TOBI: Telemedicine Optimized Burn Intervention


MUSC experts in pediatric burn care, health communication, nursing, public health, biostatistics, information technology, and clinical psychology have developed a mobile application (TOBI) that allows for tertiary clinical burn care in the home by connecting patients and families with expert burn nurses and physicians. The app enables burn physicians and nurses the ability to monitor and intervene during the injury assessment and wound care phase of the treatment of a serious burn. Based upon how the wound healing is progressing, the burn nurse will send encouraging text messages noting burn healing. The app allows for the parent to interface with the burn team through secure SMS messaging or videoconferencing. Additionally, parents can see instructional videos for dressing changes depending on the patient’s age and location of the burn, as well as find answers to frequently asked questions (FAQs).

To date, TOBI has undergone development and small-scale proof of concept pilot testing through collaborations with the Technology Applications Center for Healthful Lifestyles (TACHL) to evaluate usability. Additionally, a retrospective efficacy review comparing standard therapy (ST) to those patients treated with TOBI. Outpatients that utilized TOBI saw better average healing times, were more compliant with at home care, and spent less time in clinic with no increase in the number of unexpected ED visits.



Additionally, compliance with completion of therapy with patients using TBA+ST was 80% vs 64% with ST.


Overview: Approximately 486,000 patients sustained burns that required medical treatment, with approximately 40,000 hospitalizations and 3,240 deaths annually in the United States. 90% of burns are treated in the outpatient setting (Warner, Coffee et al. 2014), and these injuries require repeated clinic visits over 7-21 days to assess burn evolution, healing, and complications. With only ~40 ABA-certified burn centers in the US, follow up care can be cumbersome for patients not living near a burn center. Regional access is highly variable with significant gaps in access in rural areas.


Applications: Tertiary clinical burn care in the home

Advantages; Ability to monitor and intervene at home, available from any computer or smartphone, videos tailored to patients’ age and burn location, ability to communicate with skilled burn team remotely

Key Words: Burn, mobile application, telemedicine, pediatrics, compliance, wound healing


Inventors:  Aaron Lesher, Sachin Patel, Ryan Howard, Frank Treiber       

IP Status: Copyright

MUSC-FRD Technology ID: P1788

Patent Information:
For Information, Contact:
Michael Rusnak
Executive Director
MUSC Foundation for Research Development
Aaron Lesher
Sachin Patel
Ryan Howard
Frank A Treiber
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