EMS system model

resource management ambulance tracking (GPS - GIS)

current position destination

static resource information resource status updates medical multimedia data

emergency episode archive

logging

resource status links to archive

route-related instructions

route

information acquisition of vital signs & images

medical multimedia data

route guidance

medical multimedia data

teleconsultation & telediagnosis

Citizen information

Example of EMS evolution

Emerg. Clinical Record incl. Biomedical Data Hospital Resources Voice

Hospital

via ISDN or PSTN

MICU Status Voice Emerg. Clinical Record incl. Biomedical Data Emergency Clinical Record Hospital Resources Messages Status Acknowledge Emerg. Clinical Record incl. Biomedical Data Video Data Radiography Data Emergency Clinical Record Messages

HECC

via Radio Ttrunking

MICU Status

via GSM

Activation Data incl. Route Guidance

via PSTN

via ISDN

MICU

Rural PCC

Mesa Impact on Worldwide

Emergency Scene
HECC Remot e Care Point ECC
Mobiles Units

HOSPITAL

MESA

HECC

PROBLEMS F Closed Systems F Independent applications F Lack of coordination F Radio and Phone remote medical assistance F Radio based communications F Uncertain location of resource F Independent Protocols / Scenarios F Local solutions F Spectrum Availability F Different interobilities

SOLUTIONS F Open Systems F Interoperable applications and integrated Networks F Resource availability shared knowledge F Image based medical care F State of the Art technologies F Geographic Positioning Systems F Remote Diagnosis Facilities F Coordinated Operative Plans F Continuity of care protocols F New standards F Trans-World Emergency care

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