Presentation on theme: "The Texas A&M University System Digital EMS Program Overview Larry Flournoy Interim CIO Texas A&M University System Health Science Center Associate Director."— Presentation transcript:
The Texas A&M University System 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
The Texas A&M University System DREAMS TM Research Areas B Basic and Clinical Sciences B Biological and Chemical Warfare D Digital EMS Focused on detection, identification, and remediation of biological & chemical agents Create virtual presence by the physician to enable earlier intervention into the medical emergency Focused on improving the recovery of civilian and military personnel subjected to trauma
The Texas A&M University System Digital EMS The Approach ChallengesChallenges The Problem How to overcome the negative impacts of increased time and space during a medical emergency. 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. Managing high bandwidth applications in a wireless environment. Providing a common user interface while integrating many systems related to medical monitoring and diagnostics.
The Texas A&M University System 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.
The Texas A&M University System Defining the Mission Space “Scoop and Run” Augmentation for traditional ambulance missions (esp. rural areas) Physician intervention sooner Disaster Relief Command center during mass casualty situations Facilitate triage Telemedicine Lowest common denominator Especially useful in medically underserved areas Transport Monitor patients while transporting from one treatment facility to another Army field ambulance mission
The Texas A&M University System System Components Ground Ambulance Includes both civilian and military prototypes Primary Hospital Full implementation of Physician’s Workstation Man Portable Systems Includes Medicam, Xybernaut, and WARP Air Ambulance Hermann Life Flight Secondary Hospital Less than full implementation of Physician’s Workstation People Physicians, EMS personnel, and system maintainers Existing Infrastructure Integration into current practices and procedures
The Texas A&M University System The Systems Integration Challenge
The Texas A&M University System Current System Physician Workstation Digital Physiological Data Run Record Database Electronic Patient Record Database Ambulance Communications Bridge Campus Fiber Internet BreezeCom Vital Signs Monitor Driver’s License Scanner Portable Ultrasound Paramedic Workstation MedicCam Wireless HMD Xybernaut Wearable Computer PTZ Cameras GPS Receiver Video Capture Microphones & Speakers BreezeCom Wireless Network CDPD Modem MedicCam Receiver BreezeCom Base Station CDPD via the Internet Richardson Building CDPD MedicCam Xybernaut Wisenbaker Engineering Research Center
The Texas A&M University System Parallel Activity Digital EMS Systems Integration Satellite Antenna Development Security (HIPAA) Standards and Policies Decision Support Systems
The Texas A&M University System 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.
The Texas A&M University System Intelligent Communications Manager where n is the number of communications paths available 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
The Texas A&M University System Intelligent Communications Manager Virtual Pipeline (all communications systems operational) Satellite Data Radios Cellular Modems CDPDs Bandwidt h Pool Bandwidt h Pool Virtual Pipeline (after loss of satellite and one data radio) CDPDs Cellular Modems Data Radio Bandwidt h Pool Bandwidt h Pool
The Texas A&M University System NBC News Coverage
The Texas A&M University System 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)
The Texas A&M University System 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.
The Texas A&M University System Standards in DEMS Open standards De facto standards Internal standards Hardware Software Development
The Texas A&M University System 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
The Texas A&M University System 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
The Texas A&M University System Interact Photographs
The Texas A&M University System 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