SlideShare une entreprise Scribd logo
1  sur  16
TELEMEDICINE IN THE EMERGENCY DEPARTMENT BRUCE JANIAK,  MD,FACEP,FAAP
 
What is Ethica? ,[object Object],[object Object],[object Object],[object Object]
What is GA Partnership for Telehealth?
Telemedicine Sites ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Concept ,[object Object],[object Object],[object Object]
Nursing Homes ,[object Object],[object Object],[object Object]
Empowering Factors ,[object Object],[object Object],[object Object],[object Object]
Barriers to Usage ,[object Object],[object Object],[object Object]
Approach to Increase Use of Telemedicine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cost of Ambulance  ,[object Object],[object Object],Gold-Cross Non-Emergent Emergent Per mile cost ALS ( monitor, EKG, IV’s, resuscitative measures) $485.00 $662.00 $11.10 BLS ( IV’s, O2) $404.00 $581.00 $11.00 Capital City Non-Emergent Emergent Per mile cost ALS ( monitor, EKG, IV’s, resuscitative measures $235.60 $373.03 $6.87 BLS ( IV’s, O2) $196.33 $314.13 $6.87
Current System ,[object Object],[object Object],[object Object],[object Object]
New System ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary for Five Facilities ,[object Object],[object Object],[object Object]
Political Barriers ,[object Object],[object Object]
Political Support ,[object Object],[object Object]

Contenu connexe

Similaire à Telemedicine in the Emergency Dept.

Outcomes and Impacts of Telehealth in Alaska: An 8 Year Retrospective
Outcomes and Impacts of Telehealth in Alaska: An 8 Year RetrospectiveOutcomes and Impacts of Telehealth in Alaska: An 8 Year Retrospective
Outcomes and Impacts of Telehealth in Alaska: An 8 Year RetrospectiveHealth Informatics New Zealand
 
Economic analysis on art task shifting ppp (for athens conference)
Economic analysis on art task shifting ppp (for athens conference)Economic analysis on art task shifting ppp (for athens conference)
Economic analysis on art task shifting ppp (for athens conference)Naod Mekonnen
 
Medical Tourism Turkey(cost, quality, succes): IVF case study poster
Medical Tourism Turkey(cost, quality, succes): IVF case study posterMedical Tourism Turkey(cost, quality, succes): IVF case study poster
Medical Tourism Turkey(cost, quality, succes): IVF case study posterMustafa Said YILDIZ
 
AAA Annual 2012: Mobile Medicine Strategies
AAA Annual 2012: Mobile Medicine StrategiesAAA Annual 2012: Mobile Medicine Strategies
AAA Annual 2012: Mobile Medicine StrategiesEMS Compass Initiative
 
Us Health System Ppt
Us Health System PptUs Health System Ppt
Us Health System Pptasadhu86
 
Presentation to Yale Faculty
Presentation to Yale FacultyPresentation to Yale Faculty
Presentation to Yale Facultynyayahealth
 
Claims datawebinar102312
Claims datawebinar102312Claims datawebinar102312
Claims datawebinar102312andreacamden
 
Antiretroviral Therapy in Botswana: Comparing Costs, Service Utilization, and...
Antiretroviral Therapy in Botswana: Comparing Costs, Service Utilization, and...Antiretroviral Therapy in Botswana: Comparing Costs, Service Utilization, and...
Antiretroviral Therapy in Botswana: Comparing Costs, Service Utilization, and...HFG Project
 
Martha Anderson - USA - Monday 28 - Strategies to improve Tissue Donors
Martha Anderson -  USA - Monday 28 - Strategies to improve Tissue DonorsMartha Anderson -  USA - Monday 28 - Strategies to improve Tissue Donors
Martha Anderson - USA - Monday 28 - Strategies to improve Tissue Donorsincucai_isodp
 
How To Remove Millions in Unnecessary Healthcare Costs with Quality & Safety ...
How To Remove Millions in Unnecessary Healthcare Costs with Quality & Safety ...How To Remove Millions in Unnecessary Healthcare Costs with Quality & Safety ...
How To Remove Millions in Unnecessary Healthcare Costs with Quality & Safety ...John Byrnes, MD
 
Medical Tourism in Turkey: with IVF case study, comparison to USA implementat...
Medical Tourism in Turkey: with IVF case study, comparison to USA implementat...Medical Tourism in Turkey: with IVF case study, comparison to USA implementat...
Medical Tourism in Turkey: with IVF case study, comparison to USA implementat...Mustafa Said YILDIZ
 
Pro Forma StatementPro Forma Income StatementYear 1Year 2Year 3Yea.docx
Pro Forma StatementPro Forma Income StatementYear 1Year 2Year 3Yea.docxPro Forma StatementPro Forma Income StatementYear 1Year 2Year 3Yea.docx
Pro Forma StatementPro Forma Income StatementYear 1Year 2Year 3Yea.docxsleeperharwell
 
Steven Lugard, CEO, Performation
Steven Lugard, CEO, PerformationSteven Lugard, CEO, Performation
Steven Lugard, CEO, PerformationInvestnet
 
Public Media Development and Marketing Conference 2013 - Atlanta, GA Healthca...
Public Media Development and Marketing Conference 2013 - Atlanta, GA Healthca...Public Media Development and Marketing Conference 2013 - Atlanta, GA Healthca...
Public Media Development and Marketing Conference 2013 - Atlanta, GA Healthca...TW Integrated Marketing
 
Applications Tim Wright
Applications Tim WrightApplications Tim Wright
Applications Tim Wrightel_guiye
 
Applications Tim Wright
Applications Tim WrightApplications Tim Wright
Applications Tim Wrighttelemedicina
 

Similaire à Telemedicine in the Emergency Dept. (20)

Impact of Telehealth in Alaska
Impact of Telehealth in AlaskaImpact of Telehealth in Alaska
Impact of Telehealth in Alaska
 
Outcomes and Impacts of Telehealth in Alaska: An 8 Year Retrospective
Outcomes and Impacts of Telehealth in Alaska: An 8 Year RetrospectiveOutcomes and Impacts of Telehealth in Alaska: An 8 Year Retrospective
Outcomes and Impacts of Telehealth in Alaska: An 8 Year Retrospective
 
Economic analysis on art task shifting ppp (for athens conference)
Economic analysis on art task shifting ppp (for athens conference)Economic analysis on art task shifting ppp (for athens conference)
Economic analysis on art task shifting ppp (for athens conference)
 
Medical Tourism Turkey(cost, quality, succes): IVF case study poster
Medical Tourism Turkey(cost, quality, succes): IVF case study posterMedical Tourism Turkey(cost, quality, succes): IVF case study poster
Medical Tourism Turkey(cost, quality, succes): IVF case study poster
 
AAA Annual 2012: Mobile Medicine Strategies
AAA Annual 2012: Mobile Medicine StrategiesAAA Annual 2012: Mobile Medicine Strategies
AAA Annual 2012: Mobile Medicine Strategies
 
Us Health System Ppt
Us Health System PptUs Health System Ppt
Us Health System Ppt
 
Presentation to Yale Faculty
Presentation to Yale FacultyPresentation to Yale Faculty
Presentation to Yale Faculty
 
Claims datawebinar102312
Claims datawebinar102312Claims datawebinar102312
Claims datawebinar102312
 
Antiretroviral Therapy in Botswana: Comparing Costs, Service Utilization, and...
Antiretroviral Therapy in Botswana: Comparing Costs, Service Utilization, and...Antiretroviral Therapy in Botswana: Comparing Costs, Service Utilization, and...
Antiretroviral Therapy in Botswana: Comparing Costs, Service Utilization, and...
 
Martha Anderson - USA - Monday 28 - Strategies to improve Tissue Donors
Martha Anderson -  USA - Monday 28 - Strategies to improve Tissue DonorsMartha Anderson -  USA - Monday 28 - Strategies to improve Tissue Donors
Martha Anderson - USA - Monday 28 - Strategies to improve Tissue Donors
 
How To Remove Millions in Unnecessary Healthcare Costs with Quality & Safety ...
How To Remove Millions in Unnecessary Healthcare Costs with Quality & Safety ...How To Remove Millions in Unnecessary Healthcare Costs with Quality & Safety ...
How To Remove Millions in Unnecessary Healthcare Costs with Quality & Safety ...
 
Medical Tourism in Turkey: with IVF case study, comparison to USA implementat...
Medical Tourism in Turkey: with IVF case study, comparison to USA implementat...Medical Tourism in Turkey: with IVF case study, comparison to USA implementat...
Medical Tourism in Turkey: with IVF case study, comparison to USA implementat...
 
David page cord standards of care 05 03-2015
David page cord standards of  care 05 03-2015David page cord standards of  care 05 03-2015
David page cord standards of care 05 03-2015
 
Pro Forma StatementPro Forma Income StatementYear 1Year 2Year 3Yea.docx
Pro Forma StatementPro Forma Income StatementYear 1Year 2Year 3Yea.docxPro Forma StatementPro Forma Income StatementYear 1Year 2Year 3Yea.docx
Pro Forma StatementPro Forma Income StatementYear 1Year 2Year 3Yea.docx
 
15 aimradial2016 fri A Amin
15 aimradial2016 fri A Amin15 aimradial2016 fri A Amin
15 aimradial2016 fri A Amin
 
Story to Sepsis Screen: A Journey in the Details by Elizabeth R. Alpern, MD, ...
Story to Sepsis Screen: A Journey in the Details by Elizabeth R. Alpern, MD, ...Story to Sepsis Screen: A Journey in the Details by Elizabeth R. Alpern, MD, ...
Story to Sepsis Screen: A Journey in the Details by Elizabeth R. Alpern, MD, ...
 
Steven Lugard, CEO, Performation
Steven Lugard, CEO, PerformationSteven Lugard, CEO, Performation
Steven Lugard, CEO, Performation
 
Public Media Development and Marketing Conference 2013 - Atlanta, GA Healthca...
Public Media Development and Marketing Conference 2013 - Atlanta, GA Healthca...Public Media Development and Marketing Conference 2013 - Atlanta, GA Healthca...
Public Media Development and Marketing Conference 2013 - Atlanta, GA Healthca...
 
Applications Tim Wright
Applications Tim WrightApplications Tim Wright
Applications Tim Wright
 
Applications Tim Wright
Applications Tim WrightApplications Tim Wright
Applications Tim Wright
 

Plus de Samantha Haas

Tammy carter troy spicer pp
Tammy carter troy spicer ppTammy carter troy spicer pp
Tammy carter troy spicer ppSamantha Haas
 
Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...
Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...
Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...Samantha Haas
 
Savannah innovations
Savannah innovationsSavannah innovations
Savannah innovationsSamantha Haas
 
Paula guy gpt 3-27-2015
Paula guy   gpt 3-27-2015Paula guy   gpt 3-27-2015
Paula guy gpt 3-27-2015Samantha Haas
 
Mario gutierrez georgia trc 2015 mario final
Mario gutierrez   georgia trc 2015 mario finalMario gutierrez   georgia trc 2015 mario final
Mario gutierrez georgia trc 2015 mario finalSamantha Haas
 
Kelly kesler gpt savannah aiha
Kelly kesler gpt savannah aihaKelly kesler gpt savannah aiha
Kelly kesler gpt savannah aihaSamantha Haas
 
Joseph ebberwein 2015 gpt conference
Joseph ebberwein 2015 gpt conferenceJoseph ebberwein 2015 gpt conference
Joseph ebberwein 2015 gpt conferenceSamantha Haas
 
Jonathan neufeld nuts and bolts
Jonathan neufeld   nuts and boltsJonathan neufeld   nuts and bolts
Jonathan neufeld nuts and boltsSamantha Haas
 
Jessica aspinwall mumc telemedicine presentation
Jessica aspinwall mumc telemedicine presentationJessica aspinwall mumc telemedicine presentation
Jessica aspinwall mumc telemedicine presentationSamantha Haas
 
Jerry kolosky gpt 032615 v2.0
Jerry kolosky   gpt 032615 v2.0Jerry kolosky   gpt 032615 v2.0
Jerry kolosky gpt 032615 v2.0Samantha Haas
 
Jeff robbins tift regional-power point
Jeff robbins tift regional-power pointJeff robbins tift regional-power point
Jeff robbins tift regional-power pointSamantha Haas
 
Gpt 2015 conference exhibitor slide show
Gpt 2015 conference exhibitor slide showGpt 2015 conference exhibitor slide show
Gpt 2015 conference exhibitor slide showSamantha Haas
 
Ellen bolch & max stachura advanced telehomecare
Ellen bolch & max stachura advanced telehomecareEllen bolch & max stachura advanced telehomecare
Ellen bolch & max stachura advanced telehomecareSamantha Haas
 
Dr. zanga power point
Dr. zanga power pointDr. zanga power point
Dr. zanga power pointSamantha Haas
 
Dr. winston price decatur co telehealth march 26
Dr. winston price decatur co telehealth march 26Dr. winston price decatur co telehealth march 26
Dr. winston price decatur co telehealth march 26Samantha Haas
 

Plus de Samantha Haas (20)

Tammy carter troy spicer pp
Tammy carter troy spicer ppTammy carter troy spicer pp
Tammy carter troy spicer pp
 
Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...
Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...
Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...
 
Savannah innovations
Savannah innovationsSavannah innovations
Savannah innovations
 
Savannah gpt
Savannah gptSavannah gpt
Savannah gpt
 
Paula guy gpt 3-27-2015
Paula guy   gpt 3-27-2015Paula guy   gpt 3-27-2015
Paula guy gpt 3-27-2015
 
Nsat mar2015
Nsat mar2015Nsat mar2015
Nsat mar2015
 
Michael osborne
Michael osborneMichael osborne
Michael osborne
 
Mario gutierrez georgia trc 2015 mario final
Mario gutierrez   georgia trc 2015 mario finalMario gutierrez   georgia trc 2015 mario final
Mario gutierrez georgia trc 2015 mario final
 
Kelly kesler gpt savannah aiha
Kelly kesler gpt savannah aihaKelly kesler gpt savannah aiha
Kelly kesler gpt savannah aiha
 
Kayla money's pp
Kayla money's ppKayla money's pp
Kayla money's pp
 
Joseph ebberwein 2015 gpt conference
Joseph ebberwein 2015 gpt conferenceJoseph ebberwein 2015 gpt conference
Joseph ebberwein 2015 gpt conference
 
Jonathan neufeld nuts and bolts
Jonathan neufeld   nuts and boltsJonathan neufeld   nuts and bolts
Jonathan neufeld nuts and bolts
 
Jessica aspinwall mumc telemedicine presentation
Jessica aspinwall mumc telemedicine presentationJessica aspinwall mumc telemedicine presentation
Jessica aspinwall mumc telemedicine presentation
 
Jerry kolosky gpt 032615 v2.0
Jerry kolosky   gpt 032615 v2.0Jerry kolosky   gpt 032615 v2.0
Jerry kolosky gpt 032615 v2.0
 
Jeff robbins tift regional-power point
Jeff robbins tift regional-power pointJeff robbins tift regional-power point
Jeff robbins tift regional-power point
 
Gpt logo slide
Gpt logo slideGpt logo slide
Gpt logo slide
 
Gpt 2015 conference exhibitor slide show
Gpt 2015 conference exhibitor slide showGpt 2015 conference exhibitor slide show
Gpt 2015 conference exhibitor slide show
 
Ellen bolch & max stachura advanced telehomecare
Ellen bolch & max stachura advanced telehomecareEllen bolch & max stachura advanced telehomecare
Ellen bolch & max stachura advanced telehomecare
 
Dr. zanga power point
Dr. zanga power pointDr. zanga power point
Dr. zanga power point
 
Dr. winston price decatur co telehealth march 26
Dr. winston price decatur co telehealth march 26Dr. winston price decatur co telehealth march 26
Dr. winston price decatur co telehealth march 26
 

Dernier

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...Neha Kaur
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 

Dernier (20)

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 

Telemedicine in the Emergency Dept.