Our Tele-ICU played a vital role in managing a trauma patient at a peripheral center. Timely
intervention, including intubation and ventilator management, led to successful recovery and
extubation on Day 5. This showcases the critical impact of Tele-ICU in enhancing regional
healthcare, ensuring timely intervention, efficient resource use, and improved patient outcomes.
A 23-year-old male was admitted to a peripheral center following a traumatic incident where he
fell from a tractor. Later, he presented at the peripheral center in a conscious and
hemodynamically stable state.
The Apollo Tele ICU Command center was promptly engaged to oversee the initial assessment and
management of the patient.
Under the supervision of the Tele-ICU, the primary survey of the patient was conducted,
revealing a flail chest and a paradoxical breathing pattern.
Due to the identified flail chest and the associated paradoxical breathing, the decision was
made to perform endotracheal intubation to secure the airway.
Continuous monitoring of the patient’s condition included a close examination of the ventilator
curve graphs to ensure optimal respiratory support throughout the hospital stay.
After three days of mechanical ventilation, the patient developed an air leak from the left
intercostal drain (ICD). In response, a consultation with Cardiothoracic and Vascular Surgery
(CTVS) specialists was sought to address this complication.
Following four days of mechanical ventilation and successful management of the air leak, the
patient was assessed closely by the Tele ICU team and advised extubation. Subsequently, he was
successfully extubated on Day 5. This marked a crucial milestone in the patient’s recovery
process.
This case study emphasizes the significance of tele-ICU in the management of trauma patients
presenting to a regional healthcare center. It also highlights the importance of implementing
tele-ICU services in the management of trauma patients at peripheral healthcare centers as it
enhances access to critical care expertise, promotes early intervention, optimizes resource
utilization, and improves overall patient outcomes.
