International Teleradiology

Abstract
Imagine two patients arriving in the emergency department of a Maine hospital at midnight. The first has a presentation consistent with pulmonary embolism; the second, appendicitis. A decade ago, the first patient might have been started on heparin therapy and scheduled for an early-morning ventilation–perfusion scan. The second patient would have been seen by a surgeon, who would have made a judgment call regarding the diagnosis of appendicitis and the need for surgery.