Large Scale Disaster Management in Healthcare Deploying ICT by Olav Veum Eielsen Anesthesiologist, Director Regional Centre for Medical Emergency Research and Development,
Norway
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Large Scale Disaster Management in Healthcare Deploying ICT by Olav Veum Eielsen
1. 1
Large Scale Disaster
Management in Healthcare -
Deploying ICT
Olav Eielsen, MD Director
The Regional Centre of Medical Research and Development
Stavanger University Hospital, Norway
2. 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
3. EU – project “BRIDGE”
- “Bridging resources and agencies in large-scale
emergency”
5. 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
6. 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 workflow
management;
7. In big incidents:
The prehospital phase is to day characterized by
•high manual workload
•little 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)
1940
2016
8. Mass casualty incidents
are characterized by a situation where
emergency medical treatment capacity is
complete overloadet by the number and
severity of casualties….
9. One patient and one chain of survival
Advanced medical treatment can do «miracles»:
10. 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
12. BRIDGE CONCEPT: E-Triage bracelet
Logistic part
•GPS tracking location
•Transmitting via 4 G
•Time-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 ??)
13. Time stamp when patient is passing the door in the :
Ambulance Hospital
14.
15.
16.
17. Todays situation Problem:
Difficult to establish a
common opertaional
pictute
Exchange of information mainly
through voice communication
BRIDGE Nordic ValEDation Days, Oslo, 18-19 November 2014
18. 18
Future situation: Use of modern ICT
BRIDGE Nordic ValEDation Days, Oslo, 18-19 November 2014
/ ConceptConcept
casescases
/ Concept cases /Concept cases /
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