large scale disaster management in healthcare deploying ict by olav veum eielsen

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*Large Scale Disaster Management in Healthcare - Deploying ICT


Olav Eielsen, MD Director
The Regional Centre of Medical Research and Development
Stavanger University Hospital, Norway

RAKOS is a center of research and development of the prehospital emergency services in the western part of Norway

Part of Stavanger University Hospital, Norway

God morning everybody My name is Olav Eielsen, I am an emergency physician and also the director of a centre for medical emergency research and development in Norway. The centre is a part of the University Hospital in Stavanger*

EU project BRIDGE

- Bridging resources and agencies in large-scale emergency

Our center has over the last four years been engaged in a large EU-project with a total budget of 15 mill euros*

Partners*BRIDGE Nordic ValEDation Days, Oslo, 18-19 November 2014

The BRIDGE consortium has consisted of a well-balanced mix of academics, technology and domain experts and end-user representatives. Our center had the responsibility of the End User Advisory Board *

The EU-project BRIDGE

The ultimate goal was to:

Increase the safety of citizens by developing solutions that could improve the management of crisis and emergencies

The ultimate goal of BRIDGE project was to increase the safety of citizens by developing technical and organisational solutions that could improve crisis and emergency management*

Brussels International Airport Attack Photo:http://www.dailymotion.com/video/x3zbt8x What is the EU-project BRIDGE VISION Facilitate: Cross-border and cross-agency collaboration

Common operational picture of the incident site

Integration of resources and technologies into workflowmanagement;

*

In big incidents: The prehospital phase is to day characterized by high manual workloadlittle use of modern technology voice based communication Little use of data-communication

2nd world war : Only voice communication

Same today : Only voice communication (via tetra radio) 19402016

*

Mass casualty incidents

are characterized by a situation where emergency medical treatment capacity is complete overloadet by the number and severity of casualties.

*

One patient and one chain of survival
Advanced medical treatment can do miracles:

When you have got one patiant and one chain of survival for that patient, we can do so called miracles *

Large scale incident -mass casulties:

Several patients per one chain of survival

Imbalance between medical nead and treatment capacity

Modern ICT can compensate this imbalance

*

Old fashion triage system

This is paper tags and used as a manual based triage system *

BRIDGE CONCEPT: E-Triage bracelet Logistic part

GPS tracking location Transmitting via 4 GTime-stamp system (time on-site , time under transport a time of arrival at the hospital)

Micro patient monitor:E Triage system (re-assessment) colors changeing Alarmfunction Skin-temperature Peripheral pulse-detection Blod pressure trend

Under developing: Movement sensor : Consciousness indicator ? (correlating Glascow Coma Scale ??)

*

Time stamp when patient is passing the door in the :Ambulance Hospital

*

The bracelet send up-dated information every minute via 4 G to the dispatch center or to the hospital. Here you see the location of each patient on the map in the dispatchcenter-*

We can zoom in on each patient for for cheching the details. Notice here the result of the movement sensor which we are trying to correlate to the patients cGlascow Coma Scale. *

And here is also a picture from the dispatc center and shows the on-line automatic status for all the patients *

Todays situationProblem: Difficult to establish a common opertaional pictuteExchange of information mainly through voice communicationBRIDGE Nordic ValEDation Days, Oslo, 18-19 November 2014

This is the situation is to day: little use of any ICT systems *

*

Future situation: Use of modern ICT BRIDGE Nordic ValEDation Days, Oslo, 18-19 November 2014/ Concept cases/ Concept cases /

By using modern ICT the over all Crisis management will be much more effective *

BRIDGE-consept cases First Responders Integrated Training System Information Intelligence

Dynamic tagging Advanced Situation AwarenessDrone

Robust and Resilient Communication The HelpBeacons appAdaptive Logistics

Here are som of the concept cases that we developed in the project and I will show some of them in a video clip *

Drone loaded with sensors Transmitting to the screen in the Disaptch center

Here is a drone with gas sensors transmitting data to the dispatch center *

SUM UP VIDEO

*

*

Conclusion:

By Introducing Modern ICT you can:

- reduce today`s workload by 30 %
- improve large scale emergency
management

Our experince from the BRIDGE project was the by Introducing Modern ICT you can:

- reduce today`s workload by 30 %
- improve large scale emergency
management *

Thank you

..and welcome to Norway..

*

God morning everybody My name is Olav Eielsen, I am an emergency physician and also the director of a centre for medical emergency research and development in Norway. The centre is a part of the University Hospital in Stavanger*Our center has over the last four years been engaged in a large EU-project with a total budget of 15 mill euros*The BRIDGE consortium has consisted of a well-balanced mix of academics, technology and domain experts and end-user representatives. Our center had the responsibility of the End User Advisory Board *The ultimate goal of BRIDGE project was to increase the safety of citizens by developing technical and organisational solutions that could improve crisis and emergency management*

*

*

*When you have got one patiant and one chain of survival for that patient, we can do so called miracles *

*This is paper tags and used as a manual based triage system *

*

*The bracelet send up-dated information every minute via 4 G to the dispatch center or to the hospital. Here you see the location of each patient on the map in the dispatchcenter-*We can zoom in on each patient for for cheching the details. Notice here the result of the movement sensor which we are trying to correlate to the patients cGlascow Coma Scale. *And here is also a picture from the dispatc center and shows the on-line automatic status for all the patients *This is the situation is to day: little use of any ICT systems *By using modern ICT the over all Crisis management will be much more effective *Here are som of the concept cases that we developed in the project and I will show some of them in a video clip *Here is a drone with gas sensors transmitting data to the dispatch center *

*

*Our experince from the BRIDGE project was the by Introducing Modern ICT you can:

- reduce today`s workload by 30 %
- improve large scale emergency
management *

*