gms | German Medical Science

43. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen e. V. (DGPRÄC), 17. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen e. V. (VDÄPC)

13.09. - 15.09.2012, Bremen

How can Your iPhone assist You in the ER: introducing the “Handsurgery APP”

Meeting Abstract

  • presenting/speaker S. Dunda - Universitätsklinikum Aachen, Klinik für Plastische Chirurgie, Hand- und Verbrennungschirurgie, Aachen, Germany
  • M. Hilgers - Universitätsklinikum Aachen, Klinik für Plastische Chirurgie, Hand- und Verbrennungschirurgie, Aachen, Germany
  • C. Klaja - RWTH Aachen, Media Computing Group, Aachen, Germany
  • C. Wacharamanothan - RWTH Aachen, Media Computing Group, Aachen, Germany
  • J. Borchers - RWTH Aachen, Media Computing Group, Aachen, Germany
  • N. Pallua - Universitätsklinikum Aachen, Klinik für Plastische Chirurgie, Hand- und Verbrennungschirurgie, Aachen, Germany

Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen. Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen. 43. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 17. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC). Bremen, 13.-15.09.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocFTIVP06

DOI: 10.3205/12dgpraec211, URN: urn:nbn:de:0183-12dgpraec2113

Veröffentlicht: 10. September 2012

© 2012 Dunda et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: The tremendous development in the competitive field of information technology (IT) during the last decade is continously generating new products, especially for the mobile usage. The Apple iPhone is the most widespread mobile device among physicians with 61% of all U.S. physicians owning one at the end of 2011 [1]. A variety of medical iPhone applications (apps) are available to simplify the daily work of physicians. However, most of these applications are only replacing medical reference books. The physician´s work in the emergency department is characterized as non-routine, mobile, context-driven, multi-tasking, time-critical and information-rich [2]. Therefore, in this project we were focused in developing a software not merely as a reference tool but rather a tool for a structured hand examination for physicians confronted with hand trauma patients. Furthermore, this handsurgery app allows the user to apply multiple cases at the same time making the workload in an emergency room more organized.

Material and Methods: To achieve a userfriendly interface different physicians at different time-points have been observed during their work-shift in a surgical emergency department. Patient interaction as well as the complete workflow from admission to discharge was documented using an observation tool. According to the most common hand injuries, diagnostic trees have been compiled for the different regions of the hand (wrist, metacarpal, thumb, long fingers). To realize both, a userfriendly interface as well as realistic 3-dimensional imaging of the hand, human 3D Model (Plasticboy Pictures, Cape Town, South Africa) was implemented and modified using 3ds max (Autodesk, San Rafael, CA, USA).

Results: The physicians observation showed activities including admission, examination, treatment and discharge. However, in most of the cases the workflow was non-linear (see Figure 1 [Fig. 1]) as the patients have to be sent for further examinations (e.g. x-ray) and the physician is commonly interrupted in his workflow due to other emergency patients as well as phone calls. Using the Handsurgery APP the physician can organize his patient files and status (e.g. “sent to x-ray”) and, by following the implemented diagnostic trees, obtaining a detailed examination result of the hand injury. Furthermore, using the iPhone-camera, a complete documentation of each patient file is possible. Finally, with the 3-dimensional imaging the physician can present the injured structures to the patient for further explanations.

Discussion: Mobile devices like the Apple iPhone are widely used and, from the technically view, are able to assist physicians in their daily routine work. Thus, the Handsurgery APP is offering a variety of helping tools like patient documentation with complete examination using the diagnostic trees, photo and x-ray-documentation as well as a userfriendly 3-dimensional interface. With these features, the Handsurgery APP might also become an interactive helping tool between physicians at different locations to decide a possible treatment and the urgency of it.


References

1.
Freshwater M. iPhone and iPad Applications for Plastic Surgeons. J Plast Reconstr Aesthet Surg. 2011;64(10):1397-99.
2.
Yu E, Kealey R, Chignell M, Ng J, Lo J. Smarter Healthcare: An Emergency View of the Problem. The Smart Internet. 2010:9-26.