The Hand KISS Protocol: Clinical Application of Smartphone in the Early Management of Hand Trauma

Hand trauma is an underestimated condition with a huge functional and economic impact on the individual and society; the scarcity of resources and qualified hand surgeons means that treatment of these injuries is often inadequate. We developed a new remote diagnostic modality based on the Hand KISS (Keep It Simple and Standard) protocol. The protocol is developed in five key points and involves the application of a standardized questionnaire consisting of seven sections. This protocol involves the combination of telemedicine and first aid, making early trauma screening possible with minimal investment of resources. The questionnaire was created to combine the experience of the remotely connected surgeon with the direct experience of the operator in the field. This application makes it possible to expand the scope of treatment of traumatic hand injuries in rural areas otherwise lacking adequate health care facilities.