it & health care disaster management: training + delivery = progress
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
IT & Health Care Disaster Management: Training + Delivery = Progress
Russell J. AndrewsAmes Associate, Smart Systems & Nanotechnology
NASA Ames Research Ctr, Moffett Field (Silicon Valley), CA, [email protected]
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
JAMA(J Am MedAssn)7 Aug 2013
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
First Young Neurosurgeons Forum quarterly online symposium 29th January 2011
Muhammad Raji Mahmud, MD, FWACS, Chair, Young Neurosurgeons Forum of the World Federation of Neurosurgical Societies (WFNS)
Neurosurgical Service for Disasters: Telemedicine/Telesurgery & the Mobile
Emergency/Neurosurgical Unit (MEU/MNU)
Leónidas Quintana (WFNS 2nd Vice President) Russell J. Andrews (NASA Ames)
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Disasters destroy medical facilities – NO HOSPITALS, NO ORs
Disasters destroy local infrastructure – NO ELECTRICITY, NO WATER, NO FOOD, NO HEAT, NO LIGHT, NO STERILIZATION
Disasters destroy local supply lines – NO ROADS, NO AIRPORTS, NO REPLACEMENT EQUIPMENT, NO RESTOCKING SUPPLIES
Disasters may destroy personnel – LOCAL MEDICAL PERSONNEL ARE NOT IMMUNE FROM INJURY or DEATH
Disaster Management: The Problem
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Disasters destroy medical facilities – SELF-CONTAINED PORTABLE O.R., WARD, CLINIC
Disasters destroy local infrastructure – “IMPORTED” FOOD, ELECTRICITY, HOUSING
Disasters destroy supply lines – ALL RESOURCES MUST BE “IMPORTED” BY HELICOPTER
Disasters may destroy personnel – NEUROSURGEON IS USELESS w/o ANESTHESIOLOGIST, NURSES, SUPPORT STAFF (and TRAUMA SURGEONS, etc)
TELESURGERY is essential to provide personnel for immediate full-service Neurosurgery Disaster Relief
Disaster Management: The Requirements
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
A Combat Support Hospital (CSH ) is a mobile hospital delivered in standard military-owned Demountable Containers (MILVAN) cargo containers and assembled by the staff into a tent hospital to treat wounded soldiers. The hospital is typically between 16 and 256 operational hospital beds.
The great operational advantage of the DEPMEDS facility is the use of single or double expanding milvans to create hard sided, air conditioned, sterile operating rooms and intensive care facilities, which can produce surgical outcomes similar to that seen in fixed facility hospitals, and do so in an austere environment.
Wikipedia
Mobile Emergency Unit (MEU)US Military Combat Support Hospital Model
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Chinook Helicopter: Payload 12,000 kg; Range 1,100 km
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
CereTom® Portable CT Scanner
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
• CT Angio, Contrast & Xenon Perfusion• Mobile – On Rollers• Can be powered by a car battery with an inverter!
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
CARS Berlin 2011
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Ceiling mounted remote robotic camera (OR): Remotely located assistant “master surgeon” Neurosurgery education Guide Emergency Physician in Remote Clinic
Portable (“briefcase”) remote robotic camera: Held by EMT at trauma scene – “remote exam” Attach to mounting – helicopter, ambulance
Constant remote pt monitoring (visual, auditory, vital signs) from injury site to hospital neurosurgeon –anywhere there is internet access!
Vigilent Telesystems: Quebec, Canada
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Medical Design Briefs, May 2010
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Tech Review 2010 &MDDI 2013
MedicalDesignBriefs2011
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Sometimes a disaster…
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Can become an opportunity!(Bring together people for a humanitarian response)
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
To facilitate the personal association of neurological surgeons throughout the world. To aid in the exchange and dissemination of knowledge and ideas in the field of neurological surgery. To encourage research in neurological surgery and allied sciences. To address issues of neurosurgical demography. To address issues of Public Health. To implement, improve and promote the standards of neurosurgical care and training worldwide.
World Federation of Neurosurgical Societies (WFNS) Mission Statement
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Portable OR w/ full infrastructure supportComplete medical/surgical & support staffMobilization by helicopter to disaster site < 24 hrsContinuously operating MEU will be ready for deployment at any timeIT for remote communication & surgery supportIdeally 4 (or more) sites: Latin America, Africa, Central Asia, Southeast Asia
Mobile Emergency Unit (MEU)
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Competitive application - similar to site selection for WFNS educational courses & meetingsIn conjunction with local neurosurgical/trauma unitLocated where the ongoing service need is great (underserved region)Located where tertiary backup available (e.g. by air transport)Two years support in a given location/country
MEU Site Selection
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Combination of ‘host country’ and ‘developed country’ staff, residents, and support (e.g. nursing)One month to one year term for all visiting staffStandardized training – curriculum developed by international organizations (e.g. WFNS)Integrated training of both ‘host country’ and ‘developed country’ residentsResident experience with IT + remote monitoring & surgery under challenging conditions by host country
MEU Staffing & Educational Benefits
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
An ‘apolitical’ way the WFNS can foster universal neurosurgical standards for training and certificationExtended day-to-day association of staff from developed and developing countries – camaraderie Junior host country neurosurgeons will gain appreciation & respect for the WFNS missionResearch platform for trauma, remotely-guided surgery & disaster management ITImprove Public Health & neurosurgery worldwide
MEU Additional Site Benefits
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Or will IT be misinterpreted or misused by future generations??
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
San Jose (Calif) Mercury News 14 Aug 2013
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
San Jose (Calif) Mercury News 13 July 2013
“Every breath you take, every move you make – Euclid Analytics will be watching you!”
With apologies to Sting…
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Proteus Digital Health IEM
MDDI Nov 2012
“Because nothing is more reassuring to a schizophrenic than a corporation inserting sensors into your body that beam information to all those people watching your every move.”
The Colbert Report
Not entirely a joke…
Ingestible Event Marker wonFDA approval July 2012.
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Med Design Tech 2013
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Med Design Tech 2013
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
BioOpticsWorld &Lab Chip 2013
Smartphone cradle + $200 optics
=$50,000 lab-basedspectrophotometer
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Conducting polymer-coated CNF arraysgreatly enhance
biosensitivity for a “Lab On A Chip”
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Using cell phones to track malaria…Tech Review Mar 2013
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Tech ReviewMarch 2013
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
“You must be the changeyou wish to see in the world.”
IT & Health Care Disaster Management: Progress is Possible if We Think & Act
Creatively & Responsibly!
Mahatma Gandhi
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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
ThankYOU!!
Foreign AffairsSep/Oct 2013
PS: Let us not forget the“fruit walas”…