Telemedicine911.com is a complete solution for telemedicine emergencies

What would you do if your patient was having a stroke or was suicidal during a telemedicine visit?

 

Does your emergency protocol protect your patients and your practice?

 

Use Telemedicine911 for a reliable, immediate, evidence-based emergency response for remote patients.

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Coordinate and Handoff Care Anywhere

Telemedicine911 is a web based platform which allows you to hand-off care to 911 emergency services where your patient is located. Message and talk to 911 dispatch to request the level of response and destination facility for your patients. Air®GeoLocate patients when their address is unknown. Confidently handle emergencies in any situation

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Why Telemedicine911?

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Route to the correct
911 dispatch

When you call 911, you reach your own local dispatch, not the dispatch where your patient is located.  Moreover, dispatch centers are regionally and state siloed.  Reach the correct 911 dispatch anywhere in the United States and ensure a priority 1 pickup and response.

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Send text to
the 911 dispatcher

Telemedicine911 enables you to hand-off care both in writing and verbally.  “Sound alike” critical information is displayed on the dispatch screens so there are no mistakes with location, response level, and destination facility.  

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On-screen
clinical guidance

Our evidence based on-screen clinical guidance allows providers to give quality hand-off to 911. This has been shown to reduce medical error, reduce adverse events, and improve outcomes.

"When my patient has an emergency in the hospital or my office. I take responsibility to handoff or transition care appropriately by coordinating the emergency response," says Dr. Jon Ditkoff, an ophthalmologist in Bloomfield, NJ. "We should have the same standard of care for telehealth."

Buy Now and Be Ready

 How Our Hand-off Works

Step 1

Enter Text Request

Enter your patient’s name, request ALS or BLS response, and designate the destination facility.  When you talk to 911 this text will be sent to the 911 dispatcher handling the case.

Step 2

Air® GeoLocate Patient

Air® Geolocate the patient’s mobile device or enter the patient’s location to ensure the ambulance goes to the correct address, room, and floor.

Step 3

Talk to 911

Directly talk to the 911 dispatcher where your patient is located. 

On-screen guidance helps reduce medical error and improve outcomes.

 
  1. The Joint Commission, “Inadequate Hand-off communication” Sentinel Event Issue 58, 2017

  2. A. Starmer et al, “Changes in Medical Errors after Implementation of a Handoff Program.”  New England Journal Of Medicine, 2014 Nov; 371:1803-1812

  3. Centers for Medicare & Medicaid Services, “Transitions of Care (TOC) Measures in Stage 2 Summary of Care Objective” 2014

  4. Joint Commission Center for Transforming Healthcare; “Hand-off Communications Targeted Solutions Tool” 

  5. Brown TW, McCarthy ML, Kelen GD, Levy F. An epidemiologic study of closed emergency department malpractice claims in a national database of physician malpractice insurers. Acad Emerg Med. 2010;17:553-560.

  6. CRICO Strategies. Malpractice risk in communication failures; 2015 Annual Benchmarking report, Boston Massachusetts: The risk management foundation of the Harvard Medical Institutes, Inc, 2015.  

  7. Colwell et al, “Claims against a paramedic ambulance service: a ten-year experience”  J Emerg Med, Nov-Dec 1999  17(6):999-100

Telemedicine911 Use Cases

The cases below are common real patient cases.  Names, images, and details have been changed for privacy purposes.

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Psychiatric Crisis

A depressed female is on a laptop video consult with Dr. Chiu.  She says she wants to kill herself by stepping in front of a train. Despite video de-escalation measures, she says again she will kill herself and closes the laptop.  Dr. Chiu uses Telemedicine911 and coordinates both EMS and Police to the route nearest the train tracks and met her in transit.  Over 200 people died in 2018 in the New York metro area from completed suicide by train tracks alone.  Suicide is the 10th leading cause of death in the United States and a top use of the Telemedicine911 system.

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Home Monitoring​

A 55-year-old female was being evaluated for COVID-19 exposure and monitored on mobile cardiac telemetry (MCT).  She was being managed by Nurse Practitioner Macadams who was 130 miles away.  The patient had a history of cardiac arrhythmia and poor compliance with beta blockers.  NP Macadams noticed an alarm on the remote monitor and started a video conference with the patient.  The patient was in full supraventricular tachycardia (SVT).  She had no chest pain but felt light headed.  NP Macadams activated Telemedicine 911 with COVID-19 precautions and contacted Dr Chiu.  Paramedics arrived in minutes with PPE protection for COVID and initiated treatment on site with an IV, fluids, and first dose of beta blockers.  The patient was transported to the ED where her heart rate normalized.

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After Hours Phone Call

A 74 year old male calls your office because he is having epigastric and chest pains.  The after hours answering service gets you on the phone.  The patient says he usually has pain when he eats spicy foods, but this time it has lasted longer and feels more like a squeeze.  Antacids were not helping.  He has a history of CAD.  His niece insisted he call his doctor.  You ask him to call 911, the patient agrees, and you hang up. 

Thirty minutes later you called him back to see how things are going.  His niece picked up and said he did not call 911 because he was afraid of getting COVID at the hospital and did not want to go.  You talk to the patient again and activate Telemedicine 911.  He arrives in the ED and is shown to have an inferior wall MI. 

When patients have chest pain, they hesitate to call 911 for an average of 3.5 hours.  Even if you tell the patient to call 911 and hang up, they still hesitate.  Telemedicine911 allows you to talk directly with 911 dispatchers and direct them to send your patients to cardiac centers with cath labs rather than the closest emergency room which may not be equipped. 

Time is heart muscle.  Your Telemedicine911 response gets the patient to the right facility without hesitation.  If the patient were in your office, you would coordinate 911, not your patient.  Take control of the situation

This same doctor has had 3 patients die in 2020 due to reluctance to call 911 and go to the hospital.

Image not from actual case

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Radiology Callback  

A 42 year old patient was seen in the Emergency Department for a headache after a fall.  The CT Head was normal as per tele-radiology.  The patient left and went home to a different city.  The next day on follow up the patient was found to have a subdural hematoma which was missed on CT.  When the doctor called, the patient’s headache had worsened and he was somnolent.  He coordinated the emergency with telemedicine 911 to take the patient to their affiliated facility with Neurosurgical ORs. 

The patient completed the procedure within the hospital system, had a short post op stay, and was discharged home to follow up. About 30% of malpractice cases originate from a communication breakdown with nearly half in the ambulatory setting.5 Nearly 35% of EMS and 911 malpractice dollars lost are due to claims related to medical negligence and all parties may be at fault.6  In an established provider patient relationship, failure to activate 911 in a remote emergency may be considered breach of duty and negligence.