Virtual Emergency Medicine (VEM) is a mechanism to optimise flow of adult non-P1 patients ordinarily destined for the ED by ambulance, through Consultant-led review, including video or tele-consults
Several options may be explored by the VEM team including but not limited to;
- Specific pathways in the ED to expedite patient transfer of care (e.g. Suspected NOF fractures, chest pain etc.)
- Admission direct to specialist wards or sites (e.g. Geriatric medicine at Fremantle Hospital)
- Discharge at scene, through shared decision making - including follow up as arranged by VEM
Comprehensive information is available on Connect that is updated frequently
Whenever practicable, VEM (at participating sites in operating hours) must be notified for;
- All patients 16 years of age or older, regardless of clinical complaint not being transported as Priority 1 when the service is in operation
- Interfacility transfers
- RFDS cases
Participating ED's:
- Fiona Stanley Hospital
- Rockingham General Hospital
Operating Hours:
- 1000 hrs - 1830hrs (7 days / week)
- Under 16 years
- Priority 1 to hospital
- VEM processes should not ordinarily interrupt immediate care needs (e.g. pain relief, ECG acquisition) prior to consult
- Not all cases that VEM are aware of will result in a video or tele-consult but will usually be clerked and 'pre-triaged' into the hospital system
- The VEM consultant should not direct medication administration outside of CPG and does not negate any usual requirements to contact ASMA
- iPad software and App must be up to date
- Notifications for email and Teams must be enabled to receive alerts
- Applies to Metropolitan Ambulance/PTS personnel only
- As per Primary Care guidelines
- Assess, manage and prepare / load patient for transport as normal where admission to ED is obvious
- Send brief notification to VEM as required via this link here
- An automated acknowledgment will be received
- A video link will only be generated if VEM wish to perform a brief consultation
- Send 12 Lead ECG's prior to consult if necessary
- Engage with the VEM team as soon as practicable to determine the patient pathway
Virtual Emergency Medicine
- As per Advanced Care guidelines
- Ambulance Wi-Fi bandwidth may be intermittent
- More information is available on Connect
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