{"id":25098,"date":"2016-09-22T23:39:49","date_gmt":"2016-09-23T06:39:49","guid":{"rendered":"http:\/\/spijue.wpengine.com\/news\/satellite-technology-beams-expertise-to-remote-clinic\/"},"modified":"2016-09-22T23:39:49","modified_gmt":"2016-09-23T06:39:49","slug":"satellite-technology-beams-expertise-to-remote-clinic","status":"publish","type":"post","link":"https:\/\/www.juneauempire.com\/news\/satellite-technology-beams-expertise-to-remote-clinic\/","title":{"rendered":"Satellite technology beams expertise to remote clinic"},"content":{"rendered":"

ANCHORAGE<\/strong> \u2014 The only clinic in one of the nation\u2019s busiest commercial fishing ports is so remote that even conventional telemedicine for emergencies has been impossible for its limited staff \u2014 until this week.<\/p>\n

Starting Thursday, a new partnership with an Anchorage hospital will virtually beam critical care doctors 800 miles away to the emergency room on the island that holds Dutch Harbor, the operations base for the Bering Sea crabbing fleet made famous by the Discovery Channel show \u201cDeadliest Catch.\u201d<\/p>\n

But instead of transmissions with fiber-optics, which are nowhere near isolated Unalaska Island, the team putting together the system is relying on satellite technology in what is believed to be a first in the country for telemedicine. The new connection is expected to boost outpatient care as needed by clinic staffers, including its two non-emergency doctors.<\/p>\n

The clinic, Iliuliuk Family and Health Services, brings to nine the number of providers served by the electronic intensive care unit at Anchorage\u2019s Providence Alaska Medical Center.<\/p>\n

\u201cWe are kind of mix-mashing everything together to try to make this work,\u201d Sharon Compton, services manager of Providence\u2019s eICU office, said after a recent demonstration of the Dutch Harbor link.<\/p>\n

The new system will provide real-time camera links between emergency doctors and clinic staffers during medical emergencies, such as fishing industry injuries.<\/p>\n

The idea is to help stabilize patients before transporting them out of town and to help with triage during major events like a ship sinking.<\/p>\n

From afar, doctors will be able to view X-rays and patient charts and talk directly with patients on camera instead of consulting with medics by phone and email.<\/p>\n

There are some unknowns about how the system will work, with likely slowdowns in satellite reception because of the region\u2019s notoriously bad weather.<\/p>\n

During the recent demonstration, pre-launch kinks prevented the rolling-cart-mounted camera in Dutch Harbor from being pivoted remotely. But the camera otherwise performed impressively, sending back crystal-clear video of clinic staffers as they chatted with a critical care doctor.<\/p>\n

The new service was lauded by Seattle-based crabbing boat owner Lance Farr, who has been badly hurt twice in his decades of working in the Bering Sea.<\/p>\n

Several years ago, he almost severed a finger in a dockside engine accident. He was stabilized at the clinic before being flown to Anchorage for further treatment. In 1996, Farr broke his foot at Dutch Harbor after dropping an engine on it. He spent the night at the clinic under the care of nurses before being flown out the next day.<\/p>\n

In hindsight, having his care visually monitored by emergency room specialists would have provided a morale boost, as well as invaluable expertise, Farr said.<\/p>\n

\u201cIt would be a good thing, I would think, to have a real physician being able to advise the people out there,\u201d he said.<\/p>\n

The city of Unalaska has just 4,600 year-round residents, but the population swells to 16,000 or more during the region\u2019s two main fishing seasons, when boat crews and processing workers flood the town with dozens of languages and cultures. That means more potential for patients, including people who don\u2019t speak English.<\/p>\n

The clinic averages more than 300 after-hours emergency room visits a year, with about a third of those patients flown elsewhere, often to Anchorage, for more complete treatment.<\/p>\n

Fishing-industry emergencies at sea can mean significant delays to appropriate medical treatments when the injured must first be carried by rescue helicopter to Dutch Harbor. Injuries can range from deep cuts and broken bones to back injuries and amputations.<\/p>\n

\u201cThese guys are pretty tough out here, and they will, you know, continue to fish until they can\u2019t get out of bed anymore,\u201d said James Novotny, nurse practitioner at the clinic.<\/p>\n

The drastically shifting population can put a strain on clinic staffing in this rural setting. So can the inability to afford emergency specialists or much in the way of diagnostic equipment.<\/p>\n

Then there\u2019s the challenge of living in such a far-flung spot, which makes finding and keeping medical staff difficult, according to clinic medical director, Ann Nora Ehret, an osteopathic doctor who has wanted to tap into telemedicine since joining the staff in 2013. Only recently did the clinic hire a second doctor after the position was vacant for more than five years.<\/p>\n

Adding the long-distance help will be invaluable, Ehret said.<\/p>\n

\u201cI think it could be a game changer for recruiting, retention and for the care of the patients,\u201d she said. \u201cWe are getting the support we need in an austere environment.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

ANCHORAGE \u2014 The only clinic in one of the nation\u2019s busiest commercial fishing ports is so remote that even conventional telemedicine for emergencies has been impossible for its limited staff \u2014 until this week. Starting Thursday, a new partnership with an Anchorage hospital will virtually beam critical care doctors 800 miles away to the emergency […]<\/p>\n","protected":false},"author":107,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_stopmodifiedupdate":false,"_modified_date":"","wds_primary_category":4,"footnotes":""},"categories":[4],"tags":[230],"yst_prominent_words":[],"class_list":["post-25098","post","type-post","status-publish","format-standard","hentry","category-news","tag-state-news"],"_links":{"self":[{"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/posts\/25098","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/users\/107"}],"replies":[{"embeddable":true,"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/comments?post=25098"}],"version-history":[{"count":0,"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/posts\/25098\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/media?parent=25098"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/categories?post=25098"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/tags?post=25098"},{"taxonomy":"yst_prominent_words","embeddable":true,"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/yst_prominent_words?post=25098"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}