Developed Technology For Ambulance To Communicate To Hospitals

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DEVELOPED TECHNOLOGY FOR AMBULANCE TO COMMUNICATE TO HOSPITALS

Introduction

In Emergency Medical Services communications (EMS) has been compared aptly with the higher organisms nervous system. Messages of varying complexity are transmitted through the communications systems of the EMS Systems such as ambulance or rescue services, and departments that deal with emergencies, to affect their response in situations of emergency. During periods of emergency, the response may be altered or augmented in accordance with the kind of new information received through the systems of communication. The EMS response efficiency is largely dependent on the EMS network communication among its various components. A well integrated and efficiently planned communication system, with landline or direct radio access to all its main components will provide result in minimal response times and most rapid transmittal of messages among components. For an EMS system communications is very important from both a legal and medical standpoint. Acceptable, controls and medical practices emergency department care and pre-hospitals, through the medical profession get essentially developed.

Proposed Massachusetts EMS Communications Plan

The proposed technological plan that would allow the ambulances in the New Havenregion to communicate with hospitals effectively would be one modeled after the pattern adopted by the Massachusetts EMS Communications Plan, for improving the communication systems. Through this plan of a more statewide standardized statewide medical emergency network it will help improving EMS communications. It will provide common use, direction and system design perimeter for the systems implementation. It is not intended on dictating or restricting local EMS implementation and development. EMTs with the right solutions could be used to transmit (EKG) electrocardiogram results from the hospital to the ambulance in order to adequately arrange for the catheterization group in the hospital for an incoming patient. It also in other ways could via a HD videoconferencing or a secure voice-over-IP consult with a neurologist to administer rapid interventions and help assess possible stroke symptoms. Ambulances in some cases are also in the best position could provide other emergency teams with key information. For example, geo-tagged video feeds or data locations of the ambulance can be used by fire personnel, police and other respondent emergencies as they approach another crisis or accident

(Gonzalez, Cummings, Phelan, Mulekar & Rodning, 2009).

Estimated capital for implementation

The estimated capital cost of the plans implementation would be estimated to range from 60 -120 million dollars. Since the communication telecommunication systems development form the agency lead of the health institutions. With the plans completion, the financial plans development for the agencies conversion over trunking, will be a participating organizations priority. The systems cost has 3 main aspects namely the, subscriber units, Backbone, and fixed equipment. The components of the backbone include; systems interconnect equipment, antenna systems, the network management system and new transmitter sites. Subscriber units include; portable field radios and mobiles that all agencies participating use. Fixed equipment includes; control stations and dispatch consoles (Erkut, Ingolfsson, & Erdoğan, 2008).

Challenges in the plan implementation

Failures in the EMS Communications plan implementation are like the plan not being integrated effectively in the current work policy. Despite the governments continual initiatives, such as strategic framework for public services in the information age or the new e-government strategy, the proposed model success rate would still be low. Improving and implementation of changes to the NHS, EMS proposed model success rate by managing and better understanding the risks involved in the implementation. The model projects under-management is also another challenge that considering the IT size, history and expenditure of disappointed expectations is considered. This implementation is vital to the NHS in general since its entire proposed model has continued to face this specific documented failure.

The plan benefits

The implementations benefits, include facts like ease of resource allocation, information sharing, collaboration among emergency medical services (EMS), communication, and emergency departments (EDs) of ensures that the emergency department is aware of the patient’s pending arrival and hospitals provides physician access. In coordinating, EMS response to Mass Casualty, patient distribution and mass casualty incidents from the scene to the hospital. To the coordination of communications between hospitals, ambulance and ultimately contributes to optimal patient care CMED is very crucial in the processes. This type of model and technical design provide communications over a varied and wide geographical region while minimizing radio frequency congestion. A standard antenna and ambulance radio that operates on the UHF medical channels can access the system with adequate communications quality and the entire region with adequate communications quality (Hill, Merchant, & Ungar, 2013).

Possible alternatives to the plan

Other forms of alternative communications that would be used incase the proposed EMS Communications plan fails either due to topographic or geographic considerations include the evaluation of the proposed communication system as used for endorsing specific methods of communication and medical control as specified by REMAC. The forms of alternate forms of communication include; cellular telephones which may be either recommended for replacement or redundancy of current conventional systems whenever appropriate. Whenever the REMAC initiatives are present the actual communications reflect protocols capabilities in actual communication; it has been demonstrated that the conventional systems provide for medical control in the event of communications failure or inadequate coverage. Where hand held devices are used for an EMS service or provide communications the devices should be connected to a system antenna fixed at the back of the vehicle, and on the other hand the device should be able to be used through the electrical power system included in the vehicle. Such devices may work as back up for alternative forms of communication systems. It should be noted that all hand held communications devices in all cases, should be kept at least 3 feet away from implant patients that use pacemakers, or any medical device while in use (Newgard, Schmicker, Hedges, Trickett, Davis, Bulger, and Nichol, 2010).

Possible implementation to the plan

Best practices currently using the communication model being advocated for include the central medical emergency direction (CMED) from Worcester that depends mainly on strategically located network of radio towers located throughout (EMS Region II) of Central Massachusetts. CMED via portable/mobile radio and ambulance personnel contact through these requests and towers form a connection in the communications that enable them to effectively provide to the emergency department patient information. Through the entry information notification the staff in the hospital can adequately prepare for the forthcoming patients. In addition through the CMED the EMTs can communicate when a physician needs argent emergency medical control orders. The role of the CMED in communication coordinating for (MCI) mass casualty incidents is effective and instrumental in incident management. The adequately coordinated distributions of patients to area hospitals limit any possible confusion on the effects and scene of a patients surge in the hospital. For the appropriate coordination of communications between hospitals, ambulances and ultimate contributors the CMED is critical for the implementation since it contributes directly to patient care improvement (Morton & Wiedenbeck, 2010).

Conclusion

Through the above analysis improvement and understanding of the EMS system can be achieved. This includes research into EMS responder standards, EMS equipments and EMS communication protocols with each EMS system components. Current EMS traffic preemption, EMS dispatch process and ambulance warning systems are also adequately researched. Information of EMS system and data of emergency call volumes in EMS and other countries associated with solutions and associated accidents.

This proposed framework for solutions serves to improve the response and response time. The results of the simulation are given to produces a physically accurate prediction and show how the model quantifies the delay factor mentioned above accurate prediction of an average ambulance response time.

Reference

Erkut, E., Ingolfsson, A., & Erdoğan, G. (2008). Ambulance location for maximum survival.

Naval Research Logistics (NRL), 55(1), 42-58.

Gonzalez, R. P., Cummings, G. R., Phelan, H. A., Mulekar, M. S., & Rodning, C. B. (2009).

Does increased emergency medical services prehospital time affect patient mortality in rural motor vehicle crashes? A statewide analysis. The American Journal of Surgery, 197(1), 30-34.

Hill, S., Merchant, R., & Ungar, L. (2013). Lessons Learned About Public Health from Online

Crowd Surveillance. Big Data, 1(3), 160-167.

Morton, M. E., & Wiedenbeck, S. (2010). EHR acceptance factors in ambulatory care: a survey

of physician perceptions. Perspectives in health information management/AHIMA, American Health Information Management Association, 7(Winter).

Newgard, C. D., Schmicker, R. H., Hedges, J. R., Trickett, J. P., Davis, D. P., Bulger, E. M., … &

Nichol, G. (2010). Emergency medical services intervals and survival in trauma: assessment of the “golden hour” in a North American prospective cohort. Annals of emergency medicine, 55(3), 235-246.