Wow: AI vs primary care physicians in simulated video consultations. AMIE (Video) performed as well as or better than PCPs across several clinical competencies - though this does notmean AI is ready to independently treat real-world patients. Clinical reasoning: 90% vs 76% https://t.co/TR17hgH2hd #AI #Healthcare #Telemedicine #Therearenospecificcountriesmentionedinthetweet.
Šodien uzzināju, ka cilvēkam sirds var būt arī labajā pusē😳😳 Stāsts par šo reto parādību - Dekstrokardiju, jeb kā es gandrīz šodien uztaisīju ārkārtas nosēšanos. Beidzās viss labi, bet gāja jautri. Paceļamies no Majami, priekšā 15 stundas gaisā. Tieši uz skrejceļa paģībst viena stjuarte. Sekundes par vēlu, lai kaut ko varētu mainīt. Šī informācija līdz mums nonāk jau tikai esot gaisā. Par laimi. Pārtraukt pacelšanos visticamāk nozīmētu uzspridzināt visas riepas, nobloķēt skrejceļu, atcelt reisu, 300 pasažierus izmitināt viesnīcās, man nākošā Dallasa un Amazon sūtījums, kurš gaida tur pakomātā, arī pa kāju, jo nepaspēšu minimālās 2 atpūtas dienas mājās pēc Ultra Long Haul lidojuma. Kā tiek risināti šādi medicīniski gadījumi gaisā? Svarīgi ir iespējami precīzi noteikt diagnozi, jo griezt atpakaļ pie katra paģībuša pasažiera varētu būt samērā neefektīvi. Parasti filmās uz borta tiek meklēts dakteris. Tas arī tiek darīts, taču viņa funkcija ir krietni mainījusies. Vispirms tiks iedarbināts uz borta esošais telemedicīnas koferis Tempus IC2 (bilde zemāk). Tas ir pēc būtības pilnvērtīgs slimnīcas uzņemšanas nodaļas monitors ar daudz dažādiem sensoriem, ko uzliek pacientam un tas nolasa vitālos parametrus, tādus kā temperatūra, asinspiediens, skābeklis, glikoze, izelpa, co2, un tas spēj arī uztaisīt EKG. Tas ir muļķu drošs, jo stjuartei nav jābūt kardiologam, kas spēj uzlikt EKG sensorus uz cilvēka. Tāpat subjektīvs stresā esoša neprofesionāļa vērtējums par pacienta stāvokli ne vienmēr nāks visiem par labu. Uz borta atrastais ārsts var būt labs zobārsts, vai dermatologs, kas ne vienmēr zinās, kā augstums ietekmē sirds slimnieku vai kā lietot konkrētās aviokompānijas Emergency Medical Kit (EMK). Tempus savāktos datus reālā laikā nodod uz zemes esošajam Medlink dienestam - specializētiem pirmās palīdzības ārstiem, kas 24/7/365 pieejami 8 lokācijās apkārt globusam un specializējušies aviācijas medicīnā (lai gan šādi Tempus atrodami arī, piemēram, uz kuģiem un superjahtām). Komunikācija ar ārstu notiek caur šo Tempus termināli abos virzienos. Ārstam uz ekrāna ir visa diagnostika, turklāt tas spēj pamainīt dažādus diagnostikas parametrus pa tiešo no sava datora. Ir arī tiešs video links. Atkrīt tāda lieka komunikācija, kā - kas tas par reisu, kas tā par lidmašīnu, kāds EMK mums ir uz borta un kur mēs vispār atrodamies, tas viss ir dežūrārstam uz ekrāna. Sanāk tāds kā moderns ārsts, kurš strādā no mājām. Uz borta atrastais ārsts, protams, būs noderīgs, jo Medlink nevar attālināti veikt nekādas manipulācijas, sarežģītākas injekcijas, sirds masāžu, pārbaudīt dažādus refleksus un tml. Būtiska ir arī iespēja tieši caur Tempus nodot skaidras, nepārprotamas un neverbālas instrukcijas, kādas darbības veikt ar pacientu. Medlink ārsts ir lietas kursā par konkrētajā lidmašīnā atrodamo EMK, līdz pat tādai detalizācijai, kas kurā kabatiņā atrodas un ar kādu kodu apzīmēts. Līdz ar to izpaliek minēšana, vai jums šitas ir uz borta un ko vēl tu tur redzi, kā arī neviens neiešpricēs neko nepareizi. Taču šodien EKG sensors neko neuzrādīja. EKG jostu stjuartei uzlika kā jau paredzēts to darīt, un, tā kā tā ir muļķu droša, to pat gribēdams nevar uzlikt otrādi. Rādījumi labākajā gadījumā liecināja par infarktu, un, tā kā vēl nebijām tālu no Majami, Medlink ieteica griezt fiksi atpakaļ, taču uz borta atrastais ārsts saprata, kas par lietu. Visu to uzkabi uzlika uz muguras, tādējādi sensori nonāca labajā pusē un EKG rādījumi atgriezās. Rezultātā paciente jūtas labi, guļ un lido uz mājām (garajos reisos apkalpei ir pilnizmēra gultasvietas noslēptas vai nu pazemē vai griestos, kuras izmanto uz maiņām). #aviationmedicine #telemedicine #flightsafety
The U.S. Supreme Court has temporarily upheld access to the abortion pill mifepristone by blocking a ruling from the conservative 5th U.S. Circuit Court of Appeals that sought to limit its prescription via telemedicine and mail, illustrating the Supreme Court's tendency to counter the 5th Circuit's increasingly right-leaning decisions on social issues. #SupremeCourt #AbortionRights #LegalSystem #US
The U.S. Supreme Court's recent decision to maintain access to the abortion pill mifepristone, countering a ruling from the conservative 5th U.S. Circuit Court of Appeals that sought to limit telemedicine prescriptions and mail dispensing, highlights the ongoing judicial tensions in the country regarding abortion rights and reflects the Supreme Court's role in moderating the more extreme rulings from the appeals court. #SupremeCourt #AbortionRights #5thCircuit #US #LA #TX #MS
The U.S. Supreme Court has temporarily blocked a ruling from the conservative 5th Circuit Court of Appeals that limited access to the abortion pill mifepristone via telemedicine and mail, reflecting ongoing tensions between the two courts over increasingly right-leaning legal interpretations, particularly in cases related to abortion and social issues. #SupremeCourt #AbortionRights #LegalSystem #US #LA #TX #MS
The U.S. Supreme Court has temporarily upheld access to the abortion pill mifepristone by halting a ruling from the conservative 5th U.S. Circuit Court of Appeals that had restricted its prescription through telemedicine and mail, continuing a trend of the Supreme Court countering the more extreme decisions of the 5th Circuit in key legal battles over social issues. #AbortionRights #SupremeCourt #JudicialDecisions #US
The U.S. Supreme Court's recent decision to maintain access to the abortion pill mifepristone, despite a ruling from the more conservative 5th U.S. Circuit Court of Appeals that sought to limit its prescription through telemedicine and mail, highlights the ongoing tensions between federal and state judicial interpretations on contentious social issues. #AbortionRights #SupremeCourt #LegalIssues #US
The U.S. Supreme Court's recent decision to halt a ruling from the conservative 5th U.S. Circuit Court of Appeals preserves access to the abortion pill mifepristone through telemedicine and mail, highlighting the Supreme Court's tendency to rein in the 5th Circuit's more extreme rulings amidst ongoing debates over abortion access in a politically charged environment. #SupremeCourt #AbortionRights #LegalDecisions #US #LA #TX #MS
The U.S. Supreme Court has temporarily blocked a ruling from the conservative 5th U.S. Circuit Court of Appeals that restricted access to the abortion pill mifepristone via telemedicine and mail, highlighting the Supreme Court's ongoing intervention against the more extreme positions of the lower court amidst the contentious abortion debate. #AbortionRights #SupremeCourt #JudicialSystem #US
The U.S. Supreme Court has temporarily reinstated a 2023 federal rule allowing the abortion pill mifepristone to be prescribed via telemedicine and mailed to patients, despite a legal challenge from Louisiana aiming to restrict access, amidst ongoing debates over abortion rights following the 2022 Dobbs ruling. #AbortionRights #Telemedicine #Mifepristone #US #LA
The Supreme Court has upheld the prescription of the abortion medication mifepristone via telemedicine, blocking a lower court ruling that would have restricted access, while President Trump and Xi Jinping's summit revealed differing diplomatic tones, Gulf states conducted secret strikes on Iran, and the U.S. plans to drop fraud charges against Indian billionaire Gautam Adani amid controversial circumstances. #EveningNews #CurrentEvents #Politics #US #CN #IR #SA #AE #IN #NP #TH #TW #RU
In the U.S., abortion pills are increasingly used for terminating pregnancies, especially in states with bans, but a recent ruling by an appeals court reinstated a requirement for in-person acquisition of these pills, leading manufacturers to seek intervention from the Supreme Court amidst a legal battle initiated by Louisiana to uphold its abortion restrictions. #AbortionRights #ReproductiveHealth #Telemedicine #US #LA
The U.S. Supreme Court has temporarily allowed the abortion pill mifepristone to be prescribed via telemedicine and dispensed by mail, reinstating a 2023 federal rule that facilitates access to the medication, amid ongoing legal challenges from Louisiana and anti-abortion advocates. #AbortionRights #Telemedicine #Mifepristone #US #LA
The U.S. Supreme Court has temporarily allowed the abortion pill mifepristone to be prescribed via telemedicine and dispensed by mail, reinstating a 2023 federal rule that facilitates access to the medication, amid ongoing legal challenges from Louisiana and anti-abortion advocates. #AbortionRights #Telemedicine #Mifepristone #US #LA
The Supreme Court has ruled that the abortion medication mifepristone can continue to be prescribed via telemedicine and mailed to patients, blocking a lower court decision that would have restricted access in states with abortion bans, while President Trump and Xi Jinping's summit reveals contrasting diplomatic tones amid ongoing tensions, and Gulf Arab states secretly carry out strikes in Iran, with the U.S. planning to drop fraud charges against Indian billionaire Gautam Adani following a multi-billion-dollar investment proposal. #News #Politics #Art #US #CN #SA #AE #IR #IN #NP #TH #TW #RU
The U.S. Supreme Court has temporarily reinstated a federal rule that allows the abortion pill mifepristone to be prescribed via telemedicine and mailed to patients, countering a lower court's decision that required in-person visits for access, amidst ongoing legal challenges and debates surrounding abortion rights in the wake of the 2022 Dobbs ruling. #AbortionRights #Telemedicine #Mifepristone #US #LA
The Supreme Court ruled that the abortion medication mifepristone can continue to be prescribed via telemedicine, blocking a lower-court ruling that would have restricted access, while President Trump and Chinese leader Xi Jinping took divergent tones at their summit in Beijing, and Gulf Arab states conducted secret strikes on Iran, marking their first direct attacks against the country. #News #Politics #CurrentEvents #US #CN #SA #AE #IR #IN #Nepal #TH #TW #UA #RU
In the ongoing legal battles over abortion access in the United States, particularly in Louisiana, the Supreme Court has temporarily reinstated a requirement for in-person procurement of abortion pills, countering a recent FDA policy that allowed for mail delivery of mifepristone, following a lawsuit claiming this delivery method undermines state abortion bans. #AbortionRights #ReproductiveHealth #Telemedicine #US #LA
The U.S. Supreme Court has temporarily ruled that the abortion pill mifepristone can be prescribed via telemedicine and mailed to patients, reversing a lower court decision and maintaining access amid ongoing legal challenges from Louisiana and other anti-abortion advocates. #AbortionRights #Telemedicine #Mifepristone #US #LA
The Supreme Court has ruled that the abortion medication mifepristone can continue to be prescribed via telemedicine and mailed to patients, halting a previous lower-court decision that threatened access in abortion-ban states, while Trump and Xi engage in a cautiously optimistic summit amidst tensions over Taiwan, and Gulf Arab states have reportedly conducted secret strikes in Iran as part of ongoing regional conflicts. #SupremeCourt #AbortionRights #InternationalRelations #US #CN #IR #SA #AE #IN #NP #TH #TW #RU
