Research Topic

Physiological Telemonitoring and Interventional Telemedicine in Extreme Environments

About this Research Topic

The popularity of extreme sports and activities in remote areas are steadily increasing together with the number of participants and the related illness cases per year.

The current Telemedicine approach shows evident weaknesses:
• It is based almost exclusively on telephone contact
• There are no automated mechanisms to intercept and prevent critical situations
• It is impossible to send automated alarms in case of need
• It assumes that the injured have available telephone / network coverage
• It assumes that the injured individuals can actively interact with an emergency alarm centre or that possible bystanders can do it
• In the vast majority of cases the health information is collected by telephone interview without any “real time collection” of the patient’s physiological data

As a consequence, all the decisions and actions are prone to significant assessment errors and wrong operative decisions.

Overall Topic Goal
The topic’s goal is to foster real time physiological data recording and tele-transmission - as well as the related technologies - to monitor, record, transmit and process physiological as well as clinically relevant data, together with environmental, geolocation, and body movement tracking information, aimed at providing remote monitoring for research purposes as well as improving assistance, control and guidance to: bystanders, rescuers, health-care professionals, and possibly patients themselves, in case of emergencies in extreme environment such as: diving, high altitude, remote / isolated locations, and space.

The Research Topic aims at receiving manuscripts focusing on research oriented physiological real time monitoring and tele-transmission, related technologies, procedures and tools to also manage real time patho-physiological and environmental information from remote areas and to develop specific algorithms to elaborate such information, to eventually also permit factual remote management of injuries, diseases, accidents occurring in remote areas, through procedures based on advanced bidirectional interventional telemedicine.

The final goals are:
• to provide the scientific and medical community with innovative tools to improve the efficacy of real time physiological and clinical data collection in remote/hostile environments
• to improve the quality of assistance for people in difficulty in remote areas
• to improve efficient differential diagnosis in case of illness or injury occurring in hostile/remote environments and in the absence of medically trained professionals on site
• to improve the management of emergencies needing immediate treatment for both prompt medical evacuation and treatment cost optimization
• to reduce the number of diagnostic errors due to non-correct information provided by patients or bystanders
• to reduce serious consequences of delay in proper diagnosis
• to reduce the fatal cases and the disabling sequelae of remote medical emergencies by a quick and correct diagnosis
• to reduce the delay of appropriate treatment
• to implement specific training programs for remote and onsite operators (medical graduates, paramedics, volunteer rescuers) to maximize the application related aspects of this innovative advanced physiological telemonitoring and interventional telemedicine topic


Important Note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.

The popularity of extreme sports and activities in remote areas are steadily increasing together with the number of participants and the related illness cases per year.

The current Telemedicine approach shows evident weaknesses:
• It is based almost exclusively on telephone contact
• There are no automated mechanisms to intercept and prevent critical situations
• It is impossible to send automated alarms in case of need
• It assumes that the injured have available telephone / network coverage
• It assumes that the injured individuals can actively interact with an emergency alarm centre or that possible bystanders can do it
• In the vast majority of cases the health information is collected by telephone interview without any “real time collection” of the patient’s physiological data

As a consequence, all the decisions and actions are prone to significant assessment errors and wrong operative decisions.

Overall Topic Goal
The topic’s goal is to foster real time physiological data recording and tele-transmission - as well as the related technologies - to monitor, record, transmit and process physiological as well as clinically relevant data, together with environmental, geolocation, and body movement tracking information, aimed at providing remote monitoring for research purposes as well as improving assistance, control and guidance to: bystanders, rescuers, health-care professionals, and possibly patients themselves, in case of emergencies in extreme environment such as: diving, high altitude, remote / isolated locations, and space.

The Research Topic aims at receiving manuscripts focusing on research oriented physiological real time monitoring and tele-transmission, related technologies, procedures and tools to also manage real time patho-physiological and environmental information from remote areas and to develop specific algorithms to elaborate such information, to eventually also permit factual remote management of injuries, diseases, accidents occurring in remote areas, through procedures based on advanced bidirectional interventional telemedicine.

The final goals are:
• to provide the scientific and medical community with innovative tools to improve the efficacy of real time physiological and clinical data collection in remote/hostile environments
• to improve the quality of assistance for people in difficulty in remote areas
• to improve efficient differential diagnosis in case of illness or injury occurring in hostile/remote environments and in the absence of medically trained professionals on site
• to improve the management of emergencies needing immediate treatment for both prompt medical evacuation and treatment cost optimization
• to reduce the number of diagnostic errors due to non-correct information provided by patients or bystanders
• to reduce serious consequences of delay in proper diagnosis
• to reduce the fatal cases and the disabling sequelae of remote medical emergencies by a quick and correct diagnosis
• to reduce the delay of appropriate treatment
• to implement specific training programs for remote and onsite operators (medical graduates, paramedics, volunteer rescuers) to maximize the application related aspects of this innovative advanced physiological telemonitoring and interventional telemedicine topic


Important Note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.

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Submission Deadlines

16 October 2020 Abstract
08 January 2021 Manuscript

Participating Journals

Manuscripts can be submitted to this Research Topic via the following journals:

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Topic Editors

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Submission Deadlines

16 October 2020 Abstract
08 January 2021 Manuscript

Participating Journals

Manuscripts can be submitted to this Research Topic via the following journals:

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