Providing Remote Aid During a Humanitarian Crisis

Lewis J. Kaplan*, Scott Levin, Jay Yelon, Jeremy M. Cannon, Samir Mehta, Patrick M. Reilly, Stephen J. Kovach, Derek J. Donegan, Kierstyn Claycomb, Maisie Savchenko-Fullerton, Evhen Filonenko, Vyacheslav Maiko, Roman Kuzmov, Yaroslav Radega, Viktor Pashinskiy, Yuriy Yurievich Demyan, Petro Plesha, Yuriy Demyan, Dmytro Vinnytskiy, Glen N. GaultonPatrick J. Brennan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Humanitarian crises create opportunities for both in-person and remote aid. Durable, complex, and team-based care may leverage a telemedicine approach for comprehensive support within a conflict zone. Barriers and enablers are detailed, as is the need for mission expansion due to initial program success. Adapting a telemedicine program initially designed for critical care during the severe acute respiratory syndrome coronavirus 2 pandemic offers a solution to data transfer and data analysis issues. Staffing efforts and grouped elements of patient care detail the kinds of remote aid that are achievable. A multiprofessional team-based approach (clinical, administrative, nongovernmental organization, government) can provide comprehensive consultation addressing surgical planning, critical care management, infection and infection control management, and patient transfer for complex care. Operational and network security create parallel concerns relevant to avoid geolocation and network intrusion during consultation. Deliberate approaches to address cultural differences that influence relational dynamics are also essential for mission success.

Original languageEnglish
Pages (from-to)E0992
JournalCritical Care Explorations
Issue number11
StatePublished - 27 Oct 2023
Externally publishedYes


  • conflict
  • disaster
  • humanitarian aid
  • surgical telementoring
  • telemedicine


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