I can live with that. They have been doing it for the Alaskan villages for a while but not as in depth. A lot of stuff during a trauma or medical emergency is mechanical, just doing things. With the right amount of training I can see PAs and Nurses doing this. A Paramedic would be a great addition to an ER that has a virtual doc.
Our ICU is a teleICU, we remote Intensivists in to manage ICU patients. They have the expertise our regular Hospitalists don't have and it may just prevent a transfer to an outside facility.
The VA is doing a lot of stuff through telemedicine, teleDerm, telePsych, among s a few. It saves the taxpayer money and often gets the Vet seen quicker than waiting for an appointment out in town.
bob