Bridging the Gap between Ophthalmology and Emergency Medicine in Community-Based Emergency Departments (EDs): A Neuro-Ophthalmology Guide for ED Practitioners

Autor: Kristina Thomas, Cindy Ocran, Anna Monterastelli, Alfredo A. Sadun, Kimberly P. Cockerham
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Clinics and Practice, Vol 11, Iss 4, Pp 919-932 (2021)
Druh dokumentu: article
ISSN: 11040106
2039-7283
DOI: 10.3390/clinpract11040106
Popis: Coordination of care for patients with neuro-ophthalmic disorders can be very challenging in the community emergency department (ED) setting. Unlike university- or tertiary hospital-based EDs, the general ophthalmologist is often not as familiar with neuro-ophthalmology and the examination of neuro-ophthalmology patients in the acute ED setting. Embracing image capturing of the fundus, using a non-mydriatic camera, may be a game-changer for communication between ED physicians, ophthalmologists, and tele-neurologists. Patient care decisions can now be made with photographic documentation that is then conveyed through HIPAA-compliant messaging with accurate and useful information with both ease and convenience. Likewise, external photos of the anterior segment and motility are also helpful. Finally, establishing clinical and imaging guidelines for common neuro-ophthalmic disorders can help facilitate complete and appropriate evaluation and treatment.
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