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Review
. 2025 Feb;72(1):123-132.
doi: 10.1016/j.pcl.2024.07.028. Epub 2024 Sep 26.

Pediatric Telemedicine Consults to Improve Access to Intensive Care in Rural Environments

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Review

Pediatric Telemedicine Consults to Improve Access to Intensive Care in Rural Environments

Rachel A Umoren et al. Pediatr Clin North Am. 2025 Feb.

Abstract

Recent advances in telehealth adoption prompted by the COVID-19 pandemic have highlighted the potential for improved intensive care outcomes through implementing pediatric telehealth in rural and remote settings. Telemedicine consults can be used in a variety of intensive care scenarios including procedural support, resuscitation, specialty consults, and transport. Telemedicine consults for pediatric care in rural environments improve access, cost-effectiveness, and family-centeredness. Challenges to adopting telemedicine consults for intensive care unit level care include issues around training, technology, resource allocation, and attention to how implementation exacerbate or improve health disparities.

Keywords: Consult; Neonatal; Pediatric; Rural; Technology; Telehealth; Telemedicine; Virtual.

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Conflict of interest statement

Disclosure The authors have no conflicts of interest to disclose. Dr R.A. Umoren is supported by funding from the Agency for Healthcare Research and Quality, United States (AHRQ) R18HS029607 and the Eunice Kennedy Shriver National Institute of Child Health and Human DevelopmentR01HD112327, United States.

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