A vital-signs enhanced telemedicine system and method allowing a plurality of medical teams assisting a plurality of patients to interact with and get assistance from a plurality of remote physicians via a plurality of audio, video, and vital signs transmissions and interactive remoting sessions including alarms, analysis, recording, and live playback capabilities.The system includes patient monitoring devices generating streaming vital signs, alarms and alerts (monitoring)； aggregators generating streaming audio, video, and GPS for transmission in combination with monitoring received (session) and receiving sessions and instructions from gateways for local display； gateways maintaining concurrent sessions between aggregators and dashboards, receiving sessions from aggregators for transmission to dashboards, and simultaneously receiving sessions from dashboards for transmission, with instructions, to aggregators and to other session dashboards； and dashboards generating and streaming session to gateways while displaying received session data.
