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SPTT

SPTT. Standoff patient triage technology By: Deanna Rucker Caryn Christian Lenin Alberto. When arriving at the scene of a terrorist attack, natural disaster, mass casualty( 10+ patients needing care simultaneously), or a motor vehicle accident, the first responders are Police, Fire and EMS.

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SPTT

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  1. SPTT Standoff patient triage technology By: Deanna Rucker Caryn Christian Lenin Alberto

  2. When arriving at the scene of a terrorist attack, natural disaster, mass casualty( 10+ patients needing care simultaneously), or a motor vehicle accident, the first responders are Police, Fire and EMS

  3. EMS Requirements • The EMS personnel requirements at the scene is to triage the patients

  4. Triage • The process of sorting people based on their need for immediate medical treatment as compared to their chance of benefiting from care

  5. Problem Space • The current method used by EMS personnel, it takes approximately 3-5 mins to triage one individual patient • In that time frame, other patients could loose their lives • Although the risk of biological warfare is low, the consequences are high. If an attack was to happen, people would have to be separated at the POD’s according to medical needs.

  6. Hurricane Katrina • Hurricane Katrina was one of the deadliest hurricanes in the history of the United States, killing over 1,800 people.The confirmed death toll (total of direct and indirect deaths) stood at 1,836, mainly from Louisiana (1,577) and Mississippi (238). However, 705 people remain categorized as missing in Louisiana, so this number is not final. Many of the deaths are indirect. It is almost impossible to determine the exact cause of some of the fatalities.Katrina was the largest hurricane of its strength to approach the United States in recorded history; its sheer size caused devastation over 100 miles (160 kilometers) from the storm's center. The storm surge caused major or catastrophic damage along the coastlines of Louisiana, Mississippi and Alabama, including the cities of Mobile, Ala., Biloxi and Gulfport, Miss., and Slidell, La. Katrina was the 11th named storm, fifth hurricane, third major hurricane and second category 5 hurricane of the 2005 Atlantic hurricane season. It was also the sixth strongest hurricane ever recorded, and the third strongest hurricane to make landfall in the U.S. ever recorded.

  7. Hurricane Katrina http://www.latimes.com/news/nation-and-world/la-fg-haiti-loomis1-ss,0,266018.htmlstory

  8. 9/11 Many people were pulled from the debris. The triage time was high, approximately 5 to 7mins.

  9. Solution • SPTT (standoff patient triage technology) • This technology takes 30seconds to triage one individual patient • Therefore, more patients can be triaged in the time it currently takes for one

  10. SPTT characteristics • Size of legal notebook • Thick as a ream of paper • 15inches by 8inches • Buttons are large enough for a double-gloved person to use • Re-programmable • Can withstand a drop from 5ft high onto concrete due to its bumper design

  11. What exactly does the SPTT do? • Reads pulse, temperature and muscle movement • It can read these vital signs from 5feet to 40 feet away from the individual • In 30seconds

  12. Cost • Should not cost more than $20,000 • Agencies would probably need more than one of these for a castrophic event • Requires minimal maintenance

  13. How the SPTT works • Composed of a laser dopplervibrometry, camera and algorithm

  14. Laser Doppler Vibrometry • This instrument uses non-contact vibration measurements of a surface • It has been used in aircraft and automotive components, acoustic speakers, radar technology and landmine detection • Laser is connected to camera, the vibrometer can measure velocity and displacement of vibrating objects • An algorithm converts data to numbers that EMS personnel can recognize and use

  15. Summary of Laser Doppler Vibrometry, Camera and Algorithm • The laser is focused on the patient and the reflection is captured by a camera. That light is doppler-shifted from the original beam by such motions as breathing or pulse in artery. From that frequency and displacement information, software extracts the subject’s vital signs.

  16. Carotid Artery • So far in testing, the carotid artery has been the best place for the SPTT to read vital signs • Studies at Washington University show that these vital signs can also be obtained from the head, chest, abdomen and foot

  17. Test Results • Due to this being a new disruptive technology, there are little to no test results available for viewing on the internet • These tests are being conducted currently, however, this device has not been bought by a particular company • Three companies working on the testing are under government contract • Studies being conducted are promising

  18. Potential Issues • There is not enough data to determine if the SPTT will work in all situations • Several layers of clothing or if the patient is unable to be moved may not give an accurate reading • More than 1 SPTT would most likely be needed in a castrophic event, therefore, it might be not cost effective • It does not read blood pressure which is a key aspect to triage patients

  19. Benefits • It only takes 30seconds to triage a patient • Therefore, multiple patients are be triaged in the time it currently takes • It might save a life • It can take vital signs from a distance, therefore protecting the EMS personal safety • Can drop onto concrete from 5ft high and still continue to work

  20. Disadvantages • No test results to prove it works in all situations • Might not give accurate readings from 40ft away, as it would from 5ft away • Will it work if the patients are trapper under material?

  21. The SPTT is experiencing push-back currently because there is no technology to compare it to. • We believe that after there is a test that is publicized, it will experience acceptance.

  22. Disruptive Technology • This is an innovation that improves the current method in ways in which the market does not expect • There is no technology currently on the market which does any of the tasks that the SPTT performs

  23. Future Vision •             The future vision of the Standoff Patient Triage Tool is looking exceptional because the S&T agency which is part of the DHS is managing the project. The Federal government is funding the technology because its future is very promising. This technology will be able to save many lives in the presence of a catastrophic event because it’s only going to take approximately 30 seconds to scale how severe a victim is, instead of 3 to 5 minutes which is the current time that a paramedic takes to check for body temperature, heart rate and muscle movement. This technology has the capability to mitigate the problems that the paramedics face when they arrive to a scene, to say the least sometimes they don’t know where to begin helping because in some cases there could be hundreds of victims in desperate need of assistance. This is when the SPTT comes to the rescue, this technology can scale from which victim is more severe to the least severe making it easier for paramedics to help those whose lives are more at risk. The SPTT will make America safer because is going to speed up paramedic assistance saving more lives.

  24.             The agencies that will be buying this technology are the US Coast Guard, The Army, FEMA, EMS, and almost every hospital but the market for this technology will depend on how effective the SPTT is proven to be and how expensive as well. Thus far no other agency is contesting the implementation and development of this technology. Even though there has not been a lot of research done to test it we think that the SPTT is worthy and is an amazing technology that could be leverage to help victims during hurricane, earthquake and terrorist attacks.

  25. Recommendation • We would this technology to FEMA, National Guard and all EMS agencies • Even if test results prove this to not be as effective as a technology, it still minimizes some triage time from 5mins to 30seconds • 100 people can be triage in 30mins as opposed to 3hours • It can reduce the number of EMS workers needed • It will reduce the amount of security measures needed at a POD because it will not be as long as a wait to be triaged

  26. Solicitation Number: • W91CRB-08-C-0056 • Notice Type: • Award Notice • Contract Award Date: • June 19, 2008 • Contract Award Number: • W91CRB-08-C-0056 • Contract Award Dollar Amount: • 1729663 • Contract Line Item Number: • 0001 - 0006 • Contractor Awardee: • The Boeing Company20403 68th Avenue SouthKent, WA 98032-2316 • Synopsis: • Added: Apr 03, 2009 10:51 am • STAND-OFF PATIENT TRIAGE TOOL • Contracting Office Address: • RDECOM Acquisition Center - Aberdeen, ATTN: AMSSB-ACC-A, 4118 Susquehanna Avenue, Aberdeen Proving Ground, MD 21005-3013

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