Case Report
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Published Online: 4 March 2020

Psychological Care Augmented by Telemedicine after a Polar Bear Encounter at an Arctic Research Station: A Case Report

Publication: Telemedicine and e-Health
Volume 26, Issue Number 3

Abstract

Background: Psychologically stressful events can be particularly challenging in the wilderness or extreme environments due to a lack of immediate medical or psychological support. Telemedicine consultations may provide a means to supply medical providers in austere environments with expertise when confronted with these situations.
Methods: In this study, we detail a case of psychological care imparted to residents at a remote, arctic research station after they encountered a polar bear. The health care provider at the camp was not a dedicated mental health professional but was able to deliver psychological care with assistance from a trained provider through use of telemedicine. We provide a brief overview of the evidence behind psychological first aid and incident support sessions for the treatment of stress injuries. We also review the evidence for telemedicine for psychological care in wilderness situations and describe its use in this scenario.
Results: All station residents were able to resume regular arctic activities. Resident feedback was that the sessions were advantageous.
Conclusions: We anticipate the need for psychological care in austere situations to increase in the future, and further training in this field and the advancement of telemedicine consultation will be of benefit to wilderness providers.

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Information & Authors

Information

Published In

cover image Telemedicine and e-Health
Telemedicine and e-Health
Volume 26Issue Number 3March 2020
Pages: 369 - 373
PubMed: 30912705

History

Published online: 4 March 2020
Published in print: March 2020
Published ahead of print: 25 March 2019
Accepted: 12 January 2019
Received: 12 January 2019

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Authors

Affiliations

Samuel P. Brown, BS
Uniformed Services University of the Health Sciences, School of Medicine, Bethesda, Maryland.
Hillary E. Davis, MD, PhD [email protected]
Department of Emergency Medicine and University of Colorado School of Medicine, Aurora, Colorado.
Laura McGladrey, PMHNP
Department of Psychiatry, University of Colorado School of Medicine, Aurora, Colorado.
Leslie Brooks, PA, MS
Department of Emergency Medicine, Providence Regional Medical Center, Everett, Washington.
Anne K. Lorentzen, MD
Ilulissat Hospital, Avanna Region, Ilulissat, Greenland.
Luit Penninga, MD, PhD
Ilulissat Hospital, Avanna Region, Ilulissat, Greenland.
Christopher Davis, MD
Department of Emergency Medicine and University of Colorado School of Medicine, Aurora, Colorado.
Jay Lemery, MD
Department of Emergency Medicine and University of Colorado School of Medicine, Aurora, Colorado.

Notes

Address correspondence to: Hillary Davis, MD, PhD, Department of Emergency Medicine, University of Colorado School of Medicine, Mail Stop C301, 12631 E. 17th Avenue, Aurora, CO 80045 [email protected]

Disclosure Statement

No competing financial interests exist.

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