Digital ems program overview
This presentation is the property of its rightful owner.
Sponsored Links
1 / 33

Digital EMS Program Overview PowerPoint PPT Presentation


  • 50 Views
  • Uploaded on
  • Presentation posted in: General

Digital EMS Program Overview. Larry Flournoy Interim CIO Texas A&M University System Health Science Center Associate Director - Academy for Advanced Telecommunications and Distance Learning 6 May 2002. DREAMS TM Research Areas. Focused on improving the recovery of civilian and military

Download Presentation

Digital EMS Program Overview

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Digital ems program overview

Digital EMS Program Overview

Larry Flournoy

Interim CIO Texas A&M University System Health Science Center

Associate Director - Academy for Advanced Telecommunications and Distance Learning

6 May 2002


Dreams tm research areas

DREAMSTMResearch Areas

Focused on improving the recovery of civilian and military

personnel subjected to trauma

B

Basic and Clinical Sciences

Focused on detection, identification, and remediation of

biological & chemical agents

B

Biological and Chemical Warfare

Create virtual presence by the physician to enable

earlier intervention into the medical emergency

D

Digital EMS


Digital ems

Digital EMS

The Problem

How to overcome the negative impacts of increased time and space during a medical emergency.

The Approach

Use high quality video and physiological telemetry to create an adequate level of situational awareness for physicians to telementor emergency medical personnel onboard the ambulance.

Challenges

  • Managing high bandwidth applications in a wireless environment.

  • Providing a common user interface while integrating many systems related to medical monitoring and diagnostics.


Design philosophy

Design Philosophy

  • The well-being of the patient is and will always remain our top priority.

    “Saving lives is the only motivation for this project.”

  • System design will emphasize “graceful degradation” of onboard systems.

    “The total failure of all Digital EMS systems leaves EMS personnel with the same capability that they have currently.”

  • Digital EMS systems will be designed to aid EMS personnel and make them more effective without introducing a large training requirement.

    “A large part of this project involves the development of user interfaces that are as simple as possible and can easily be integrated into current EMS personnel’s procedures.”

  • Frequent interaction with the user is essential to the overall success of the program.


Defining the mission space

“Scoop and Run”

  • Augmentation for traditional ambulance missions (esp. rural areas)

  • Physician intervention sooner

Transport

  • Monitor patients while transporting from one treatment facility to another

  • Army field ambulance mission

Defining the Mission Space

Telemedicine

  • Lowest common denominator

  • Especially useful in medically underserved areas

Disaster Relief

  • Command center during mass casualty situations

  • Facilitate triage


System components

Ground Ambulance

Primary Hospital

Man Portable Systems

Air Ambulance

Secondary Hospital

People

Existing Infrastructure

  • Includes both civilian and military prototypes

  • Full implementation of Physician’s Workstation

  • Includes Medicam, Xybernaut, and WARP

  • Hermann Life Flight

  • Less than full implementation of Physician’s Workstation

  • Physicians, EMS personnel, and system maintainers

  • Integration into current practices and procedures

System Components


The systems integration challenge

The Systems Integration Challenge


Current system

Internet

Current System

  • Vital Signs

  • Monitor

MEDICAL

BreezeCom

  • Driver’s License

  • Scanner

Campus Fiber

  • Physician

  • Workstation

  • Portable Ultrasound

HARDWARE

  • Digital

  • Physiological

  • Data

Richardson

Building

  • Paramedic

  • Workstation

  • MedicCam

  • Wireless HMD

  • Run Record

  • Database

  • Xybernaut

  • Wearable

  • Computer

  • Electronic

  • Patient

  • Record

  • Database

HARDWARE

  • PTZ Cameras

  • GPS Receiver

Wisenbaker Engineering

Research Center

  • Video Capture

Xybernaut

  • BreezeCom

  • Base Station

  • Microphones

  • & Speakers

  • CDPD via the

  • Internet

MedicCam

  • BreezeCom

  • Wireless Network

  • Ambulance

  • Communications

  • Bridge

CDPD

COMMUNICATIONS

  • CDPD Modem

COMMUNICATIONS

  • MedicCam

  • Receiver


Parallel activity

Parallel Activity

Satellite Antenna Development

Decision Support Systems

Standards and Policies

Digital EMS

Systems Integration

Security (HIPAA)


Digital ems program overview

Digital EMS Breakthrough Technology Areas

  • System Level Impact of Digital EMS

    • A unique collection of digital technologies will create a virtual presence by the physician and permit a remote mentoring environment.

    • This virtual presence will enhance current life-saving protocols by involving the physician sooner.

  • Intelligent Communications Processing and Management

    • A “smart” communications manager using software agent technology that can balance bandwidth requirements versus bandwidth availability will be developed.

    • Multi-modal communications will be treated as a single channel with dynamically varying capacity.

  • Multi-Channel Real-Time Video/Audio Processing

    • Dynamic management of multiple video/audio streams will permit a high level of on-board situational awareness by physicians at remote locations.


Intelligent communications manager

Intelligent Communications Manager

  • Linux-based middleware that “multiplexes” both heterogeneous and homogeneous communications paths to facilitate management as a single pipeline.

  • Phase 1 - Complete data stream sent over selected path

  • Phase 2 - Packet level management for selected path

  • Rule-based approach

where n is the number of communications paths available


Intelligent communications manager1

Intelligent Communications Manager

Satellite

Bandwidth

Pool

Data Radios

Cellular Modems

CDPDs

Virtual Pipeline

(all communications systems operational)

CDPDs

Cellular Modems

Bandwidth

Pool

Data Radio

Virtual Pipeline

(after loss of satellite and one data radio)


Nbc news coverage

NBC News Coverage


Technology transfer

Technology Transfer

  • Where possible, existing or newly developed technology should be shared between the Army and the Digital EMS project (bi-directional).

  • Two candidate Army programs for integration into Digital EMS:

    • Medicam

    • Life Support for Trauma and Transport (LSTAT)


U s army field ambulance

U.S. Army Field Ambulance

  • Feasibility studies have begun to look at requirements for transferring Digital EMS technology to a U.S. Army field ambulance.

  • Digital EMS team willing to outfit and field prototype anywhere in the world based upon desires of U.S. Army.


Standards

Standards


Standards in dems

Standards in DEMS

  • Open standards

  • De facto standards

  • Internal standards

  • Hardware

  • Software

  • Development


Standards in dems1

Standards in DEMS

  • Adopt

    • Existing standards where they exist and the standards meet our needs

  • Adapt

    • Existing standards where feasible

  • Develop

    • Internal standards as needed

  • Drive

    • Development of new standards with SDOs


Standards in dems2

Standards in DEMS

  • Tracking an erratically moving target

  • Using IEEE, ASTM, HL7 approved or draft standards

  • Working within several SDOs to influence the development or revision of standards


Interact photographs

Interact Photographs


The box

The Box


The action wall

The Action Wall


Tracking ku band prototype

Tracking Ku Band Prototype


Antenna details

Antenna Details


Training simulator

Training Simulator


Hmmwv photographs

HMMWV Photographs


These are good conditions

These are Good Conditions


A new patient compartment

A New Patient Compartment


A real patient compartment

A Real Patient Compartment


Environment

Environment


The houston flood

The Houston Flood


Problems

Problems

  • Lack of Medical Equipment Standards

    • Electrical and Power

    • Network Protocol Support

    • Web and Programming APIs

  • RF Noise Suppression

  • Acoustic Noise Suppression

  • Shock and Vibration Isolation


  • Login