Skip to main content
SpringerLink
Log in

PAMTEL-RT: web-based multimedia platform for tele-assistance of pediatric health emergencies in real time in training centers

  • Regular Paper
  • Published:
Multimedia Systems Aims and scope Submit manuscript

Abstract

In this paper, PAMTEL-RT, a web-based platform to provide remote health professional support and guidance during the initial assistance of emergency situations is presented. In particular, this platform focuses on the pediatric population and has been specifically designed to be used by non-healthcare professionals in training centers, such as educational or sport centers. It allows pediatricians in hospitals to use Information and Communication Technologies to assist or guide, in real-time, training personnel in charge of children when any emergency situation may arise. A direct and secure real-time connection between the medical and training centers is established, allowing sharing multiple media, such as audio, video, images, documents, text and data. Since the implementation relies on standard web-based technologies, cross-network, cross-platform and cross-device support are ensured. At first, an opinion and acceptance survey was conducted to collect requirements from some potential users to consider their opinions when designing and developing the platform. In line with the obtained results, the architecture of the platform has been designed, and a prototype has been developed and preliminarily evaluated through 12 drills/simulations in 7 education and sports centers. In the evaluation, 24 training personnel were involved, who considered that its usability was excellent and that it would have applicability in their centers. Furthermore, they considered that the included functionalities in the platform are appropriate and believed that the use of PAMTEL-RT could be highly effective in the early management of extreme emergency situations, and, in some cases, in avoiding tragic consequences.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14

Similar content being viewed by others

Notes

  1. In this paper, the term sports monitor is used to refer to professional or amateur sports trainers or supervisors and any other people in charge of children in sports centers.

  2. Outdoors emergency management and ambulance assistance in Spain work in the following way. Calls are received from everywhere in a regional call center named CICU (Spanish acronym for center for emergencies information and coordination). Here, emergencies are assessed, and a decision is taken in order to deliver either a technical support or a medicalized one, depending on the case.

  3. The assistance would be given by general pediatricians physically present on call, who are, in Spanish public regional hospitals, the ones attending pediatric emergency rooms, pediatric wards at all levels, delivery room and obstetric operating room for emergencies. At those hospitals, there are general pediatricians on call 24 h a day and 365 days a year, enough to attend all of the calls in scholastic and sports timetables. In the case that a call from the platform overlaps a current pediatrician intervention at the hospital, the same protocol used in overlapping calls inside the hospital would be applied, additional medical personnel would be involved, and preferences would be established.

  4. https://www.imim.es/media/upload/arxius/oferta%20tecnologica/ICORweb%20IMIM_EN.pdf [last access: October 2020].

  5. https://ericlegras.wordpress.com/tag/colabor-telefonica/ [last access: October 2020].

  6. https://www.fundaciontecsos.es/en/projects/projects-progress/smart-assist [last access: October 2020].

  7. https://carelife.televes.com/?lang=en [last access: October 2020].

  8. The questionnaire is available in the supplementary file.

  9. In the description of the project that participants read at the beginning, costs in Table 1 were provided as an example.

  10. The description and specific utility of the most common monitoring technologies recommended by pediatricians were provided. More than one option could be selected and even the opportunity to type new ones was given.

  11. In Spain, this measure is currently only under consideration by the new Madrid Community Regional Government (elected in May 2019) as it should honour its pledges during the election campaign.

  12. The list of children and their personal data should be loaded to the database (one database for each educational or training center). That process will be in charge of that institution personnel and is out of the scope of this paper.

  13. This feature was required by both sides (pediatricians and training personnel) because they wanted to quickly ascertain the recent history of emergency events for each child in order to identify whether the problem is repetitive. We decided to separate both types of observations because training personnel wanted to record the data in their own words as they did not understand the medical terminology.

  14. Spanish community health card identifier.

  15. https://angularjs.org/ (last access: October 2020).

  16. https://nodejs.org/en/ (last access: October 2020).

  17. https://socket.io/ (last access: October 2020).

  18. https://www.npmjs.com/package/socket.io-encrypt (last access: October 2020).

  19. https://webrtc.org/ (last access: October 2020).

  20. https://www.json.org/ (last access: October 2020).

  21. https://www.ffmpeg.org/ (last access: October 2020).

  22. https://www.bento4.com/ (last access: October 2020).

  23. https://github.com/Dash-Industry-Forum/dash.js? (last access: October 2020).

  24. According to [31], if the (increasing or decreasing) percentage is lower than 25%, it is not perceptible by users, and, depending of the content, up to 50% could be tolerated.

  25. The drills were approved by the Scientific Research Ethics Committees of both funding institutions (university and hospital), by the management teams of each involved training center and by their parent associations.

  26. All these parents declared a great personal interest in having the platform available in their centers as soon as possible.

  27. The utility of PAMTEL-RT for extreme emergencies would still require both internal and external validation.

References

  1. Tomines, A.: Pediatric telehealth: approaches by specialty and implications for general pediatric care. Adv. Pediatr. 66, 55–85 (2019). https://doi.org/10.1016/j.yapd.2019.04.005

    Article  Google Scholar 

  2. European Commission. A healthy approach. Technology for personalized, preventative healthcare. ICT Research: the policy perspective. Publications Office of the European Union, 2010. 24 pp. ISBN 978-92-79-16085–1. (2010). https://doi.org/10.2759/33350

  3. EXPH (EXpert Panel on effective ways of investing in Health), Assessing the impact of digital transformation of health services, 20 November 2018. https://ec.europa.eu/health/expert_panel/sites/expertpanel/files/docsdir/022_digitaltransformation_en.pdf (2020). Accessed May 2020

  4. Olson, C.A., McSwain, S.D., Curfman, A.L., et al.: The current pediatric telehealth landscape. Pediatrics 141(3), e20172334 (2018)

    Article  Google Scholar 

  5. Burke, B.L., Jr., Hall, R.W.: Telemedicine: pediatric applications. Pediatrics 136(1), e293-308 (2015). https://doi.org/10.1542/peds.2015-1517

    Article  Google Scholar 

  6. McConnochie, K.M., Tan, J., Wood, N.E., et al.: Acute illness utilization patterns before and after telemedicine in childcare for inner-city children: a cohort study. Telemed. J. E Health 13(4), 381–390 (2007)

    Article  Google Scholar 

  7. McConnochie, K.M., Wood, N.E., Herendeen, N.E., et al.: Telemedicine in urban and suburban childcare and elementary schools lightens family burdens. Telemed. J. E Health 16(5), 533–542 (2010). https://doi.org/10.1089/tmj.2009.0138

    Article  Google Scholar 

  8. Utidjian, L., Abramson, E.: Pediatric telehealth: opportunities and challenges. Pediatr Clin. N. Am. 63(2), 367–378 (2016). https://doi.org/10.1016/j.pcl.2015.11.006

    Article  Google Scholar 

  9. Qubty, W., Patniyot, I., Gelfand, A.: Telemedicine in a pediatric headache clinic: a prospective survey. Neurology. 90(19), e1702–e1705 (2018). https://doi.org/10.1212/WNL.0000000000005482

    Article  Google Scholar 

  10. Stavas, N., Shea, J., Keddem, S., et al.: Perceptions of caregivers and adolescents of the use of telemedicine for the child sexual abuse examination. Child Abuse Negl. 85, 47–57 (2018)

    Article  Google Scholar 

  11. Vyas, S., Murren-Boezem, J., Solo-Josephson, P.: Analysis of a pediatric telemedicine program. Prog. Telemed. J. E Health (2018). https://doi.org/10.1089/tmj.2017.0281

    Article  Google Scholar 

  12. Bala, N., Price, S.N., Horan, C.M., et al.: Use of telehealth to enhance care in a family-centered childhood obesity intervention. Clin. Pediatr. 58(7), 789–797 (2019)

    Article  Google Scholar 

  13. mHealth Economics 2017. Current Status and Future Trends in Mobile Health: Research 2 Guidance. http://www.uzelf.org/wp-content/uploads/2017/12/R2G-mHealth-Developer-Economics-2017-Status-And-Trends.pdf (2020). Accessed May 2020

  14. Cisotto, G., Casarin, E., Tomasin, S.: Requirements and enablers of advanced healthcare services over future cellular systems. IEEE Commun. Mag. 58(3), 76–81 (2020). https://doi.org/10.1109/MCOM.001.1900349

    Article  Google Scholar 

  15. Morosi, S., Jayousi, S., Mucchi, L., et al.: Medical Tele-Monitoring and Tele-Assistance for Diabetics Patients by Means of 5G Cellular Networks, in Proceedings of BodyNets 2019. In: Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 297. Springer, Cham (2019)

  16. Montagud, M., Boronat, F., Belda, J., et al.: Use of Web Components to Develop Interactive, Customizable and Multi-Device Video Consumption Platforms, Applications and Usability of Interactive TV, pp. 26–43. Springer, Berlin (2016)

    Google Scholar 

  17. Arntzen, I., Bjorch, N., Daoust, F.: Media Synchronization on the Web. In: Montagud, M., Cesar, P., Boronat, F., Jansen, J. (eds.) MediaSync: Handbook on Multimedia Synchronization. Springer, Cham (2018)

    Google Scholar 

  18. Pauwels, D., van der Hooft, J., Petrangeli, S., et al.: A Web-based framework for fast synchronization of live video players, IFIP/IEEE Symposium on Integrated Network and Service Management, Lisbon, 2017, pp. 524–530 (2017)

  19. Rainer, B., Petscharnig, S., Timmerer, C.: Merge and forward: a self-organized inter-destination media synchronization scheme for adaptive media streaming over HTTP. In: Montagud, M., Cesar, P., Boronat, F., Jansen, J. (eds.) MediaSync: Handbook on Multimedia Synchronization. Springer, Cham (2018)

    Google Scholar 

  20. Montagud, M., Boronat, F., Stokking, H., et al.: Inter-destination multimedia synchronization: schemes, use cases and standardization. Multimedia Syst. J. 18(6), 459–482 (2012). https://doi.org/10.1007/s00530-012-0278-9

    Article  Google Scholar 

  21. Montagud, M., Boronat, F., Stokking, H., et al.: Design development and assessment of control schemes for IDMS in a standardized RTCP-based solution. COMNET 70(9), 240–259 (2014). https://doi.org/10.1016/j.comnet.2014.06.004

    Article  Google Scholar 

  22. Dynamic Adaptive Streaming Over HTTP (DASH): Part 1: media presentation description and segment formats, ISO/IEC Standard 23009-1: 2012 (2012)

  23. Gómez, D., Boronat, F., Montagud, M., et al.: End-to-end DASH platform including a network-based and client-based adaptive quality switching module. In: Proc. Int. Conf. Multimedia Syst., Klagenfurt, Austria, Art. no. 38 (2016)

  24. Melvin, H., Shannon, J., Stanton, K.: Time, frequency and phase synchronization for multimedia—basics, issues, developments and opportunities. In: Montagud, M., Cesar, P., Boronat, F., Jansen, J. (eds.) MediaSync: Handbook on Multimedia Synchronization. Springer, Cham (2018)

    Google Scholar 

  25. Boronat, F., Lloret, J., García, M.: Multimedia group and inter-stream synchronization techniques: a comparative study. Inf. Syst. 34(1), 108–131 (2009). https://doi.org/10.1016/j.is.2008.05.001

    Article  Google Scholar 

  26. Montagud, M., Boronat, F., Pastor, J., et al.: Web-based platform for a customizable and synchronized presentation of subtitles in single- and multi-screen scenarios. Multimed Tools Appl (2020). https://doi.org/10.1007/s11042-020-08955-x

    Article  Google Scholar 

  27. Su, Y., Yang, Y., Lu, M., et al.: Smooth control of adaptive media playout for video streaming. IEEE TMM 1(7), 1331–1339 (2009)

    Google Scholar 

  28. Rainer, B., Timmerer, C.: Self-Organized inter-destination multimedia synchronization for adaptive media streaming. In: Proceedings of the 22nd ACM international conference on Multimedia (MM '14). ACM, New York, NY, USA, pp. 327–336 (2014)

  29. Montagud, M., Boronat, F., Roig, B., et al.: How to perform AMP? Cubic adjustments for improving the QoE. Comput. Commun. 103, 61–73 (2017). https://doi.org/10.1016/j.comcom.2017.01.017

    Article  Google Scholar 

  30. Hossfeld, T., Seufert, M., Hirth, M., et al.: Quantification of YouTube QoE via crowdsourcing. IEEE ISM (2011). https://doi.org/10.1109/ISM.2011.87

    Article  Google Scholar 

  31. Park, S., Kim, J.: An adaptive media playout for intra-media synchronization of networked-video applications. J. Vis. Commun. Image Represent. 19(2), 106–120 (2008)

    Article  Google Scholar 

  32. Brooke, J.: Sus-a quick and dirty usability scale. In the book “Usability evaluation in industry”, issue 194, pages 189–194, Taylor and Francis Ed (1996)

  33. Bangor, A., Kortum, P., Miller, J.: Determining what individual sus scores mean: adding an adjective rating scale. J. Usability Stud. 4(3), 114–123 (2009)

    Google Scholar 

Download references

Acknowledgements

This work has been partially funded by the Universitat Politecnica de Valencia (UPV) and the Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), under their R&D&I Support Program with references UPV-FISABIO-2017-002-940. Authors also want to thank educational and sport institutions involved in the drills: Gregori Maians and Esclavas del Sagrado Corazón de Jesús Schools in Gandia city; Batoi and Pare Victoria Schools in Alcoi city; and U.E. Gandia Football Club, and C.A. Safor Delikia and C.C. El Garbí athletics clubs, in Gandia city.

Author information

Authors and Affiliations

  1. Universitat Politècnica de València-Campus de Gandia, Calle Paraninfo, 1, 46730, Grao de Gandia, Valencia, Spain

    Fernando Boronat, Pau Salvador & Javier Pastor

  2. Polígono de Caramanchel, Hospital Mare de Deu Dels Lliris, S/N, 03804, Alcoi, Alicante, Spain

    Pascual Escrivá & Fátima Pareja

Authors
  1. Fernando Boronat
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Pascual Escrivá
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Pau Salvador
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Fátima Pareja
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Javier Pastor
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Fernando Boronat.

Additional information

Communicated by R. Steinmetz.

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (DOCX 71 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Boronat, F., Escrivá, P., Salvador, P. et al. PAMTEL-RT: web-based multimedia platform for tele-assistance of pediatric health emergencies in real time in training centers. Multimedia Systems 27, 205–227 (2021). https://doi.org/10.1007/s00530-020-00730-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00530-020-00730-0

Keywords

Search

Navigation