role of telemedicine in disaster management
DESCRIPTION
Role of Telemedicine in Disaster Management. Presenter: Dr. AijazQadir Patoli MBBS, MBA, DISM, (MSc) Sr.MO Govt: of Sindh Pakistan Venue: TTeC2006 Tromso Norway 12 th June, 2006. PROLOGUE. 2004 (Dec), tsunami of 9.0 Richter scale 183,170 lives & 43,320 – missing still. - PowerPoint PPT PresentationTRANSCRIPT
Role of Telemedicine in Disaster Management
Presenter: Dr. AijazQadir PatoliMBBS, MBA, DISM, (MSc)
Sr.MO Govt: of Sindh Pakistan
Venue: TTeC2006 Tromso Norway12th June, 2006
Sources of Data: WHO web site
PROLOGUE
2004 (Dec), tsunami of 9.0 Richter scale 183,170 lives & 43,320 – missing still.
2005 (Oct), earthquake (7.6) in South Asia > 18,000 lives & 4 million need healthcare. 20 after shocks of 5 & >. above.
PROLOGUE
1995, Great Hanshin-Awaji earthquake in Japan
5488 victims perished, 81% died in the first 7 hours.
Disasters have adversely affected 80 million or more in last 20 years
HOW TECHNOLOGY CAN HELP US IN SUCH DISASTERS?
Sources of Data: B-1; Theodore C. Chan, MD, Jim Killeen, MD, William Griswold, PhD, Leslie Lenert, MD, MS “Information Technology and Emergency Medical Care during Disasters"
B-2; Dr. Najeeb Al-Shorbaji Regional Information Officer Regional Office for the Eastern Mediterranean World Health Organization Alexandria, Egypt
DISASTER
Disaster; unexpected & extensive, catastrophe, can be natural or man made in origin, causes huge losses of lives & property & sometimes with permanent environmental changes.
Major concern is Human Life. Traditional medical care facilities are either
collapsed or inaccessible in the disaster area.
TELEMEDICINE
Telemedicine; synchronized use of ICT to deliver medical services to patients in areas where access is restricted by geography or environment.
Diagnosis, treatment, monitoring, and education of patients & other stakeholders.
Transmission modalities may be wired or wireless between 2 or more ends.
TELEMEDICINE & DISASTER MANAGEMENT
Telemedicine was first applied in disasters by NASA in 1985 earthquake in Mexico City. It provided critical voice communication support within 24 hours of the disaster.
Improved space & ground technologies provide suitable communication infrastructure for disaster management.
TELEMEDICINE IN DISASTER MANAGEMENT
Disaster Management broadly has three phases; Preparedness Relief Response Post response rehabilitation.
Telemedicine can be integrated in all phases of disaster management.
Pakistan has also learned lesson.
PREPAREDNESSPlanning & Development
Preparedness begins with planning process, risk analysis and Technology assessment: Risk Analysis & Reduction. Disaster Telemedicine integrated groups. Infrastructure Finance Technological needs & applications. R & D through Pilot Projects.
PREPAREDNESS Risk Analysis & Reduction
Classification of high risk zones on the basis of TYPE and ORIGIN.
Databases of identified set of requirements for human safety in each distinct type of disaster.
E-Surveillance; social & environmental electronic Data collection, dissemination and electronic statistical analysis from high risk areas.
Modeling of the magnitude and anticipated impacts of a potential Disaster.
Early warning system for people & stakeholders.
PREPAREDNESS Telemedicine Planning groups
National Disaster Telemedicine groups: Community : Telemedicine centers for awareness and services. Taluka : Disaster Telemedicine training centers. District level: Annual Telemedicine Planning & implementation. Provincial level: 3-year Telemedicine Strategic Planning Federal Level: 5-year Telemedicine Strategic Planning Vertical Integration
International Level: Planning groups with WHO & others Tele-education & e-Trainings of groups:
Disaster; basics, epidemiology, logistics, medical management. Injuries Types; Mechanical & environmental, biological, radiation Information & Telemedicine management strategies
PREPAREDNESSInfrastructure
Human Resource; Management & administration of the Telemedicine System Medical expertise and other health and medical activities Patients and telemedicine users E-Trainings & E-education
Medium; Wired or Wireless broadband; Contingency wireless & mobile backup.
Wares; Equipments and software
Finance; Funding, sponsorships, and investment. budgetary allocations
PREPAREDNESSTechnological needs & applications.
Databases; with off-site back ups for information of: Inventory & Human resource management Logistics & trainings material Organizations expert in disaster management Epidemiological techniques.
Artificial Intelligence, & Expert Systems; Expert Systems & Decision Support Systems on medical issues.
GIS; Databases in GIS environment useful in disaster management for: situational analysis risk assessment spatial modeling disaster mapping, and simulation It facilitates search and rescue operations.
PREPAREDNESSR & D Pilot Projects
To study & establish role of Telemedicine in Disaster Management & new systems.
Generate variety of data & information; Management information Clinical information Surveillance and epidemiological information Knowledge Personal and community information Literature
RELIEF RESPONSE
Disaster detection & Response activation. Telemedicine Resource mobilization. Mobile Field Hospitals in the disaster area. Reference Hospitals Medical Missions, in area denial scenario just
after disaster, consists of 3 steps:1. Victim Localization.
2. Life Algorithm.
3. Victim Management.
RELIEF RESPONSE
Robot assisted Medical Reach back; Access to the victim during the 4-10 hrs of extrication All functions deeper depths of 10-30 meters in rubble
Telemonitoring Critically ill patient – sensors nodes. During triage
Patient Tracking Systems; triage tagging Tech!! Bar coding and mobile wireless data acquisition to
individually identify and track victims of disasters. Bar coding has been piloted and tested in Europe.
RELIEF RESPONSE Pre-Hospital Management
Mobile Technology in Pre-Hospital Management Telediagnosis and teleconsultation, crucial signals fixed or portable, wired or wireless, TCP/IP
Miniaturization Technology; PDAs Support keyboard, pen, touch, & voice inputs Information management, portability, & connectivity e-mail, fax, graphics, digital photography, & voice
recording capabilities.
Personnel Status Monitor (PSM) Mobile ICU!!!
RELIEF RESPONSE
Telediagnostics; Teleradiology; The term covers X-rays,
computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound.
Telepathology. Teleconsultaion;
during surgery; reduce # of unneeded amputations.
Ambulatory Patients.
POST RESPONSE REHABILITATION
Telepsychiatric Interventions Telerehabilitation Clinical Decision Support system for
ambulatory patients. Public Health Issues:
Disease Early Warning System
Disaster Medicine Epidemiology
LESSONS LEARNED
Telemedicine has great potential to minimize the loss of human lives during a disaster.
October 2005 earthquake devastation; that Pakistan should go for telemedicine facilities.
Governmental policies now aim at: elimination of constraints in growth of Telemedicine. facilitate local language contents indigenous ICT research & development Official plans include HRD, joint ventures, urban networks
and rural build-out. integration and development of online applications.
STRATEGIC OPTIONS
Globalization of Disaster Telemedicine Institutionalization of Disaster Telemedicine Specialized Disaster Telemedicine courses. Disaster Intelligence System Unified code system; like WHO’s ICD-10. Unified information exchange standard; HL7. One health database language like MIQUEST. WHO-NST lead in e-Health Disaster Management NST be declared as Headquarter of e-Health
Disaster Management.
EPILOGUE
Technological advancements has imparted Telemedicine with the capability to significantly minimize human life loss during a disaster.
Disaster Telemedicine is promising & noble, and with impressive sense to save human lives.
“The feeling of creating something, simultaneously imposing, reassuring & beautiful is enough to mobilize endless amounts of human efforts.”
THANK YOU FOR YOUR ATTENTION