the care you provide, now is a great time to research options.

Here’s a guide to get you started:

Prior to Your Search

• Plan, then apply . Make sure you have a fully vetted business plan prior to applying for funds. Why is their money best spent in your hands? Have a thorough and detailed response for that question.

• Gather data on the specific population you’ll serve. If you’re a medical provider at a regional hospital that has patients in remote areas, use data to substantiate their need. Or if you’re a non-profit that wants to provide mobile care to underserved, at-risk populations or veterans, there’s certainly statistics to validate the help you can give.

Current Funding Programs

The CARES Act

In response to the COVID-19 pandemic, on April 2, 2020 the Federal Communications Commission (FCC) earmarked $200 million in funding to support America’s telehealth network, ensuring that safe and secure healthcare is accessible to everyone.

Here are a few important details:

• This is not a grant program . Rather, eligible healthcare providers that are approved are required to submit invoicing and documentation to receive reimbursements for eligible expenses and costs.

• There’s no deadline . But, funding decisions will be made on a rolling basis and the FCC will continue to accept and review applications until the funds are exhausted or the pandemic has ended.

• Funds are only available for nonprofits and public eligible healthcare providers . This includes:

o Post-secondary educational institutions offering health care instruction, teaching hospitals and medical schools

o Community and migrant health centers

o Local health departments or agencies

o Community mental health centers

o Not-for-profit hospitals

o Rural health clinics

o Skilled nursing facilities

o Consortia of health care providers consisting of one or more entities failing into the first seven categories

o Temporary and mobile health care providers are considered eligible.

How much money are entities eligible to receive?

The FCC states on their FAQ site they do not anticipate awarding more than $1 million to a single applicant, either through one application or across several.

To learn more and submit an application, visit fcc.gov/covid19telehealth.

Distance Learning and Telemedicine Grant (USDA)

This $25 million is a part of the $200 million of the CARES Act, but is earmarked specifically for rural communities. Applications are being accepted through July 13, 2020. The difference with this grant is that for-profit businesses can apply.

Website: https://www.rd.usda.gov/programs-services/distance-learning-telemedicine-grants

Who can apply?

Most state and local government entities can apply and federally recognized tribes can apply. As well, non-profits, for-profit business and a “consortial of eligible entities.”

What can it be used for?

• Internet connectivity

• Audio, video and interactive equipment

• Terminal and data terminal equipment.

• Computer hardware, network components and software

• To purchase instructional programming that is a capital asset.

• Acquisition of technical assistance and instructions for using the equipment.

Are there any requirements?

Yes, a 15% match is required for grant awards.

Telehealth Network Grant Program

(Federal Office of Rural Health Policy)

Per the Health Resource and Service Administration website, this grant is aimed at promoting “Tele-emergency services with an emphasis on tele-stroke, tele-behavioral health, and Tele-Emergency Medical Services (Tele-EMS).”

Even though the services provided must be to rural areas, applicants can be located in either urban or rural areas. Faith-based, community-based and tribal organizations are also eligible.

For more information, visit this site: https://www.hrsa.gov/grants/find-funding/hrsa-20-036

Community Foundation s

Research organizations or foundations whose visions align with yours. Whether it be indigenous populations, a remote community, an underserved urban community or those dealing with mental health issues in isolation, reach out to groups who are champions of your cause in your area. See if they have a foundation set up as part of their mission.

For instance, the Arkansas Community Foundation recently awarded $1,000 mini-grants to more than 600 organizations to support urgent community needs, including healthcare.

Simón Bolívar Foundation Inc, the non-profit private foundation of CITGO Petroleum Corp., has awarded over $250,000 in grants to ten non-profits working on health-focused outreach in Venezuela.

The Golisano Foundation awarded over $400,000 to organizations who serve people with disabilities.

These might not apply directly to your mission, but it illustrates the point that there are organizations that seek ways to help you help communities.

Do research relevant to your area and area of specializations.

Also, it never hurts to approach a local foundation with your needs. Just have all your ducks in a row before you do so.

University Foundations and Grants

Large non-profits and research institutions employ research specialists and grant writers to secure funding, and perhaps your well isn’t that deep. It’s OK, though. Search websites of local universities in your area. Some may have funding earmarked for entities that seek to provide healthcare for local populations. For example, the University of California-Davis has partnered with a pediatric telepsychiatry program that serves children in rural and underserved communities. And The Duke Endowment awards grants for Child and Family Well-Being .

We’re not promoting these two grants, rather highlighting them to illustrate that funds are available. It just takes a bit of digging.

Finally, there’s a bevy of information and services on the FCC’s recently launched Keep Americans Connected site, including a Health Care Connect Fund for rural communities.

If you’re in a position to deliver healthcare via telemedicine and need to secure funding to bring it to full fruition, now is a good time to start the process.

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Six Tips from a Doctor in Telemedicine Screenside Manners

Wed, 20 May 2020 16:26:43 GMT

With telemedicine becoming essential in light of the COVID-19 pandemic, doctors are quickly adapting to treating patients through a screen versus in person. While some physicians find it frustrating and awkward, others are conquering the technology with fluidity and ease.

And now that the telemedicine “genie” is out of the bottle, putting it back in will be difficult. Patients love avoiding trips to crowded hospitals or offices. So as a medical professional, if you fall within the group that isn’t comfortable with it yet, let’s look at some ways to enhance your screenside manners.

Dr. Carrie L. Morris is an oculofacial plastic surgeon in Southlake, Texas, and has been using telemedicine for years. With patients in other states, asking them to travel many miles for a follow-up appointment is not only difficult, but it can expose them to unnecessary risks. And by using telemedicine for consultations or follow-up appointments, Dr. Morris is able to free up time and space for more urgent medical situations. It’s a win-win.

We chatted with Dr. Morris for some insight into her telemedicine best practices. These same concepts apply to designated medical officers (DMO) in remote locations to make sure your sessions run smoothly.

Prep Your Space

Dr. Morris says the first thing you should do is make sure you are familiar with the technology. Perform at least one trial run prior to talking to a patient.

Make sure the lighting in the room is good; don’t sit in front of a bright window because patients won’t be able to see your face. You don’t want to be too close or too far away from the camera. Arm’s length is a good guide.

Also, find a quiet space. Dogs barking in the background or a train whistling past outside can interfere with audio. This is especially important for a DMO in a loud work environment; it might be hard to find a completely quiet room, but do the best you can.

If you’re using your cellular phone, invest in a small tripod. They’re fairly inexpensive and will provide stability. Position your phone at eye level, just as if you’re talking to someone.

Also, make sure your equipment and telemedicine kit (if you are using one) is fully charged and keep power cords nearby in case your battery runs low.

Before Starting the Exam

Prior to the appointment, Dr. Morris sends a standard email to her patients with explicit instructions on how to use the technology and what they need to have before the appointment begins. Think of this email as your technology coach; it will ensure you both have everything you need prior to the appointment.

Also, Dr. Morris says don’t fret about older patients – if they have grandkids, they’ve probably already used FaceTime. She recently had an online consultation with an 85-year-old patient that went beautifully.

Starting the Virtual Consultation

This is when Dr. Morris hones in on her “screenside manners.” She always makes sure to spend the first minute chatting with the patient, getting to know them a little, ensuring the patient feels at ease and is comfortable. Look at your screen or camera – not at your own video – to make it seem like you’re making eye contact with the patient.

For a DMO, make sure the patient is calm and as relaxed as possible. Spend a few minutes explaining what will happen on the call, how you plan to use the telemedicine kit and next steps.

Have the Patient Mimic You

If you need the patient to make adjustments to how they're holding the phone, show don’t tell. “I’ve found that if I say, ‘Hold your phone like I am,’ then patients are much more responsive,” Dr. Morris says. “Also, I can show them how to do things. Like when I want to test elasticity, I can use my two fingers to pull down my lid to demonstrate how to do that.”

Ask Patients to Email Photos

Dr. Morris says that sometimes she’s not able to get a good look at something through the video screen, so she’ll have patients email her photos. “I’ll give them very explicit instructions of what I need and sometimes you just have to get creative,” Dr. Morris explains. “But anything I can’t get a good look at on the phone, I can usually get with a photo.”

A DMO might want to have photos ready before the exam begins.

Signing Off

Be sure to ask patients if they have any more questions before signing off and be clear about next steps.

Dr. Morris is a big advocate of telemedicine and has been championing it for years. Not only does it simplify her workflow, virtual consultations allow patients to stay in the comforts of their home. Or, the patient might have a hard time getting off work, especially if they’ve just returned to their job after shelter-in-place mandates. Telemedicine offers much needed flexibility to patients. Perhaps more importantly, telemedicine has helped her free up office space and time for those patients who need it more urgently.

Why Mental Health Care Access is Essential the Maritime Industry

Tue, 28 Apr 2020 14:36:25 GMT

At any given time there are more than 1.5 million seafarers working in the maritime industry, which serves as the backbone of our global economy. By volume, 90% of global trade is delivered by ship , including food, energy, raw materials and manufactured products.

But now with factories, ports and countries under various forms of lockdowns due to the COVID-19 pandemic, the shipping industry has almost come to a halt. Tens of thousands of crews are stranded on ships or in hotels in foreign countries.

It’s a hardship seafarers shouldn’t have to endure. They need to get home to their families. Captain Rajesh Unni, CEO and founder of leading Singapore-based ship manager Synergy Group recently referred to the marooned seafarer situation as a “time bomb.”

The Plight of Seafarers

On April 15, the International Chamber of Shipping pleaded with governments to consider the plight of seafarers, asking them to consider crews as essential personnel and allow them to conduct crew changes.

Additionally for those onboard, there’s the fear of actually getting infected with COVID-19. Large ships are known for being hotbeds of disease and virus. So, not only are they stressed about not being able to get home, they’re also worried about getting sick – potentially prolonging their isolation.

Yiannis Sgouras, captain of a Greek-owned supertanker recently told the Wall Street Journal that in his 40 years at sea he’d seen his fair share of scary situations, but now there is “panic.”

(No one has died of COVID-19 on a commercial ship, but there have been a few outbreaks.)

Triggers for Depression and Anxiety

Studies have confirmed that feelings of isolation or entrapment can lead to depression, anxiety and suicide; clearly something not to be taken lightly. Telemedicine has made it possible to have a virtual walk-in clinic at sea to take care of a myriad of medical situations, including contacting a physician via encrypted video conferencing 24/7.

And now more than ever, vessel owners need to encourage their captains and crews to explore mental health options available through telemedicine and the use of a telemedicine kit . Doing so is as easy as placing a call to your service and then anyone can quickly be connected to a medical professional, therapist or psychologist.

Mental Health Care via Telemedicine

The military has long used counseling services via telemedicine, connecting troops stationed in remote parts of the world to psychologists to ease anxiety and deal with post-traumatic stress issues.

A 2013 study concluded that “Telemedicine has been shown to be an effective, cost-efficient alternative to traditional psychiatric services that increases patient access to providers.”

And since the pandemic, doctors are honing their “screenside” skills to take care of patients they can’t see in person. This recent article on Patient Engagement Hit coaches doctors on strategies for establishing rapport and empathy with patients via telemedicine.

Ensuring Access to Mental Health Care Services

When we look at the importance of the maritime industry to our global economy and stack it up against the stress involved for the crews, there’s a sizable imbalance. Vessel owners are obligated to ensure their seafarers are taken care of both physically and mentally while on board. And with telemedicine there’s no excuse not to.

Prioritizing People over Profits

People will take note of which companies prioritize profits over health during this pandemic. And like it or not, with the simple tap of a button, social media will indeed document it. Keep in mind that the pandemic will likely linger around for a year or more. Seafarers will (and should) remember those who took care of them and who didn’t. Being isolated away from family, worried about their well-being, can leave a mark.

The Bottom Line

As part of your overall contingency plan for charting these unknown waters, make sure your telemedicine plan includes mental health services, a well stock medical chest, a charged telemedicine kit and that you crew and captains know how to access these important resources. .

The Ways Telemedicine is Helping to Flatten The Curve Around the Globe

Tue, 21 Apr 2020 12:54:34 GMT

The use of telemedicine has exploded over the past month. By connecting doctors to patients while essentially eradicating any risk of exposure, telemedicine has become a go-to tool for people around the world to help flatten the curve.

Businesses, both large and small, are also finding ways to protect their employees through telemedicine, and many governments have turned to it as well to reach remote patients and to keep people at home while still delivering the care they need.

Using Telemedicine Eases Fears in the Workplace

Among the many things that will be different in the post-COVID-19 world is the responsibility on companies to ensure a safe environment for guests and employees. People will need tangible proof that their health is prioritized above profits.

To do so, everyone needs to have a plan for dealing with both workplace and customer (or guest) safety. Businesses like Tyson, the largest meat company in the U.S., are using thermal scanners to check the temperature of all its employees as they enter worksites. General Motors is considering a form of antibody testing when employees return to work. The Wall Street Journal reported that Disneyland and Walt Disney World are weighing different options that include temperature checks for guests as they arrive. They know it will slow the entry process, but they think people will be more willing to wait in a line knowing it’s for the greater good.

Temperature checks are a first line of defense. If someone does have a high temperature, they can be referred to an on-site clinic for further evaluation. For smaller to mid-sized companies, CDC recommends that every workplace have a designated employee who is the lead on all COVID-19 issues. In telemedicine, this is often referred to as a designated medical officer (DMO). They’re trained on how to use telemedicine kits and encrypted consultation services.

The DMO could then contact a doctor for a real-time consultation using diagnostic data from the telemedicine kit. These types of programs are what customers and employees want to see until the door is completely shut on this pandemic.

Telemedicine and Tourism

The travel industry is extremely difficult to moderate in terms of the transmission of diseases. A lot can happen between leaving a house, departing one city, arriving at another, then visiting large, crowded spaces. Several airports around the world are using digital thermometers, which has helped in some cases. But, if that is the only measure utilized, one checkpoint in the customs area, it’s not enough. Someone may feel fine when they arrive at an airport, but that doesn’t indicate what shape they’ll be in 48 hours later at a museum.

That’s why many venues that have large groups of people, either visitors or employees, need to have a plan to not only keep facilities clean, but also the ability to consult with a doctor should some fall ill.

Home Healthcare Services

Home healthcare services rely on a workforce to visit patients in their homes, putting both the patients and workers at risk of being exposed to viruses. The Charlotte Post reported on a group called Doctors Making House calls, a 125-doctor primary care mobile clinic for seniors, which has shifted to phone consultations and virtual visits whenever possible, allowing them to continue to serve their patients.

If a home visit is essential, studies have looked at using nurses as a “telepresenter,” who while conducting at home check-ins in full personal protective gear, connect their patients to doctors via video or through a telemedicine kit . This has led not only to cost savings, but also prevented trips to the emergency room.

Reaching the Hard to Reach

In late March, Kenya set up a telemedicine center at a hospital in an effort to virtually care for large populations that live in remote areas. CT Scans from around the country can be sent to this telemedicine center and within three to five minutes, COVD-19 can be detected.

“Through this technology, instead of sending radiologists to every county, CT scans from those counties can just be interpreted from here,” said Kenyan Health Cabinet Secretary Mutahi Kagwe.

Nigeria also launched a network of remote terminals to eight different areas. These terminals and busses are equipped with basic diagnostic equipment such as cameras, diagnostic scopes and ENT scopes.

In Germany, a company has created an app that helps determine if someone is at risk for having COVID-19. This free chatbot called “Corona-Bot” is updated daily and asks questions about symptoms and other risk factors to determine the probability of coronavirus infection. If the risk is high, the patient is connected to a doctor via telemedicine for a full consultation.

Australia opened up telehealth services to the entire country in mid-March. A statement released by the government explained that “Whole of population telehealth will allow people to access essential health services in their home and will support self-isolation and quarantine policies to reduce the risk of exposure and spread of COVID-19. It will also help vulnerable doctors continue to deliver services to their patients.”

The Future of Yachting? We’ll Get Out of These Doldrums, But Things Will Be Different

Tue, 07 Apr 2020 13:19:30 GMT

An article in Fast Company on April 2 reported that in Iceland they randomly tested a group of 9,000 people and “a whopping 50% of all positive cases were in people reporting no symptoms.” Indicating a lot more people are carrying COVID-19 than the numbers actually show.

As well, the C.I.A. reports that China has been “vastly underreporting” their numbers. What does all this mean? Get comfortable. Most states and countries will probably stay the course on quarantine measures at least through April, if not longer.

Meanwhile, yacht charter firms such as The Moorings are suspending all charters departing up until May 11. They’re taking bookings for after that period, but who knows what will happen in the long run.

What Lies Ahead?

Honestly, if anyone said they knew, they’d be lying through their teeth. Some marinas are still open, but should they be? Sure, boat owners can self-isolate on the water, but if that involves a crew who has family, should they? If you’re not in a “hotspot,” is it OK to hit the seas? Again, what’s the right thing to do?

But looking far ahead, it’s not all doldrums. Hold steady. The very sequestration qualities of yachting might be what propels the industry when this is all over. Whereas cruise ships have turned into truly desperate situations with humanitarian groups having to step in, yachts deal in much smaller parties and are run by small, often highly skilled staff.

Plus, sheltering-in-place might whet the appetite for summer travel. Raphael Sauleau, CEO of Fraser Yachts, put it rather succinctly in a statement on their site:

“The privacy and security of being on board your own private yacht away from the crowds; the reward of quality time spent with those you choose to share it with; the appreciation of our oceans, our nature and our landscapes… and the ultimate satisfaction of taking the time to see and enjoy what this world has to offer.”

Lessons for Post-COVID-19

How we travel, where we travel and with whom we travel will certainly change after all of this. And the yachting industry would be remiss to not advertise its particular advantages here.

One of the biggest lessons of all will be the ability to monitor and swiftly react to the health of all passengers and crew on board. Can you assure potential customers and recruits that you have a plan for dealing with sick passengers? You better.

It’s Time to Take Stock

Perhaps for the next month or so, boat owners and captains should take stock of essential items that will ensure safety onboard. Such as cleaning supplies, including personal protection equipment and masks, which would be essential in containing a virus should someone get sick.

What about your telemedicine services? Can you contact a doctor from anywhere in the world? The technology is there. No reason not to. It’s cheaper than an unplanned trip port to find a doctor or hospital. With encrypted bandwidth and services that allow contact with a doctor 24/7, this is a no-brainer.

And how up to date is your telemedicine kit ? Basic diagnostic equipment will be your first line of defense. Things like temperature, oxygen levels, pulse rate will allow for a quick baseline diagnosis.

Here is a link to a recent medicine kit checklist article .

Promote Your Telemedicine Capabilities

Finally, when you have all these things in line, be sure to let your crew and passengers know about the full medical capabilities onboard your vessel. Don’t make them ask; tell them upfront. Use existing marketing channels (Facebook, websites, brochures) to outline your safety guidelines and procedures. The fact that you have a virtual walk-in clinic onboard along with the capabilities to provide a quarantine for any sick passengers might be key to getting back on the water sooner, rather than later.

El papel de la telemedicina en la mitigación de la propagación y el cuidado de COVID-19

Thu, 02 Apr 2020 17:10:51 GMT

The El papel de la telemedicina en la mitigación de la propagación y el cuidado de COVID-19

A medida que COVID-19 se extiende por toda América Latina, los funcionarios temen que un sistema de salud ya sobrecargado esté a punto de ser empujado más allá de su capacidad. En el último decenio la región se ha enfrentado al SRAS (2003), a una gripe pandémica (2009) y sólo en el último año se han producido más de 20.000 casos de sarampión y 3 millones más de dengue.

Los autores de un informe que se presentó recientemente en ScienceDirect emiten una advertencia bastante sombría:

"En este complejo escenario epidemiológico, estamos a punto de ser testigos del desarrollo de una sindemia de sarampión, dengue y COVID-19, entre otras."

La buena noticia es que durante las crisis anteriores se elaboraron muchos protocolos, entre ellos el de laboratorio y el de gestión de pacientes, lecciones que pueden resultar críticas para el tratamiento de COVID-19.

Pero, los mismos autores ofrecen un mensaje clave:

"Serán esenciales las buenas estrategias de comunicación para las medidas preventivas en la población y en los países vecinos, además del Brasil (...)".

Datos de mapeo

Los hospitales, los sistemas de salud y los médicos toman decisiones basadas en los datos. Tener acceso a información confiable en partes remotas de América Latina será fundamental para responder a un brote. La identificación rápida de los puntos de conflicto emergentes es especialmente crítica para las comunidades rurales e insuficientemente atendidas, en las que faltan las necesidades básicas de atención sanitaria.

En un documento publicado en Nature titulado "Llevando al terreno los diagnósticos de enfermedades infecciosas relacionados con la salud móvil", se explicaba que la telesalud ofrece formas novedosas de diagnosticar, rastrear y controlar las enfermedades infecciosas y de mejorar la eficiencia del sistema de salud.

Además, en un documento de investigación publicado en ResearchGate se examinó específicamente la función de la telemedicina en las zonas rurales y suburbanas marginales de América Latina y se señaló que la utilización de la telemedicina "abre un nuevo acceso a servicios de salud que de otro modo no estarían disponibles y puede permitir un intercambio seguro a distancia de información sanitaria, incluidos los historiales médicos electrónicos de los pacientes".

La recopilación de información de diagnóstico en estrecha coordinación con la comunidad médica, sin duda, acelerará la respuesta y potencialmente hará sonar las primeras alarmas.

Respuesta rápida

Si bien los equipos de telemedicina no tienen la capacidad de realizar pruebas de COVID-19, los médicos que los utilizan desempeñan un papel esencial en la identificación de posibles casos y actúan como puerta de entrada para llevar las muestras a un laboratorio. Cuanto antes se identifique un brote, antes se podrán establecer acciones de respuesta, como cuarentenas y centros de tratamiento remoto.

Por último, el hecho de poder evaluar e informar sobre el impacto de las intervenciones y medidas medicinales en zonas remotas es crucial para el sistema de salud en general.

Concienciación

Como señalaron los autores del documento de ScienceDirect , la comunicación y la capacitación del personal sanitario local también son esenciales. Los médicos que tratan a poblaciones desatendidas en las zonas rurales son la primera línea de información. Explicar los efectos de las enfermedades, educar a la comunidad local sobre cómo evitar la propagación de COVID-19 o ayudar a establecer cuarentenas recaerá sobre sus hombros.

Los servicios de telesalud permiten a los sistemas de salud rastrear, mapear, tratar y poner en cuarentena a las comunidades para prevenir la propagación de enfermedades. Además, la telemedicina es una puerta de entrada a una atención elevada. Para hacer frente a múltiples pandemias y enfermedades transmitidas por vectores, la necesidad de médicos en lugares remotos no tiene rival.

COVID-19 in Remote Africa: Lessons Learned in Fighting Ebola and the Role of Telemedicine

Sun, 22 Mar 2020 21:30:05 GMT

Just as the World Health Organization (WHO) in Africa celebrates successfully combating an Ebola outbreak in the Democratic Republic of Congo (DRC), it quickly finds itself staring down a pandemic.

At a media briefing on March 18, WHO’s Direct General Tedros Adhanom Ghebreyesus pointed toward solidarity within the community and healthcare system and emphasized that the same spirit of solidarity is crucial to contain and minimize the spread of COVID-19. Thirty-three countries in Africa reported more than 600 cases of COVID-19, as of March 19.

There were specific decisions that helped turn the tide during the most recent Ebola outbreak in Africa. Now, the international medical community is espousing the importance of applying some of those same measures with COVID-19. And many of them are directly linked to telemedicine.

Mapping Data for Faster Response Time

Hospitals, healthcare systems and physicians make decisions based on data. Having access to reliable data in remote parts of Africa is crucial. Identifying emerging hot spots and outbreaks quickly is a primary benefit and intent of telemedicine. This is especially true for areas where a hospital is a full day’s journey away or even unreachable.

Gathering diagnostic information in tight coordination within the medical community will, in fact, speed response and potentially sound the first alarm bells.

Quick Turnaround on Testing

A key factor the WHO discovered in mitigating and containing the spread of Ebola was getting test results quickly. The number of laboratories equipped to test for COVID-19 remains a fluid and dynamic situation (so far there are 39 testing facilities in Africa). The quicker COVID-19 patients can be identified as positive or negative, the quicker measures can be put into place, particularly quarantines.

While telemedicine kits don’t have the capacity to test for COVID-19, the clinicians that use them play an essential role in identifying potential cases and act as a force multiplier in getting samples to a lab.

Tracking Experimental Vaccines & Medicine

Vaccines are another very fluid and rapidly changing situation with COVID-19. There are some that are already in a trial phase. Medicines to treat the virus are being tested as well.

Within one week of the 2018 Ebola outbreak in the DRC an experimental vaccine was issued saving lives and slowing the spread. Being able to monitor patients who receive vaccines or medicines in remote areas will, once again, fall on the shoulders of teams dispatched to those regions to provide care and guidance.

And going back to the previous point about data collection; being able to monitor patients and send/receive diagnostic information will allow the healthcare community to archive data points to further understand the effectiveness of drugs.

Telehealth allows the healthcare systems to track, map, monitor and quarantine communities to prevent the spread of infection. As well, telemedicine is a gateway to elevated care. In dealing with a spreading pandemic, the data gathered by telehealth providers serves as a bullhorn to the healthcare systems.

Stocking-Up Amid COVID-19

Tue, 17 Mar 2020 13:06:11 GMT

The Supplies Commercial Vessels Need

The impact of COVID-19 on the maritime industry is substantial at this point and it could quite possibly grow. In a New York Times report , Panjiva, a research unit of S&P Global Market Intelligence, said container volume dropped 2.7 percent at American ports in January and officials expect a bigger decline as COVID-19 continues to spread.

“The overall economic impact of these types of emergencies is often in the tens of billions of dollars,” said Cary Davis, an official with the American Association of Port Authorities. “Due to the coronavirus outbreak, cargo volumes at U.S. ports might be down by 20 percent or more on a year-on-year basis compared to 2019.”

However, ports and cities around the globe are taking this situation seriously, as they should, in an effort to mitigate the spread. There’s a responsibility on all of us to do so as well. In this article, we’re going to look specifically at what supplies you should have on board to keep your crew healthy.

● Coronavirus early Detection and Management While at Sea

● CDC: Quarantine Stations

Ship Supplies

The CDC has issued specific guidelines for supplies that vessels need to have on board. One of the easiest things to do is ensure everyone is practicing basic good hygiene by washing their hands often. Make sure there is ample access to and supply of a 60 to 95 percent alcohol-based hand sanitizer. And make sure sinks have adequate supplies, including soap, disposable towels and a trash receptacle.

Additionally, according to the CDC , ships should also have personal protection equipment, including facemasks, a stocked medicine chest for all basic needs, and a contingency plan for “rapid resupply during outbreaks.”

Laundry supplies are important for cleaning towels and bedding, and plenty of trash bags are needed to properly dispose of tissues and hand towels. Extra dishwashing detergent should be on hand as well, since the virus can be spread through saliva.

Further, the CDC requests maritime vessels to have “sterile viral transport media and sterile swabs to collect nasopharyngeal and nasal specimens” in cases where COVID-19 is suspected on board.

Cleaning and Disinfecting

COVID-19 is a respiratory disease and is believed to be primarily transmitted through respiratory droplets. With that in mind, all commonly touched surfaces like handrails, counter tops, tools, equipment and doorknobs should be cleaned thoroughly and often.

Here is a complete list of EPA-approved antimicrobial products, which includes items such as Clorox cleaning products.

Medicine Kit

In terms of pharmaceuticals, your medical needs and areas of travel will dictate what you actually need to have onboard. Check with your medical supply provider to make sure you are properly stocked.

Here is a comprehensive list for a stocked pharmacy kit.

Telemedicine and Coronavirus

Finally, telemedicine plays a vital role in the containment of viruses. Leveraging the tools of remote consultations and diagnosis is crucial, so now is a great time to take stock of the components in your telemedicine kit.

While at sea, a telemedicine kit allows you to connect to a physician via encrypted video anytime from anywhere. Along with diagnostic tools, seafarers who are not feeling well can be assessed by a doctor in real time and the best next steps determined. If further testing is necessary, your telemedicine service can select the closest port that has the medical facilities to meet your needs. In the case that a patient's health just needs to be monitored, the vessel avoids an unnecessary trip to a port, but the patient can continue to be monitored through the telemedicine service.

Also, make sure you’re following the manufacturer's recommendations for cleaning and disinfecting your telemedicine kit.

If someone is suspected of having COVID-19 onboard, the CDC is clear:

“Isolate passengers or crew onboard who are suspected of having COVID-19 infection in a single-occupancy cabin with the door closed until symptoms are improved. Discontinuing isolation precautions is made on a case-by-case basis, in consultation with CDC.”

The commercial maritime industry plays a vital role in all of our lives by moving goods around the globe. We want to see the industry continue to thrive by keeping everyone healthy. Meaning, regularly take stock of your medicine kits and cleaning supplies, plus your telemedicine capabilities.

Staying Healthy at Sea; Prevention Tips and Proper Telehealth Support during the COVID-19 Outbreak

Mon, 09 Mar 2020 20:44:58 GMT

There is a significant amount of hype concerning the Coronavirus. You need to look at the facts and stay informed to make appropriate decisions when dealing the health of your crew and customer. Click here to be taken to critical links with the latest information from the Centers of Disease Control and Prevention as well as the World Health Organization.

There’s no reason to panic, but with the spread of coronavirus, or COVID-19, it’s certainly a good time to make sure you have the proper preventative and treatment procedures in place and your telehealth service and equipment can provide the level of care that you need. You also need to take stock by evaluating your supplies, making sure you have all the necessary medical items and medications. The goal is to maintain a safe and healthy environment for everyone on board.

Tips for Preventing the Spread of COVID-19

The CDC does NOT currently recommend the general public use facemasks and instead urges everyday preventive actions, including washing hands with soap and water for at least 20 seconds, covering your cough and staying secluded when sick.

However, the CDC does recommend those caring for potentially sick patients to wear facemasks, as well as the patient. The caregiver or attending DMO should also wear disposable gloves.

Cleaning is paramount. The World Health Organization reports that viruses can survive briefly on surfaces depending on conditions of humidity and temperature. Cleaning high-touch surface areas with a disinfecting cleaning spray and wipes is critical in preventing the spread of viruses.

This includes the telemedicine kit which should be cleaned or wiped down after every use, per the kit’s guidelines

All counters, tables, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets and bedside tables should be cleaned often and thoroughly with cleaning spray or wipes.

The CDC recommends an alcohol-based hand sanitizer with 60% to 95% alcohol, in addition to hand soap. Don’t forget to use hand lotion afterwards as hand sanitizers can dehydrate your skin if used often.

Laundry supplies are important to help keep clothing and linens clean.

Ample trash bags to properly discard tissues, wipes, gloves, masks and any other contaminated items.

Tissues should only be used once then put into the trash.

Medical Supplies

There are many items that all vessels must keep on board in case of a medical incident while at sea. For medications and antibiotics here is a comprehensive list for a pharmacy kit. Your medical needs and areas of travel will dictate what you actually need. Check with your medical supply provider to make sure you are properly stocked.

Telehealth and Coronavirus

Whether you are making transocean or coastal voyages, you need to subscribe to a quality telemedicine service that has immediate access to specialists who can address your specific medical needs. This service should act as your ‘walk in clinic at sea’ as well as handle emergent situations.

As for the Coronavirus, the CDC specifically states that part of being prepared as a community is leveraging existing telehealth tools to direct people to the right level of healthcare for their medical needs. While at sea, being able to connect your patient to a physician is a significant benefit in itself as it keeps the patient isolated from others and allows the doctor to diagnose the issue and provide you treatment guidance without diverting the vessel to visit a doctor in a foreign port. If hospitalization or further testing is necessary, your telemedicine service can select the closest port that has the medical facilities to meet your needs and continue to monitor the patient’s health until they are checked into the hospital.

Having a telemedicine kit onboard enhances your medical service as it allows the doctor to examine the patient in first person via encrypted video and provides diagnostic tools that assist them in making a more accurate diagnosis. The kit should be portable enough to easily bring to an isolated patient in their cabin. Telemedicine and telehealth play an important role in mitigating the spread of viruses like COVID-19.

With a properly stocked medical chest and a telemedicine kit on board, your vessel is essentially a walk-in clinic. In case of injury or illness, crew and yachters will receive quick and accurate diagnosis and instructions on what the next steps should be.

Being prepared and properly informed are key to mitigating the spread of coronavirus.

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The Coronavirus in Africa- Preventing a Widespread Outbreak

Mon, 24 Feb 2020 19:31:12 GMT

The Coronavirus in Africa: Preventing a Widespread Outbreak

Each year the World Health Organization (WHO) designates a list of pathogens it deems in need of urgent scientific research. In 2018, they added a “Disease X” to the list, essentially warning of an unknown pathogen that could present a serious threat to public health.

Now, many in the scientific community are linking that fortuitous letter X with the coronavirus that has infected more than 75,000 people.

Coronavirus in Africa

There haven’t been many confirmed cases of coronavirus in Africa (as of late Feb. 2019), but officials are very worried about a broad outbreak and the devastating effect it could have on the continent. That concern stems from China and Africa’s robust trading partnership.

Michael Yao, WHO’s head of emergency operations in Africa, said limits in resources, laboratories for testing and hospital space for severe cases will exacerbate a widespread outbreak.

Yao said if coronavirus does hit, it’s all hands on deck:

“If we have a scenario where we have a large number of cases, we want NGO partners to increase the capacity and to provide equipment like oxygen and respiratory machines. They have the ability to deploy treatment centres in a very short time.”

Telemedicine

As you can see, telemedicine could be instrumental in mitigating the spread of the coronavirus. A 2015 study looked at the applications of telemedicine in epidemic-prone areas and concluded that telemedicine “has a high potential in improving epidemiological investigation, disease control and clinical case management.”

Some specific scenarios where telemedicine is vital includes:

• Asymptomatic individuals in epidemic-prone locations who can be monitored remotely, in semi-quarantined environments, diminishing risk of exposure.

• At-risk patients, like those who have been previously identified as having close contact with a sick patient, can also be monitored from a remote location while staying at home, in quarantine, for up to 14 days symptom-free.

• Symptomatic cases in areas where access to a hospital might involve an arduous journey – or the hospital is under quarantine – patients can be treated in a virtual walk-in clinic. Attending physicians can use telemedicine kits to monitor symptoms while staying in contact with authorities and each other to get the most severe cases to hospitals, as needed.

Coordination and Tracking

To that last point, telemedicine kits allow for greater tracking and coordination across large, remote areas. With access to real-time clinical data doctors can make well-informed decisions for entire communities and potentially get a jump on emerging hotspots.

Expanding the Medical System

While prevention and early detection are ideal, officials in Africa have to look past that. They’re more concerned about the strain a major outbreak will have on the healthcare system, particularly the intensive care required for severe cases.

“I can tell you straight away the capacity to manage a large number of patients is not there in many African countries. We remain concerned. That’s why we are ensuring health systems are on high alert,” Yao said mid-February.

With telemedicine kits , medical care providers can be dispatched to remote areas; a virtual walk-in clinic can be established anywhere, allowing for early diagnosis, prevention of greater outbreak and isolation as needed.

This could help free up large medical facilities to care for those that need to be hospitalized, while others stay in house quarantine with their symptoms monitored through telemedicine.

Coronavirus Early Detection and Management

Tue, 18 Feb 2020 05:00:00 GMT

With more than 73,000 cases reported so far and 1,873 deaths, the ripple effect of the coronavirus is starting to be felt far and wide. And while the U.S. State Department has issued a Level 3 Warning advising Americans to avoid all non-essential travel to China, there haven’t been any other similar health-related travel advisories to other countries.

So, travel continues, as it should. But there are some basic health and safety guidelines everyone could (and should) follow. Particularly those in the yachting community.

Early Detection is Key

While out at sea, wayfarers should keep a vigilant eye on the general health of both passengers and crew. With a telemedicine kit , every yacht has a virtual walk-in clinic on board allowing for early detection. Telemedicine can actually play a unique role in preventing the spread of viruses: By being able to bring the doctor to a patient while in a quarantine-type environment, the chances of infecting others is greatly reduced.

For anyone on board experiencing symptoms -- whether it be a common cold, flu or virus -- a telemedicine kit allows patients to undergo a medical assessment remotely. With secure video conferencing and real time clinical data, a diagnostic feed can be live-streamed to a doctor, all via encrypted technology.

This allows physicians to recommend, with confidence, the necessary procedures to follow. Everyone on board can feel at ease knowing if someone does get sick, a medical evaluation will take place and the appropriate steps will be taken. Further, this exam may allow the captain, crew and passengers to avoid a time consuming and costly trip to a foreign port.

However, if a patient has specific symptoms and meets certain criteria , recommendations on what to next can be made by the attending physician on the telemedicine call.

Coronavirus and the Travel Industry

The CDC has released specific guidelines for the travel industry , including airline crews and commercial vessels. Yachting is obviously neither of those, but the information is certainly relevant to anyone who travels extensively.

To reduce the spread of any respiratory infections including coronavirus, the CDC has posted the following recommendations for crew members and passengers:

● Postpone travel when sick

● Watch their health

● Self-isolate and inform the onboard medical center immediately if they develop a fever (100.4oF / 38oC or higher), begin to feel feverish, or develop other signs or symptoms of sickness

● Use respiratory, cough, and hand hygiene

○ Advise passengers and crew of the importance of covering coughs and sneezes with a tissue. Dispose used tissues immediately in a disposable container (e.g., plastic bag) or a washable trash can.

○ Remind passengers and crew members to wash their hands often with soap and water, especially after coughing or sneezing. If soap and water are not available, they can use a hand sanitizer containing 60%-95% alcohol).”

Managing Sick Crew or Passengers

After a medical evaluation using a telemedicine kit , if a passenger or crew member is suspected of having the coronavirus, the CDC recommends they be quarantined in their cabins.

Additionally, per the CDC:

“All potentially exposed passengers, cruise ship medical staff, and crew members should self-monitor under supervision of ship medical staff or telemedicine providers until 14 days after the last possible exposure.”

Guidelines for Preventing the Spread of Coronavirus

If you’re traveling with a large group of people, the CDC has set forth these guidelines to help reduce the spread of viruses:

• Maintain a distance of approximately 6 feet when out in public areas.

• Keep contact or exposure to anyone who is sick as brief as possible.

• Wash your hands often with soap and water for at least 20 seconds OR

• Use at least a 60% alcohol-based hand sanitizer.

• Avoid touching your eyes, nose and mouth.

• Avoid public transportation when in port, travel alone or with your group in a private vehicle.

While we're not sure the full, far-reaching effects of the coronavirus yet, it's best to have guidelines, and certainly a telemedicine kit , in place prior to the first coughs echoing through the cabins.

A Tool to Assist with Slip and Fall Prevention

Mon, 27 Jan 2020 23:56:53 GMT

A Close Look at the Expense of Slip and Fall Incidents

In 2018, the American Club, Lamar University and ABS looked at 12,000 shipboard injury records as part of an initiative to reduce accidents caused by unsafe conditions aboard vessels. Here’s a snapshot of what they found:

● The total cost for injury-related claims for one decade was almost $250 million.

● Falls accounted for 22 percent of all incidents.

● Slips represented 12 percent of incidents.

As reported in The Maritime Executive these findings proved that “the maritime industry should adopt more comprehensive reporting requirements for injury and near miss reporting.”

Simply said, we don’t know enough about injuries out at sea.

Monitor Slip and Fall Incidents

While there are several factors that contribute to reducing accidents on board, a priceless asset is to be able to capture and record incidents on video , transmit live streaming video and still images triggered by events and retrieve the onboard recorded video from ashore, from the actual vessel. Select technology allows boat owners to cost effectively monitor incidents from around the world securely and in real-time using a proprietary software and 256-bit AES encryption to protect the company's privacy.

Review Injuries at Sea

In the unfortunate event that a crew member gets injured while aboard a vessel, images or recorded video can be retrieved by the Health, Safety and Security representative immediately, at any time, for a thorough review without requiring the vessel to return to port. Immediate access to this information after an event allows for a more informed decision potentially mitigating the danger and reducing company liability.

This footage can also be used for more accurate reporting and training in order to avoid similar situations in the future.

Reduce Accidents

Research from the injury study revealed that the average cost per incident, including slips and falls, exceeds $65,000. That’s per incident. Being able to monitor or review crew activity and incidents simply means vessel owners and supervisors can implement best practices to ensure crew safety and policy adherence.

Additionally, if hazardous situations or circumstances arise, such as extreme weather or an engine room fire, vessel owners can use live streaming video to monitor the situation or retrieve the recorded data from the vessel to formulate a response plan to assist the vessel in recovering from the incident.

Finally, recorded footage can serve as documentation of incidents in the case of litigation. With more than 12,000 claims in a decade and a significant pain and cost assigned to those cases, those in the commercial maritime industry simply can’t afford not to monitor activity aboard a vessel – for the safety of the crew and the protection of assets.

Mother and Infant Health in Remote Areas, The Impact of Portable Ultrasound Devices

Wed, 22 Jan 2020 21:50:19 GMT

Every major organization that tracks such numbers agrees with this statement: Maternal mortality rates around the world are unacceptably high.

The numbers are truly staggering. The World Health Organization reports :

● Every day in 2017, approximately 810 women died from preventable causes related to pregnancy and childbirth, nearly 295,000 women in just one year.

● Ninety-four percent of those deaths occurred in low-resource settings and most could have been prevented.

● Sub-Saharan Africa alone accounted for about two-thirds of maternal deaths.

Sub-Saharan Africa also had the highest neonatal (infant) mortality rates in 2018 at 28 deaths per 1,000 live births.

There are a lot of complicated reasons why pregnancy and the beginning of life are so precarious in remote areas. And there’s no single broad stroke answer for any of these truly disheartening numbers. But there are some devices and technologies that are helping.

Ultrasound as a Key Part of Prenatal Care

In the United States, there’s no question that most pregnant women will receive an ultrasound – often more than once. But in remote areas that are hard to get to (or get out of) where basics like electricity are unreliable if available at all, a full-sized ultrasound machine isn’t reasonable.

Compact, light ultrasound devices incorporated into telemedicine kits are literally saving lives in these hard to reach places.

Deaths That Could Have Been Predicted

In 2016, The Daily Monitor covered the use of portable ultrasound devices in Uganda – where 63 out of every 1000 infants die before their first birthday – explaining that, “Many of those deaths come from complications that could have been predicted by ultrasound technology.”

Providing High Quality Prenatal Care in Isolated Areas

Reproductive Health conducted an observational study of 762 pregnant women in rural Guatemala. The expecting mothers received prenatal care that included the use of portable ultrasound equipment, along with blood and urine tests. There was a 64 percent reduction in infant deaths and no maternal deaths in the observed group.

“The major reduction of maternal and neonatal mortality provides promising prospects for these low-cost diagnostic procedures, which allow to provide high quality prenatal care in isolated rural communities of developing countries.” – Reproductive Health

The technology that supports the portable ultrasound allows doctors, or trained technicians, to immediately view or upload images. The interface, which can be viewed on an iPhone or laptop, is easy to learn and intuitive. Using a telemedicine kit , the images can be securely sent to doctors or hospitals anywhere in the world in real-time, virtually bringing the specialist to the remote patient.

The Allure of Seeing Your Baby

There was also a collaborative study that sought ways to appeal to women in very remote areas who were traditionally reluctant to seek any type of prenatal care.

Doctor’s with Western University did a randomized trial where, through radio ads, they told pregnant women that if they came to the free clinic, they could see their unborn baby. Once the women were at the pop-up clinics, doctors were able to further assess the women and offer other life-saving prenatal measures. In particular, preventing the passage of diseases from mother to child.

The radio ads were just a clever way to alleviate anxieties about western medicine, and they worked! Six times more women came to the clinic and received medical care.

A Priceless Tool

When weighing the costs of these handheld ultrasound tools, around $1,500, to the impact they can have on women and children in remote communities around the world, the value is simply priceless. With an ultrasound device as part of a telemedicine kit , more infants in remote areas will be given proper care so they can thrive and their mothers will be right there with them.

Providing Critical Care Anywhere, The Invaluable Use of Portable Ultrasound Machines

Tue, 14 Jan 2020 21:32:58 GMT

Can you imagine hurtling through space at 17,000 miles an hour, 250 miles above the Earth’s surface aboard the International Space Station, only to discover through pure happenstance that you have a blood clot in an artery in your neck?

Nor can we.

NASA recently revealed that exact scenario played out for one astronaut who was only two months into a six-month mission. The astronaut, whose identity is not being revealed, was participating in a study that involved the use a handheld ultrasound device to examine the effects of weightlessness on blood flow. In the process of conducting the study, the blood clot was discovered.

Fortunately, a doctor was able to treat the astronaut from Earth, as odd as that sounds. Science Daily released the details, including how the blood clot was treated.

“... the astronaut performed ultrasounds on their own neck with guidance from a radiology team on Earth in order to monitor the blood clot. Moll [Stephan Moll, MD, UNC School of Medicine blood clot expert] was also able to speak to the astronaut during this period through email and phone calls.”

It should be noted that Moll did request a ride to the ISS to see the patient but was denied by NASA. Never hurts to ask though, right?

The situation, however, illustrates a very important point: Because they had a portable ultrasound device on board, and the ability to transmit data, they didn’t need the doctor there.

Now, imagine an explorer - not of the heavens, but rather of the ocean blue - with a crewmate or passenger who exhibits symptoms of a blood clot. First, let’s learn a little more about the condition.

About Blood Clots (or Deep Vein Thrombosis)

According to the Center for Disease Control , 900,000 Americans are affected by deep vein thrombosis (DVT), the medical term for blood clots, each year. Of those, it’s estimated that up to 100,000 die from the condition, usually when the clot dislodges and travels to the lungs causing a pulmonary embolism.

Typically clots form in a deep vein in the lower leg, thigh or pelvis, but can also occur in other areas. Hopefully, the clot is recognized through symptoms , such as pain, discoloration and a warm feeling in the affected area, and can be treated with prescriptions.

Unfortunately, there’s no way to predict when a blood clot may occur, although general health, heredity and being stationary for prolonged periods of time are the biggest factors.

A Life-Saving Tool At Sea

With a portable ultrasound device as part of a telemedicine kit , captains and boat owners can mitigate the risks of DVT no matter how far they are from a port. If a crewmate or passenger aboard your yacht starts experiencing symptoms of DVT, images from the ultrasound machine can be transmitted, along with other pertinent information, in real time to a doctor thousands of miles away.

All that is required is a small amount of training and a crew member will be able to use the instrument properly. Then, a specialist can then review the data, assess the patient’s current state of health and provide an accurate diagnosis, allowing the captain and crew to make critical decisions.

Not only could this seriously impact the life of the person experiencing symptoms, but everyone on board will have a greater sense of peace knowing that these types of scenarios can be properly handled.

No matter what frontier you’re exploring.

The Priceless Power of a Pocket-Sized Ultrasound on Maritime Vessels

Tue, 14 Jan 2020 20:48:53 GMT

Work in the maritime industry comes with an inherent risk of injuries. By nature, hazards abound. Add to that the length of time many workers are aboard vessels out at sea, and the substantial distance to medical care, injuries or illnesses can quickly become exacerbated. This can lead to an increase in crew downtime, and/or a vessel diversion to get the crew member proper medical treatment.

The CDC reported that from 2011 to 2016, “There were 74 fatal injuries among maritime transportation workers, nearly six times the rate of all U.S. workers.” In that same time period, there were upwards of 9,500 nonfatal work-related injuries. This is why there is a significant effort to have telemedicine kits on board commercial vessels, to provide crew accelerated access to care.

But now there is an option for even greater peace of mind while out at sea: portable ultrasound devices.

Forget the large, cumbersome machines you’ve seen in hospitals. Portable ultrasounds are now pocket-sized tools that can be taken virtually anywhere, transmitting images to a medical professional in real time.

Critical, Timely Diagnosis

Being able to diagnose an injury or illness quickly and accurately is priceless in any situation. After receiving simple training on the use of the device, a designated medical officer can transmit ultrasound images in real time to a doctor by using low bandwidth satellite streaming, which is already available through telemedicine kits . After sending the ultrasound images, crew members can communicate directly with a doctor to determine next steps.

Another advantage to this technology is mobility. There are many situations when moving a crewmate could only aggravate the situation. This small ultrasound device, along with the telemedicine kit , can easily be taken anywhere, connecting to the vessel’s Wi-Fi and transmitting via its satcom from the crew member’s location.

Cardiac Care

It’s been well documented that sailors have a high prevalence of cardiovascular risk factors due to the lifestyle required at sea aboard a vessel. In a 2019 report , The American College of Cardiology found that hand-held ultrasounds were capable of “focused, question-specific exams that may be life saving in the acute situation (...).”

The study went on to explain that, “Most importantly, these hand-held devices may allow more timely access to images for patients who cannot easily travel.”

So, while there is some minor training involved, this tool can provide powerful, life-saving cardiac information while far from port, easing the mind of not only the patient, but vessel captains and medical personnel as well.

Abdominal Symptoms

All seafarers are susceptible to abdominal discomfort, pain or illness, which can mean a myriad of things. Determining the severity of a condition is crucial - from gallbladder issues to septic symptoms. Here again, the portable ultrasound device provides invaluable help for a quick assessment.

A study published in the Singapore Medical Journal that focused on abdominal imagining concluded that, “Pocket-sized ultrasound machines are suitable for detecting a number of pathologies,” and can be “useful in emergency screenings.”

A thorough abdominal examination while out at sea with the remote consultation of a doctor is now possible.

Slips and Falls

One of the leading causes of injuries aboard any vessel or boat is slipping, tripping or falling due to slick surfaces. This is how broken bones, especially elbows and ankles, occur. There’s no way to completely prevent these accidents, but now assessing the seriousness of the situation on the spot is possible.

In 2010, Madigan Army Medical Center conducted a study with U.S. Army Special Forces Medics to determine the usefulness of portable ultrasound devices in detecting long bone fractures in, “environments where other imaging modalities such as radiography are not readily available or practical.”

They concluded that medics were, “able to correctly detect the presence or absence of a simulated long bone fracture with a high degree of sensitivity and specificity.”

Imagine the sense of relief in being able to determine, with certainty, the level of care needed for a member of your crew after a mishap on deck. Captain and crew are far better off knowing if, for example, a swollen ankle is sprained or broken prior to making a decision to divert to a foreign port for care.

The Full Impact of a Portable Ultrasound Device

While out at sea, captains and medical personnel have to make decisions that can seriously impact the lives of the crew and vessel operations. These decisions have far-reaching implications, not just from a financial standpoint, but more importantly, from a health and safety standpoint.

By having a portable ultrasound device as part of a telemedicine kit on board, crews can roll out of port with confidence that they’ll be able to appropriately manage many more medical situations that arise.

nt source.

Saving Lives in Remote Sub-Saharan Areas with Portable Ultrasound

Fri, 06 Dec 2019 18:49:35 GMT

Portable ultrasound devices are transforming medical care in remote and inaccessible places. While ultrasounds are a vital part of prenatal care, their value extends far beyond that; including the battle against what The World Health Organization labels as the two leading causes of death in Africa.

A Hospital in a Backpack

Traditional ultrasound machines are large and cumbersome, making them difficult to transport to far-off places. But now, the tables have turned. These important medical instruments are now pocket-sized devices that can be plugged into an iPhone, which serves as the screen, meaning they can essentially be taken anywhere. They can also be easily integrated in a portable telemedicine kit which will allow for a comprehensive medical check with data and images being transmitted in real time.

The technology behind portable ultrasounds makes it possible to immediately view and upload images, as well as allow technicians or doctors to collaborate from any part of the world.

Further, the interface for the ultrasounds that appears on iPhones or within the telemedicine kits is typically described as intuitive and easy to use. Although it is obviously most valuable in the hands of a doctor or trained technician, the technology allows even the most untrained person to assist.

Detecting Pneumonia in Children

One of the most significant impacts of this device is in the fight against pneumonia. According to UNICEF, nearly 1 million children under the age of 5 die from pneumonia worldwide every year; Causing more deaths than HIV/AIDS, diarrhea and malaria combined.

About half of those children who succumb to pneumonia live in sub-Saharan Africa.

“ facilitate community access to effective and timely diagnosis. ”

The handheld ultrasound device, whether connected to an iPhone or a portable telemedicine kit, allows for an immediate view of a patients’ lungs. This is precisely the timely access and diagnosis UNICEF is referring to.

In a 2017 study that looked at the use of ultrasound devices in community-acquired pneumonia in children, researchers concluded that, “In settings where chest radiography is not available, lung US [ultrasound] may fill an important diagnostic gap for children presenting with suspected pneumonia.”

The Life-Saving Allure of Seeing an Unborn Baby

In addition to pneumonia, diagnosing and treating children with HIV is another monumental issue. HIV continues to spread from mothers to their children at an alarming rate.

UNICEF reported that in 2018 around 2.5 million children and adolescents were living with HIV in sub-Saharan Africa. Even more devastating, the agency stated that more than 100,000 died from AIDS-related causes that same year. This is primarily the result of mothers not having access to life-saving screening, treatment and information.

In a collaborative study, a team of researchers travelled to all parts of Africa and offered free medical care. They knew that if they could screen pregnant women, they could potentially offer live-saving treatment for both them and their unborn children. But, mothers in the area are hesitant, for a variety of reasons, to seek help or medical care.

Dr. Michael Silverman with Western University and Lawson Health Research Institute, who was part of the collaboration, explains in this video how they solved the problem.

“Our hypothesis was that if we could offer free ultrasound to see their unborn baby, that women would come forward,” says Dr. Silverman.

So, before arriving in an area, they bought radio advertisements promoting a free ultrasound – an opportunity to see their unborn baby – and medical care.

It worked. Many expecting mothers arrived. Not only was each of them able to see their child in the womb, but doctors had the opportunity to do screenings for HIV. They were able to take this time to consult and advise the women on how to prevent the spread of HIV from mother to child. In doing so, they literally saved babies’ lives.

An Invaluable Medical Tool

When we’re talking about a medical instrument that cost as little as $1,500 and we look at the impact it can have on the lives of so many, attaching an actual value the portable ultrasound is impossible.

Now, Imagine the impact in the level of medical care you could provide if you were able to integrate this into a telemedicine kit. The telemedicine kit will allow you to stream those ultrasound images along with other pertinent health data in real time to a specialist in a hospital several thousand miles away. With this information on hand, the specialist can assist in reviewing the medical data, view the patients current state of health, suggest lab tests to be drawn, provide diagnosis, prescribe treatment, etc. The impact that the portable ultrasound and telemedicine kit could have on rural health is invaluable. More people in rural communities will have the access to healthcare with effective and timely diagnosis and treatments that they so desperately need.

Does Your Crew Have Access to On-Demand Medical Services While at Sea?

Tue, 03 Dec 2019 19:54:19 GMT

Telemedicine kits are a revolutionary tool that many commercial vessels are relying on to effectively diagnose and treat crewmembers during emergencies, provide routine checkups, and improve access to standard medical services.

Innovative companies are turning to telemedicine kits to create walk-in clinics on their vessels while at sea, eliminating the need to disembark and visit a foreign doctor. Sending your crew members to visit a foreign doctor can result in:

Increased risk of infection in foreign countries that lack proper sterilization practices.
Hours of lost time and additional stress when traveling to a doctor while feeling sick.
Inaccurate diagnosis in countries with underdeveloped healthcare systems.
Lack of access to modern equipment for standard medical procedures and checkups.

Any of these scenarios may cause adverse health effects or the need for rapid treatment at a reputable hospital that’s far away from your current location. These kinds of diversions are costly for your business, with some medevacs totaling more than $100,000. Whether it’s sailing to the nearest port or scheduling a medevac, these decisions will affect your business's bottom line.

It’s estimated that one in five ships are forced to divert each year due to medical issues, costing the industry more than $168 million.

While telemedicine kits may have a high upfront cost, a 2013 study that sampled 23,299 commercial ships and 420,000 crew members revealed that they typically pay for themselves within a year. The study argued that “by avoiding unnecessary diversions and their associated costs, shipping companies can see their return on investment in under a year.”

Companies looking to reduce their long-term expenses may find it practical to adopt telemedicine to provide diagnostic and treatment services on an as-needed basis. This will ensure that the medical needs of your crew are attended to, reducing diversion costs.

As Riviera’s Martyn Wingrove said, “ship operators should not wait to be forced into deploying telemedicine across their fleets.”

“They should recognise the cost-saving, crew morale and operational benefits of having video links to medical professionals,” he added.

One of the major advantages of the mHealth movement is the ability for a patient to receive quality healthcare from anywhere in the world. This is beneficial to commercial vessels that are away at sea for months at a time.

A telemedicine kit pairs a trained United States-based doctor with your crew, allowing them to perform routine checkups and other non-emergency medical procedures. This is an ideal tool for reducing crew downtime, eliminates the need and risks associated with visiting foreign doctors, and ensures that your staff is ready and available when you need them most.

Whether your crew members are experiencing something personal or need a routine checkup, telemedicine technology simplifies access to these services. As technology continues to advance, telemedicine will play a pivotal role in making healthcare more approachable for remote commercial vessels.

Telemedicine: Is It the Answer to On-Demand Medical Services While at Sea?

Tue, 03 Dec 2019 19:50:46 GMT

Yachters have long been searching for a viable method that enables them to receive on-demand medical services while at sea.

Today, most yachts include “ The Ship Captains Medical Guide " by Dr. Spike Briggs. But even the author himself is a supporter of telemedicine due to the recent technological advancements in satellite and mHealth technology. He sees it as a logical tool for providing both emergency and non-emergency medical services.

“The Ship Captain’s Medical Guide was first published in 1868. It was a ground-breaking text at the time and has continued to evolve. The latest edition will pay more attention to telemedicine. Combining basic training, a satellite connection to doctors that know the set-up on board, and a comprehensive medical kit has proven to be a life-saver for those sailing far from help,” said Dr. Briggs.

Demand for everyday medical services is high for both yachters and commercial vessels. But the majority of seafarers find it difficult to access the medical services they need. A 2017 survey by Nautilus International and Martek Marine revealed that 82% of seafarers claim that they don’t have access to the same quality of healthcare, citing “the lack of access to a GP” as the primary factor.

Despite individuals having more choice when it comes to routine checkups for minor ailments, discomfort, and other basic needs—the idea of visiting a foreign clinic is still a major concern for most. And sometimes it’s not even an option in countries with underdeveloped healthcare systems.

Telemedicine is bridging the healthcare gap by making basic healthcare services more accessible to seafarers. The stigma that mHealth is only applicable in emergencies is fading as telemedicine kits become more advanced and better able to assess and diagnose patients.

Providing your crew with a reliable method to obtain a routine checkup is important for identifying potential health issues before they worsen. The majority of telemedicine kits offered on the market include standardized medical equipment like electrocardiographs, otoscopes, dermoscopes, stethoscopes, ultrasound, thermometers, and other diagnostic equipment.

Even the communication gap is made easier with telemedicine. Patients are capable of connecting with doctors using high-quality audio and video technology from anywhere on their vessel. Doctors can snap still images, clarify dosages and measurements, and other vital information.

Many recreational vessels are starting to use them to perform routine checkups while at sea. Telemedicine kits should be seen as a sensible investment in your safety because they allow you to connect with a doctor for your everyday medical needs and emergencies whenever you need it.

How Telemedicine Equipment Can Enable Neurological Assessments at Sea

Mon, 21 Oct 2019 17:16:16 GMT

Telemedicine equipment is a useful tool for diagnosing patients. This technology is being actively used by large corporations to improve the quality of medical assessments and treatments in remote locations.

Many already know how telemedicine equipment can help treat noticeable injuries like broken bones, cuts, wounds, and more severe injuries caused by workplace accidents. The ability to provide effective care to injured individuals in remote settings can and do make a difference.

While this is an effective way to treat injuries and decrease potential downtime—can telemedicine kits enable neurological assessments?

Bridging the Gap Between Telemedicine Kits and Neurological Assessment

Head injuries are difficult to treat at sea and may require a company to sail to the nearest port to seek treatment for an injured employee. But is this always necessary?

A telemedicine kit can connect a doctor with a trained designated medical officer (DMO) to assess and make a diagnosis about a patient’s condition. Not only does this improve the outcome for a patient, but it can eliminate the need for a diversion.

For example:

A crewmember slips on the deck and hits their head against the ship’s railing. The impact causes the sailor to lose consciousness, and there is a fairly large gash on the top of their head.
The DMO is immediately notified, and they connect with a doctor through their telemedicine kit. The doctor asks the DMO to turn on the video feed so they can assess the patient.
The doctor guides the DMO as they conduct several tests on the patient that they will use to make a diagnosis.
Once complete, the doctor informs the DMO that there is no neurological damage and helps them through the process of treating the gash on their head.
The injured sailor is escorted to their quarters, where they will recover from their injury.

In this scenario, the telemedicine kit enabled the DMO to connect with a doctor who was able to assess the individual and make a medical determination based on the evidence he saw. The ability to see the patient, their injury, and to communicate with them is vital in making the correct medical diagnosis, especially when it comes to neurological assessments.

Telemedicine devices do more than just assisting a DMO in treating basic injuries. They have the technological capabilities to allow a doctor to assess complex neurological injuries from a remote location.

The brain is a complex organ, and injuries that affect it are even more complicated. It’s important that you have the ability to communicate with a trained medical professional to reduce the likelihood of long-term injuries and other unfavorable outcomes.

Can Telemedicine Equipment Provide Effective Neurological Assessments for Yachters?

Mon, 21 Oct 2019 13:46:24 GMT

Recreational yachting is a great way for families to connect and bond while at sea. Your sailing adventures will develop into lifelong memories that you and your family will cherish.

But even the best trips can sometimes result in life-threatening injuries, whether it's a dangerous gash, a broken bone from a slip and fall, or a serious head injury.

In cases like these, telemedicine equipment is essential in helping you identify the severity of the injury and the proper method of treatment.

While many yachters know about telemedicine kits, few know that they can also help make neurological assessments while at sea. A telemedicine kit can help you reduce the risk of debilitating head injuries by providing you with an accurate diagnosis from a trained medical doctor.

A Real-Life Scenario of a Telemedicine Kit in Use

Head injuries are difficult to diagnose because the symptoms can be subtle. An injured loved one may seem fine initially, but their symptoms can quickly worsen if they don’t receive the treatment they need.

This can quickly derail your yachting trip, resulting in a diversion to the nearest port with a suitable hospital. When sailing in remote areas, it may even take you days to reach a medical facility.

Early assessment and treatment can make a difference and reduce the likelihood that an injury develops into a long-term one.

The Smith’s Telemedicine Kit Story

All names have been changed to protect the privacy of the individuals involved in the story.

The Smiths were sailing in the Mediterranean on a family vacation. They were two weeks into a six-week trip when one of the Smith daughters slipped and fell from a ladder onto the deck, striking her head.

Mr. Smith quickly ran over to his daughter, who had a cut on her head and was too dizzy to get up on her own.

He immediately administered first aid on the head wound, had a crew member retrieve their telemedicine kit, and connected with their service provider. Not long after, they were paired up with a doctor who began assessing the child.

Under the instructions from the doctor, Mr. Smith positioned the camera at various angles as the doctor had the daughter perform basic cognitive tests to check her memory, concentration, and recall while finishing up their neurological survey.

The doctor determined that she did not have any neurological damage, assisted them in treating the head wound, and they continued on to enjoy their voyage. The doctor performed a follow-up check on the daughter, and she fully recovered.

Anyone Can be the Smiths – Neurological Injuries Are Unpredictable

You cannot predict when an injury will occur. Life-threatening injuries are even more dangerous when you’re at sea.

A telemedicine kit provides you with access to medical professionals when you need them most. They allow you to communicate with a doctor that’s trained to make complex medical judgments based on observed symptoms.

While the Smith’s daughter did recover from her concussion, there are many cases of injuries that go untreated and develop into long-term injuries and even death.

The Value of Being Able to Remotely Monitor Assets From the Other Side of the World

Thu, 26 Sep 2019 13:04:52 GMT

You already know the benefits of closed-circuit television (CCTV). Companies that engage in business overseas in hostile and destabilized regions know all too well how important security and deterrence are in preventing crime.

Whether your company operates container ships, bulk carrier ships, tankers, fishing vessels, oil rigs, or buoys, you need to protect the assets and resources that your company has so heavily invested in.

Remote monitoring systems offer your business additional flexibility and accessibility when it comes to your security systems.

But what are the real advantages of these systems?

1. Improve Theft Deterrence, Detection, and Operational Efficiency

The goal of any security system is to deter a threat. Petty criminals may reconsider committing a crime if they know they are being recorded.

But that doesn’t always stop every threat. That’s where the second major benefit of a remote surveillance system comes into play—threat detection.

Having the ability to detect a potential threat as its happening can improve your ability to respond to it.

One feature that modern remote surveillance systems should offer is the ability to capture still images of critical locations on your vessels, including areas like hatches, fuel doors, movement in a restricted area, activation of heavy equipment, or boarding of a buoy.

Knowing when a threat has appeared allows your security teams to notify key decision-makers. This can improve response times and your ability to mitigate threats as they occur. Security teams can even trigger alarms to notify on-site crewmembers to potential threats.

2. Reduce Your Liability With Verifiable Evidence

One often overlooked benefit is the fact that your remote surveillance system can reduce your liability by proving where your vessel was located at the time of an incident and what actually occurred.

The employee who oversees your remote surveillance system can be located anywhere. Whether they are located ashore, in the United States, or elsewhere, they should have the same control over the system regardless of their location. They can monitor specific areas, adjust camera or system configurations in real-time, and gather valuable data.

All of this data will provide you with accurate records of what transpired during an event. You can use this data to assist you in verifying your vessel’s location, provide you with the necessary documentation you need for regulatory adherence, and to disprove false claims made by authorities and crew members.

3. Realize Legitimate Cost Savings

A remote CCTV system is designed to save your company money in more ways than one. Besides reducing your liability and deterring crime, these systems provide your vessels with additional security even if you are subscribed to a low bandwidth SatCom plan.

Low bandwidth plans are a cost-effective solution that can still utilize the still image capture and transmission feature and immediately provide them to decision-makers. This feature maximizes the value of their airtime plan.

Imagine a fishing vessel receives an event alarm when the vessel’s winch is activated. The system can capture still images in three-second intervals (or however often the customer remotely programs the settings) of the location and transmit them to the vessel’s owner ashore. The monitoring station will receive the still images, while the owner will receive them directly to their mobile phone.

What do these images reveal? They show the vessel’s crane being used to load fish onto an unauthorized vessel.

Now—the owner has images that include the vessel's GPS coordinates and a time stamp. They can use those images as evidence and take the appropriate action.

A remote surveillance system should be completely programmable from a remote location. You should be able to modify the way it records and captures events based on the types of processes and variables that your company encounters.

Remote Surveillance Systems Offer Flexible Security Solutions

Every business has different needs when it comes to protecting your assets and the resources you are harvesting.

Remote surveillance systems offer your business a flexible security solution that is accurate, accessible from anywhere, and provides you with enhanced tools for your forensic investigations. You want to make sure you maximize the benefit of a system and accelerate your return on investment.

Telemedicine Devices Are for More Than Just Treating Physical Injuries

Fri, 20 Sep 2019 18:46:37 GMT

What are your first thoughts when you think of portable telemedicine devices ? You may picture a doctor communicating with a Designated Medical Officer (DMO) to treat a physical injury. And while these scenarios do happen, they aren’t the only practical use for telemedicine kits on remote vessels.

Telemedicine does not just facilitate medical care for physically injured crew or passengers—telemedicine can also serve as a useful tool for providing counseling or conducting a psychiatric assessment and recommending treatment while at sea.

Another issue is the impact that physical trauma can have on an individual. Individuals can develop post-traumatic stress disorder (PTSD) from a variety of issues. PTSD can occur from both receiving or witnessing physical injuries.

The brain is a complex organ, and mental health has a lot of variables. There are many things that can affect an individual’s mental state. Whether they are suffering from depression, anxiety, or some other form of mental trauma, these individuals often require treatment that isn’t always readily available while at sea.

Telemedicine kits are a viable solution that can help vessels connect with a doctor to properly assess, diagnose, and treat an individual that is experiencing mental duress.

What Does Telepsychiatry Look Like in the Field?

It may be hard to picture how a remote telemedicine device can help treat a mental health condition.

Imagine a crewmember aboard a vessel awoke his captain in the middle of the night and admitted to having severe anxiety, depression, and thoughts of wanting to jump off the ship into the ocean.

The captain’s first call is to his maritime telemedicine support service. From there, he’s connected to an emergency medicine physician who will assist him in treating his crewmember. The physician instructs the captain to immediately implement suicide precautions by confining the crewmember to a safe room that’s free of dangerous objects.

Next, a psychiatrist connects with your team to perform a telepsychiatric assessment of the patient. They use a remote telemedicine kit using a secure video conference application. This allows the psychiatrist to talk with the patient privately, assess the patient’s level of agitation, psychological history, and determine his risk of immediate further decompensation.

It’s at this point that an important discovery is made. The patient reveals that he stopped and then restarted his anti-depressant medication. As a result of the assessment, the doctor prescribed anti-anxiety medication and recommended that suicide precautions be maintained while aboard the vessel.

The doctor determined that the patient was fit to fly if accompanied by a repatriation team consisting of a paramedic and an assistant who are equipped with proper medication to assist the patient with his travel.

When the vessel eventually reached port the next day, the patient connected with the repatriation team where he was escorted to a psychiatric facility in the United States.

Stories like these happen all the time while out at sea. You can’t predict when an individual will have a mental breakdown, succumb to depression, and other factors. But you can equip yourself with the right tools to properly handle these situations.

Remote Telemedicine Devices and Telepsychiatry Can Make the Difference

Telepsychiatric assessment in mental health emergencies is an established practice and improves access to care for patients in maritime and remote land-based environments.

It can make the difference when a crew member is suffering from a debilitating mental condition. Your DMOs don’t always have the training required to make decisions when it comes to mental health. But connecting with a doctor or psychiatrist through remote telemedicine devices solves this problem.

What processes and solutions does your vessel have in place to handle mental health issues?

The Value of a Properly Stocked Medical Chest and Equipped Telemedicine Kit

Thu, 18 Jul 2019 18:01:29 GMT

A medical emergency can happen at any time when you are at sea for a week or a year. While nothing can replace the peace of mind that comes with 24/7 telephonic access to a doctor, you can significantly enhance your medical care through a properly stocked medical chest and equipped telemedicine kit.

Now instead of being the exception, the combination of these two items is becoming the norm.

A properly stocked medical chest is designed to support the treatment of injuries or illnesses you may encounter during your voyage. The contents of your medical chest depend on the size of your vessel, the number of crew and passengers, and how far you are travelling.

There are a variety of configurations, some of which include narcotics, oxygen, IV kits, and more. I suggest you communicate with your medical supply provider to determine your specific needs. Once you obtain your medical chest, it’s just as important to ensure your telemedicine provider has an updated inventory list. So, make sure you keep them up to date whenever you restock or make any changes to your inventory.

What Are the Benefits of Telemedicine Kits?

The current standard for remote medical support is through the vessel’s satellite phone. While this provides access to critical remote medical support, a telemedicine kit with built-in video conferencing that’s specifically designed to be used over satellite or cellular communication networks could significantly enhance that level of care you are seeking.

A properly equipped telemedicine kit assists the remote medical specialist (doctor) in making a more accurate diagnosis, allowing them to provide better medical care and to reduce the likelihood of diversions. This is a significant enhancement compared to the doctor using a phone to talk with the patient or the Designated Medical Officer (DMO) listening to them describe the situation and making a diagnosis based on that they are being told.

Having the ability to use a video conferencing application in a telemedicine kit increases the chances that the right diagnosis is made. The telemedicine kit ‘virtually’ brings the doctor to the patient’s bedside. Together, the doctor (your private physician or contracted medical specialist) and the DMO (which can be either a trained crew or family member) work together as a team to diagnose and treat the patient effectively.

Although crew and certain family members (especially family members with children or parents with special medical needs) should be familiar with the contents of a medical chest and the operation of a telemedicine kit, they may forget their training during an emergency situation due to the heightened emotion that occurs in these scenarios.

They may have never been trained in the use of a medical chest or telemedicine kit, or they just don’t deal with emergencies that well. Either way, the simple color-coded layout of a medical chest makes it easy for the doctor to guide the DMO in selecting the correct bandage or medication. An intuitive, easy to use telemedicine kit with remote control features, allowing the doctor to remotely activate and control certain features on the kit, which can ease some of the burden placed on the DMO while they are dealing with the patient.

What Features Are Essential in a Telemedicine Kit?

Certain built-in features on the telemedicine kit can assist the DMO in dealing with the medical emergency. A few features you should look to have on your telemedicine kit include:

An integrated camera to provide the doctor with an overall firsthand view of the situation so they can see what they are dealing with.
A hands-free speakerphone that allows the DMO to converse freely with the doctor as if they were in the same room, while freeing up their hands and allowing them to focus on the patient.
An interactive wizard feature that assists the DMO in administering treatment as required.
Functionality that lets doctors remotely access the microphone, adjust video quality, bandwidth consumption rates, and capture still images as required.

All of these features are designed to facilitate the delivery of treatment during medical emergencies. Telemedicine kits allow for quick and thorough examinations that aim to enhance the quality of care that an individual receives.

An Example of Telemedicine in Practice

Your DMO is expected to work with the doctor during a medical emergency. Let’s assume the DMO is using one of the kit’s cameras (such as an otoscope) to provide the doctor with a real-time view of the inside of the patient’s ear.

The doctor can remotely record the video and command the camera to take a still image, automatically sending it to their computer desktop so they can study it more closely. This not only captures the specific image the doctor wants to see for closer examination, but it also alleviates the DMO from performing an unnecessary task and allows them to continue to focus on positioning the camera and the patient’s comfort.

If the doctor determines there is an infection, they can refer to the medical chest inventory list, and guide the DMO in the quick selection of the proper antibiotic and recommended dressing using the chest’s color-coded labeling system.

Telemedicine kits are a communication and diagnostic tool, and when combined with a properly stocked medical chest, they become part of the overall medical solution. Together with the doctor and DMO, the level of medical care for your crew and family is significantly enhanced and contribute to a safe and enjoyable voyage.

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Is Maritime Telemedicine on the Way to Becoming Mandatory?

Sat, 22 Jun 2019 12:20:45 GMT

Late last year, Martyn Wingrove of Riveria Maritime Media reported that the commercial maritime industry is making moves towards adopting telemedicine as a requirement aboard commercial vessels. Wingrove argued in favor of the rights of shipboard workers to have access to the timely, life-saving care that maritime telemedicine provides, and pointed to recent developments that suggest this legislation is not far off.

Wingrove notes in his article that the International Labour Organization (ILO) member states adopted telemedicine as early as 2006, but actual implementation has been slow to roll out. Private firms and research organizations that deploy vessels for months at a time have also seen success with adopting maritime telemedicine kits for their crew and staff. In Alaska, fishing operations of all sizes have equipped their vessels with mobile telemedicine to shield themselves against some of the roughest ocean conditions in the world. In a climate where hypothermia can happen in minutes and frostbite can cause lost limbs, access to immediate care is rightfully deemed essential. In the fishing industry in any country, an unscheduled port visit can significantly impact the seasonal revenue of that vessel. The lost work time for the whole crew cannot be recouped when work is seasonal and access to fishing grounds are restricted by government regulations. A single vessel out of commission can be a major loss to a small or medium size fleet.

Wingrove argues that the first step to ensuring the widespread adoption of maritime telemedicine would be to include it as a right in the Maritime Labour Convention (MLC) charter. This would represent a major shift in thinking on telemedicine, and would likely increase both demand for telemedicine kits and the cost of individual units.

So how can you get ahead of the curve? As a maritime operator, outfitting your vessels with telemedicine kits is a considerable investment, but even a single incident aboard a ship can recoup the cost of one or more kits if using it avoids a medevac or a re-route to shore. It has also been shown that telemedicine kits have a beneficial effect on crew morale and stress levels.

Additionally, through encrypted video conferencing, which should be a standard with any telemedicine kit, private remote counselling sessions can be provided, which have been proven to be very beneficial. This could reduce the number of accidents in the long term and contribute to a more productive crew. In situations where vessels are at sea for weeks or months at a time, this investment in both physical and mental health can reduce the high turnout rate that many maritime companies face. If your workforce includes highly skilled workers who are both highly paid and hard to recruit, the money invested in telemedicine might be recouped in savings on recruiting efforts alone.

Investing in telemedicine just makes sense. A proactive approach to medical care may save the life of one of your employees, and that is priceless.

Sources:

https://www.marinemec.com/news/view,telemedicine-should-be-mandatory-on-ships_55966.htm

https://mhealthintelligence.com/news/alaskas-maritime-industry-looks-to-telemedicine-to-save-lives

DigiGone Case Study 6: Remote Laceration Suturing at Sea

Thu, 23 May 2019 12:23:11 GMT

The value of maritime telemedicine is most easily found in serious but non-life-threatening injuries and accidents aboard vessels. Having a telemedicine kit on board a ship means that a doctor’s care is always at hand, even when the nearest port is hours away.

One such example is of a crew member whose ship was midway across the Atlantic when he slipped and fell, striking his head and lacerating his scalp. He was brought to the onboard infirmary where the designated medical officer contacted their medical service provider with the digiMed telemedicine kit.

Using the various diagnostic tools and cameras, the doctor they contacted remotely examined the injury and conducted a neurological survey of the crew member. With the help of another crew member holding the kit’s remote video camera over the injured member’s laceration, the doctor guided the designated medical officer in cleaning and suturing the three-inch laceration in the crew member’s scalp. The vessel was in rough seas at the time, but with the help of the doctor, the medical officer was able to complete his work successfully. After the examination and suturing, the physician determined that there were no neurological issues. The crew member and the vessel continued on their course, crisis averted.

Without a telemedicine kit, this injury would have certainly required a medivac or an immediate reroute to port. Considering the potential for neurological damage, waiting for medical attention on shore could even be life-threatening in such a case. Telemedicine is immediate. The doctor was able to assess the crew member’s potential neurological injuries within minutes in this case, and guide the suturing of the laceration. Without the telemedicine kit, the vessel would have been redirected to the nearest port with a hospital equipped to handle head trauma, a major expense resulting in lost time for the entire crew.

In this case, the shipping company was able to save between $75,000-$150,000, more than recouping their investment in mobile telemedicine in a single instance. The immediate access to care was also very important to the crew member and his coworkers, enhancing their feeling of safety aboard their vessel. The peace of mind that a telemedicine kit provides is invaluable, especially when an injury on board a ship is treated quickly and expertly through the use of telemedicine.

Repairing and Refitting Your Yacht: Florida is the Destination

Wed, 08 May 2019 14:47:30 GMT

The County of St. Lucie, Florida recently announced a partnership with Derecktor Shipyards to operate a repair facility for mega-yachts called Derecktor Ft. Pierce (DFP), the first mega-yacht repair center in the United States.

Owners of vessels over 200 ft. are surely welcoming the news. Sailing vessels requiring huge overhead clearance have been until now very hard to service in the U.S., and all large yachts that draw water at a greater than average depth have also been serviced internationally. Yacht owners in Florida particularly are welcoming the news.

This new yard, slated to be open for business by 2020, will be the only one in the country fully capable of service and repair for the international mega sail fleet. The drydock is planned to accommodate yachts up to 4000 tons. Nearly every yacht owner in the country will now be able to have their vessel serviced domestically.

While your yacht is in drydock is a great time to consider other upgrades to improve the safety and comfort of your vessel. This may include renovation or redecorating, but you should also give consideration to the less-obvious improvements. Are you prepared for emergency situations? Outfitting the deck and interior berths with alarm systems and cameras where needed ensures that fires, leaks, hull damage or intruders can be caught early, keeping your guests and crew as safe as possible.

Medical emergencies should not be overlooked in your upgrading expenditure. No one wants to plan for an accident or injury, but they do happen. When the cost of an airlift or rerouting your yacht to make port at top speed can easily add up to the tens of thousands, the cost of outfitting your vessel with a telemedicine kit becomes a sure-bet investment. Recently, one of our clients experienced a medical emergency when they were only twelve hours into the maiden voyage of their brand new megayacht. Fortunately, the had our digi+Doc® telemedicine service coverage and a diversion was avoided. Telemedicine services and kits offer the peace of mind of a doctor on-call, 24/7. If you’re travelling with elderly guests or young children, knowing that emergencies can be handled quickly, with expert care, makes everyone on board feel easier in their minds.

Source:

https://www.marinelink.com/news/new-megayacht-repair-center-coming-465171

Maritime Telemedicine: Capital Expense or Cost-Saving Investment?

Fri, 19 Apr 2019 15:32:57 GMT

In the world of commercial maritime transportation, the costs of diverting a ship for a medical emergency can be astronomical. But there are other factors to consider besides missed shipping deadlines, and there are costs beyond time and money. What is the value of your clients’ trust, for example? What is the value of a derailed project or lost access to knowledge and information?

Recently, Genavir, the French Research Institute for Exploitation of the Sea’s fleet (IFREMER), installed telemedicine kits aboard five of their vessels in order to prevent not just loss of life or limb, but also work interruptions. This research institute’s mandate is to add to the body of knowledge about underwater life through maritime exploration. Thereby, much of their funding for expeditions comes from the public purse by way of the French government.

Their research expeditions may take them far away from a port of call for two or three months at a time. If a vessel is diverted during a voyage for a medical emergency, the impact is devastating. The carefully planned research may be scrapped entirely, as it will not be possible to raise additional funding to begin again. Public funds are wasted on an expedition that has incomplete, often unusable results. The Institute may even become a funding risk in the eyes of politicians who will find themselves unwilling to divert more public money into a research institution that has failed to deliver on their funding promises.

This scenario could happen to any research facility or commercial maritime enterprise. IFREMER’s foresight in equipping their vessels with telemedicine kits ensures that if a medical emergency happens, their team can deal with it in the most efficient way possible. If a crew member or a researcher sustains an injury, timely access to medical care can ensure the research will continue uninterrupted.

Mobile telemedicine is an excellent cost-saving measure for commercial maritime industries. The cost of a unit aboard a vessel is much less than the cost of an emergency medevac, and the costs for diverting to an unscheduled port can be incalculable if they cause a partnership to break down over a missed shipment deadline. The boost to morale and confidence of your crew is also inestimable. Knowing that mobile telemedicine is available is like having a doctor on-call 24/7. Telemedicine kits are not just for dire emergencies. Accidents like slips, trips and falls or cuts and abrasions are common on board ships, and the advice of a doctor can prevent the injury from becoming more serious.

Sources:

https://www.marinemec.com/news/view,telemedicine-should-be-mandatory-on-ships_55966.htm

https://marlink.com/integrated-telemedicine-solution-supports-genavir-crew-and-scientist-welfare/

Medical Care When You’re “Out There”: Telemedicine Kits Prevent Offshore Emergencies

Tue, 09 Apr 2019 17:24:47 GMT

Did you know that if you’re sailing in a remote area, you may be beyond the reach of an airlift emergency helicopter when a medical crisis strikes? If you’re planning an extended cruise in your yacht, particularly if you will be far offshore, you should consider the potential a telemedicine kit has to prevent or mitigate disaster while you spend extended time on your yacht.

Even infections or fevers that are not considered serious on-shore can be life-threatening when you remove the possibility for medical help by being miles out at sea. If you’re island-hopping or taking a tour of an equatorial area, malaria is a constant risk. Normally malaria may require a short hospital stay, but if you are far away from early intervention medical treatment, this infectious disease can be fatal. With modern mobile telemedicine you can get a doctor’s advice as soon as anyone on board your yacht is experiencing symptoms, and communicate with the doctor in high-resolution images and video. New telemedicine kits also allow video to be recorded.

Your yacht is likely already stocked with The Ship Captain’s Medical Guide. The latest edition is coauthored by Dr Spike Briggs, a lifelong sailor and competitor in around-the-world yacht races. As an expert on remote healthcare, Dr. Briggs is a champion of mobile telemedicine on board ships and other sailing vessels. His expertise is convincing yachters the world over of the importance of telemedicine in ensuring the safety and security of everyone on board your yacht, guests and crew alike.

With advances in satellite communications, including reduced costs for the services, marine emergency medicine has evolved. You may be surprised at the advanced level of care that can be provided remotely.

When sailing with your family, even a minor injury has the potential to spoil the fun. An investment in a medical chest and telemedicine kit can prevent a costly diversion to shore and keep everyone on board comfortable. It’s like having a doctor on board wherever you go, and that can be an asset for family members will chronic illness or preexisting conditions.

Telemedicine in South Africa: New Investments, New Opportunities

Wed, 03 Apr 2019 13:21:45 GMT

In South Africa this year, telecommunications companies Rain and Nokia announced that they intend to roll out 5G network services across the country through 2019 and 2020. This is not only welcome news to South Africa’s growing population of 56.72 million residents, but also for healthcare providers in the region. A widespread, fast mobile network will make it easier to deliver telemedicine through remote video retrieval to areas of greatest need in the country.

It is estimated that across the African continent, 60% of people live in rural areas where healthcare infrastructure can be largely absent. Certainly in South Africa, social services tend to be clustered in cities where access and wealth go hand-in-hand. For those living outside urban centers, getting medical attention can be extremely difficult. Mobile telemedicine represents a growing opportunity to create jobs in South Africa, and ensure the entire population has equal access to healthcare services.

A recent report suggested that one of the biggest threats to the economy across the continent was malaria: a curable and often preventable disease, but one that normally requires a hospital stay that puts workers out of commission. In rural areas, malaria becomes more serious. Without medical attention the disease can be lethal, especially to children and seniors.

Telemedicine kits have a high ROI: They are not only useful in emergencies, but can connect people living in rural areas to a doctor for more minor concerns, or for ongoing care and monitoring of chronic conditions. With new high speed networks on the way, mobile telemedicine is becoming not just a nice-to-have for emergency healthcare services in rural areas, but a genuine option for delivering equal quality of care to South Africans across the country. Ideally, those living in rural and underserved areas could have access to a family doctor through a local telemedicine kit station, and be able to develop the kind of relationship with a doctor that those living in urban areas enjoy. Ongoing health monitoring leads to better outcomes: A healthier population strengthens the economy and leads to greater opportunities for all of Africa.

Invest in Your Safety: Outfit Your Yacht with a Telemedicine Kit

Wed, 20 Mar 2019 14:51:57 GMT

If you think the ROI on a telemedicine kit is too low, consider this: A medivac helicopter costs a minimum of $35K, or nearly twice the initial cost of purchasing a telemedicine device. When the health and safety of passengers and crew aboard your vessel is on the line, you’ll find an ounce of capital investment is worth a pound of cure.

Of course, the value of saving a life is incalculable. But for less serious injuries, the costs add up fast: Burning additional fuel, air ambulance or other emergency health services, and diverting your party from their destination. With modern mobile telemedicine you can virtually bring a doctor to a patient with high-resolution images and video, recorded in real time. A telemedicine kit is an investment in the safety and security of everyone aboard your yacht, and the ROI can be recouped after a single health emergency.

However, your investment can still pay before the need to use the device ever presents itself. Knowing that you’re keeping everyone aboard your yacht safe, including friends and family, can take a lot of the potential stress out of planning a long cruise, or travelling with anyone who may be elderly or have preexisting health conditions.

Most yacht owners invest a great deal in security, including camera systems and other costly technology. A telemedicine kit should be considered a part of this essential equipment that allows the smooth management of your vessel to remain a top priority. The comfort of everyone on your yacht is always a consideration, and the peace of mind that mobile telemedicine provides may be the essential piece you are missing.

Our digiMed Five Plus Telemedicine Kits are not only for dire emergencies. Communicating with a doctor on shore makes treating a minor injury or health concern much easier. Instead of waiting until you can make port or racing to your destination and burning excessive amounts of fuel, the early intervention from a qualified doctor can allow the comfort and enjoyment of your guests to remain at a high level, whatever your location.

Reducing Lost Time Injuries Aboard Your Vessel with Telemedicine Kits

Tue, 26 Feb 2019 15:20:27 GMT

The specialized work that takes place aboard fishing and shipping vessels calls for highly-trained, skilled workers. According to the CDC, commercial fishing is one of the most dangerous occupations in the US. Likewise, maritime transportation work has a fatality rate 4.7 times higher than average. Some 400,000 people are employed in maritime industries in America alone. Beyond life-threatening injuries, these workers face the risk of less serious injuries every day that may still take them away from their duties and cost employers money in providing emergency health services.

Telemedicine devices, like our digiMed Five Plus Telemedicine Kit are not only for medical emergencies, or for remote areas where doctors are scarce. If you are onboard a vessel and far from port, communication with a doctor on shore can make treating a non-life-threatening injury much easier, and can reduce lost time for your crew. Injuries from slips, trips and falls, cold or heat stress, or cuts and abrasions all benefit from early intervention to ensure symptoms do not worsen. Maritime telemedicine protects your crew with access to a doctor, whatever your location.

Maritime telemedicine has benefitted from advancements in satellite coverage as well as hardware upgrades that allow for higher-resolution images and video, recorded in real time. This is also beneficial as a record for insurance purposes when your employees are filing claims. Early access to medical intervention means better outcomes, vs. waiting to land in a port, sending emergency lifeboats or helicopters to shore, or the even more costly option of work stoppage for the whole crew when vessels are required to dock for medical emergencies.

Telemedicine devices are an excellent investment for modern maritime industries in the U.S. Most companies know the cost of hiring and replacing highly-skilled employees on board their vessels. Give your workplace a competitive advantage by assuring your crew they have the best access to healthcare available. The investment in a telemedicine kit may be one that pays in saving lives, or one that pays in smaller ways by giving your crew peace of mind and easy access to care when they receive minor or moderate injuries.

Sources:

https://www.cdc.gov/niosh/topics/maritime/

https://mhealthintelligence.com/news/alaskas-maritime-industry-looks-to-telemedicine-to-save-lives

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