Remote Consultation in Primary Care A Step-by-step Approach to Remote Consultation and Triage

This book provides useful information on dealing with remote consultation, exploring the most frequent clinical scenarios and offering guidance on managing patients.
It represents a comprehensive manual on remote consultation, whether conducted by phone or video, structured in 4 sections. The first section presents the need for a paradigm shift and describes the epidemiology of remote consultation. It also addresses the feasibility and features of remote consultation in rural and low-income settings.
The second part guides the reader through the various steps of a consultation, emphasizing the significance of considering those phases as consequential and all having paramount importance. It also showcases different models for triage and consultation.
The third part of the book presents the most frequent clinical scenarios  encountered. Finally, the fourth part explores the future landscape of consultation.

This book will be a valuable tool for Family Physicians, any other physician involved in remote consultation, and nurses.

The paradigm shift of remote consultation.- Epidemiology of telephone and remote consultation.- Remote healthcare around the world.- Legal issues and concerns.- Remote consultations: introduction.- Communication setting and skills on the telephone.- Communication setting skills on Video.- Consultation structure and models.- The essential questions.- Considering the patient’s perspective.- Data gathering on the telephone.- Effective safety netting.- The management plan and ending the call.- Rashes.- Cardiovascular.- Respiratory, including dyspnea.- Neurology.- Paediatrics.- Older patients.- Emergencies.- Asynchronous consultations.- Virtual reality in medicine.- Clinical Decision Support Softwares.- Novel technologies.

Jacopo Demurtas, MD, MEd, PhD, is a family physician working in the rural setting of Capalbio, located in the southern region of Tuscany.
His research interests focus on the application of digital technologies in primary systems, with a particular emphasis on implementing computerized decision support systems and developing mobile applications to enhance patient self-management.
A teacher of remote triage and consultation,  he is coordinator of the Family Medicine Specialty Training in Siena.