Alabama hospital goes hybrid as Birmingham doctors treat ICU patients 100 miles away

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Alabama hospital goes hybrid as Birmingham doctors treat ICU patients 100 miles away
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UAB has launched its first tele-ICU unit at Whitfield Regional Hospital in Demopolis. Nurses and specialists can continuously monitor the vital signs of patients in the ICU about 100 miles away.

Charles Webb survived three strokes two years earlier and began struggling to breathe on June 14. His wife, Mary Webb, called the ambulance to their home in rural west Alabama.Instead of making the long drive to Birmingham or Tuscaloosa, the ambulance quickly arrived at Whitfield Regional Hospital in Demopolis.

A hybrid team of on-site doctors and remote specialists have been handling Webb’s care ever since. They removed the ventilator on Monday. Hs condition has improved, Mary Webb said. “Critical care pulmonologist and the nephrologist can look at these ICU patients literally around the clock,” Brewer said.

“When oxygen levels are dropping, when blood pressure levels are dropping, we can jump in the room on a camera and access their chart and help the nurses manage that patient and communicate what we are doing to the physicians on site,” Stigler said. Dereck Morrison, chief operating officer for Whitfield Regional Hospital, cited the case of a patient with a suspected stroke. Doctors in Demopolis and Birmingham worked together to diagnose dementia and a urinary tract infection that could be treated at Whitfield Regional Hospital.

Demopolis and Alabama have high rates of very sick patients who often need special care for kidney or health failure during medical emergencies. Brewer said rural hospitals must increase their capacity to care for people with diabetes, chronic obstructive pulmonary disease and other conditions that are common in the South.

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