Open AccessGuidelines for the management of diabetic foot in telemedicine
Author(s) -
Roberto Da Ros
Publication year - 2020
Publication title -
j. amd
Language(s) - English
Resource type - Journals
ISSN - 2532-4799
DOI - 10.36171/jamd20.23.4.8
Subject(s) - telemedicine , diabetic foot , foot (prosody) , medicine , medical emergency , chart , pandemic , diabetes mellitus , computer science , covid-19 , health care , pathology , political science , linguistics , philosophy , statistics , mathematics , disease , infectious disease (medical specialty) , law , endocrinology
The first wave of the SARS Covid-19 pandemic, characterized by the need to keep the frail patient away from hospitals often Covid Hospital, created the need to follow the patient at distance to prevent progression of foot injuries without control. The SID-AMD Inter-Associative Italian Study Group “Diabetic Foot” has focused attention on the use of Telemedicine, as an integration tool to the usual visit. Televisit needs to be of an official visit. To obtain official value it must respect specific rules: method of execution, adequate software, informed consent, guarantees for patients. These rules start from the state-regions conference about telemedicine. Application to the diabetic foot area is characterized by some specificities that need to be analyzed in detail: injury prevention, wound management, infection, ischemia, offloading. Each topic must be addressed according to defined steps, facilitated by practical indications in the document. These recommendations provide complete support for the execution of the remote visit for the problem of diabetic foot, providing a flow chart of use that makes the televisit reproducible and complete. KEY WORDS diabetic foot; telemedicine; diabetes.