1. SAFE & SECURE eREGION Ambulance Services Perspective Andrej Fink, EMT-P, RN, BS

2. Future EMS/1. EMS Dispatch: EMS Dispatch: CAD – Computer Assisted Dispatch. CAD – Computer Assisted Dispatch. CTI/CRI – Computer Telephony and Radio Integration. CTI/CRI – Computer Telephony and Radio Integration. UCD – Uniform Call Distribution. UCD – Uniform Call Distribution. ANI/ALI – Automatic Caller Number and Location identification. ANI/ALI – Automatic Caller Number and Location identification. GIS – Geographic Information System. GIS – Geographic Information System. ACN – Automatic Collision Notification. ACN – Automatic Collision Notification. SSM – System Status Management: SSM – System Status Management: CDA – Call Demand Analysis, CDA – Call Demand Analysis, ALP – Automatic Logistic Planning… ALP – Automatic Logistic Planning…

3. Future EMS/2. EMS field crews EMS field crews Telemedicine: Telemedicine: Telemonitoring, Telemonitoring, Teleconsultation… Teleconsultation… Mobile solutions: Mobile solutions: eDocumentation eDocumentation Billing, Billing, Professional… Professional… eNotification eNotification eNavigation (real time)… eNavigation (real time)… Digital Communications (TETRA…) Digital Communications (TETRA…)

4. Information System in EMS

5. Telemonitoring

6. Safe & Secure Problems System Availability (all levels). System Availability (all levels). Data Availability, Integration and Interpretation (existing data). Data Availability, Integration and Interpretation (existing data). Personal Information Protection (steeling, abuse, destroying, data loose…) Personal Information Protection (steeling, abuse, destroying, data loose…) Language barriers Language barriers Integration of Different Systems (organization, technology…) Integration of Different Systems (organization, technology…)

7. CONSEQUENCES

8. NY 9.11.2001

9. Case report Toronto SARS1 and SARS2 Outbreak 2003 Toronto SARS1 and SARS2 Outbreak 2003 Provincial Transfer Authorization Center Provincial Transfer Authorization Center Created to contain spread of desease. Created to contain spread of desease. Internet technology. Internet technology. Wider geografic area. Wider geografic area. From prototype to working solution. From prototype to working solution.

10. Conclusions Major incident, natural disasters, terrorism – BORDERS DON’T EXISTS Major incident, natural disasters, terrorism – BORDERS DON’T EXISTS Modern age - new threats: Modern age - new threats: New diseases. New diseases. Change of terrorism philosophy. Change of terrorism philosophy. Global climate changes. Global climate changes. NEW TOOLS – regional cross border integration NEW TOOLS – regional cross border integration Efficient tools = simple tools. Efficient tools = simple tools. End user oriented solutions: End user oriented solutions: EMS provider, EMS provider, Patient. Patient.

11. NO WIN situation