Table 2.
Telemedicine experience on cardiovascular emergency reported on the national Ministry of Health website www.onecare.cup2000.it (1 November 2015)
| Region | Project | Area | Descrizione | Connectivity | Tools |
|---|---|---|---|---|---|
| Basilicata | TELESAL | Region | Satellite communication technologies to improve or enable telemedicine applications and services | Satellite | |
| Rete cardiologica SCA | Region | Avoid unnecessary hospitalization, enable early pharmacologic treatment of acute myocardial infarction, primary angioplasty, thrombolysis, prevention of heart failure | GSM | Lifepak 12 Medtronic | |
| Campania | Sistema di Telecardiologia in emergenza | City of Benevento | Activation of telediagnosis for patients with suspected AMI, triaged at emergency department and mobile stations; the goal is to record a pre-hospital standard electrocardiogram (12-lead) immediately, transmitted to a telemedicine hub, with the aims of an early diagnosis, a timely treatment, and a fast transfer | Telephone line | Monitor ECG/defibrillator |
| UMTS/GPRS | |||||
| Progetto per la diagnosi, trattamento precoce e trasporto assistito presso strutture specializzate del paziente con patologie cardiovascolari acute ai fini della riduzione della mortalità preospedaliera | City of Avellino | EMS electrocardiogram sent to Ariano Irpino CCU. | Telephone line | ||
| Emilia Romagna | Trasmissione telematica di ECG verso l'Unità Terapia Intensiva Coronarica dell'Azienda Ospedaliera di Reggio Emilia | City of Reggio Emilia | The telemedicine hub located in the Azienda Ospedaliera Arcispedale Santa Maria Nuova enable the on-duty 24/7 cardiologist to confirm the diagnosis of STEMI eligible for primary PCI. | UMTS/GPRS | Lifepak 12 |
| Gestione Emergenza Extra-Intraospedaliera | City of Forli’-Cesena | Condirmation of STEMI diagnosis | UMTS/GPRS | ||
| Piemonte | S.C. Servizio emergenza sanitaria territoriale 118 Provincia di Alessandria | Region | Since 2011 transmission of 12-lead ECG and clinical data from EMS ambulance to dispatch centre and from this to cathlab for primary PCI | UMTS/GPRS | Mobimed Ortivus |
| Puglia | La Telecardiologia per il 118 nella Regione Puglia | Region | Pre-hospital 12-lead electrocardiogram to a single telemedicine hub with dedicated cardiologists active 24/7 for pre-hospital diagnosis of cardiovascular emergency, STEMI and cathlab alert for primary PCI | Telephone line | CardioVox P12 |
| UMTS/GPRS | |||||
| Sicilia | Telecardio SEA Project | City of Trapani, Egadi Island, Pantelleria | Pre-hospital diagnosis of STEMI and arrhythmias | Electrocardiograph, blood pressure, and saturation data transmission | |
| Toscana | Telelettura ECG in emergenza territoriale da parte della centrale 118 | District of Florence | Pre-hospital ECG (nurses) transmitted and diagnosed by cardiologist in CCU | Broadband | |
| Percorso diagnostico terapeutico dell’Infarto Miocardico Acuto | City of Massa Carrara | UMTS/GPRS | |||
| STEMI: trattamento dolore toracico acuto non traumatico | City of Lucca | ECG transmission to EMS dispatch centre and CCU of Versilia Hospital | Telephone line | ||
| UMTS/GPRS | |||||
| 118 Cuore | City of Empoli | Telephone transmission to CCU of ECG | UMTS/GPRS | ||
| Progetto pilota di teleconsulto su mezzo mobile | City of Prato | TelediagnosisTeleconsultation | Satellite | Electrocadiograph and Videocamera | |
| Gestione telematica delle emergenze coronariche per l'attuazione preospedaliera della Trombolisi Sistemica | PIstoia | Pre-hospital ECG transmission to CCU and pre-hospital fibrinolysis. | UMTS/GPRS | ||
| Collegamento Auto Medica 118-Centrale Operativa | Siena | Teleconsultation between EMS dispatch centre and ambulances | UMTS/GPRS broadband | Defibrillator/monitor, multichannel router, PC. | |
| Bluetooth | |||||
| Rilevazione e refertazione di ECG nel Carcere di Sollicciano | Prison of Sollicciano | Remote electrocardiogram transmission and interpretation | GSM | electrocardiograph, blue tooth and laptop. | |
| Data are transmitted to Torregalli Hospital as PDF and after to a hub in Florence | |||||
| Umbria | Trattamento Ottimale della Sindrome Coronarica Acuta (TOSCA) | Part of Umbria | Teleconsultation between EMS ambulances and CCU of Perugia | UMTS/GPRS | |
| Valle d’Aosta | Partout Sanita’ - E-refuge | Region | Video conference and data-transmission from Alpine shelters for teleconsultation (EMS, CCU) | UMTS/GPRSBluetooth | |
| Partout sanita’—video/telepresenza | Region | Video conference for EMS | UTMS/GPRS | ||
| STEMI | Region | Network for online read of ECGs | Defibrillator/monitor, electrocardiograph, blood oxygen |
PCI, percutaneous coronary intervention; STEMI, ST-elevation myocardial infarction; EMS, emergency medical service; CCU, cardiology care unit.