Network, Alliance Partnership Joint Research Knowledge Center Living Lab
WG10 Emergency telemedicine Improvement, training – impact for the deployment of field hospitals
Group leader: Gilles DUSSERRE firstname.lastname@example.org; Ecole des mines d’Alès – 6 Avenue de Clavières 30319 Ales Cedex, France
WG10 Group membres: - - - - -
Emergency Medicine deals with various situations (such as industrial disaster) and in humanitarian international interventions (e.g. Tsunami in Sumatra 2004). These types of intervention can imply both public emergency services and military units. For several years, the existing field hospital developed procedures and intervention techniques for the rapid deployment of medical and logistical means. Similarly, in a different context, the military units have similar needs of emergency medicalization on theaters of operations. The main objective of the ITT workpackage is to offer innovative solutions for emergency response units (civil, military, non-governmental organization in europe and abroad) to improve the long-term recovery process after a disaster (such as CBRNE attack). It also aims to promote the European know-how (with a small chain that can deploy innovative products and services) during disasters. The main aims of this project are the design of key elements for the improvements of field hospital in case of several crises. The main recommendations are as following:
Integration of a method (based on system engineering) to study interoperability of complex organizations.
Integration of innovative telemedicine solution that can be projected on a theater of crisis (information to people in situation of disasters) and personal training dormant situation.
Integration of innovative training solution in emergency situations,
Emergency Medicine deals with various situations (such as industrial disaster) and in humanitarian international interventions (eg Tsunami in Sumatra 2004). These types of intervention can imply both public emergency services and military units. For several years, the existing field hospital developed procedures and intervention techniques for the rapid deployment of medical and logistical means. Similarly, in a different context, the military units have similar needs emergency medicalization on theaters of operations. The main objective of the ITT workpackage is to offer innovative solutions for emergency response units (civil, military, non-governmental organization in France and abroad) to improve the long-term recovery process after a disaster. It also aims to promote the European know-how (with a small chain that can deploy innovative products and services) during disasters. State of the art A humanitarian crisis is "any situation where there is an exceptional and widespread threat to the life, health or basic living of individuals and a community". [Bastable, 2002]. Van Wassenhove  quoted by [Rongier, 2012] , Dautun [Dautun, 2012] specified these notions of threat and magnitude describing the crisis as "an unfavorable evolution of a calamity at the intersection of two forces: • vulnerability (eg high population density) • a triggering event (separate conditions that create vulnerability), for example an earthquake. Thus, we can define the crisis as a serious phenomenon, created by a triggering event, which plunges the starting system in an unstable situation, urgency and uncertainty. [Rongier, 2012] Several recent researches has focused on • The focus observatory point on crises and humanitarian aid (eg www.occah). This Canadian website aims to provide structured information on humanitarian crises in the world • The performance evaluation in crisis for the actors of crisis management (evaluation systems and measures based on performance indicators) [Rongier, 2012] • A European project Speedkits (www.speedkits.eu) is working on the development kit solutions to improve the current logistical issues (shelter, sanitation, packaging solutions). It does not address organizational, implementation or training. As a result from the user requirements (based on several meetings) we can conclude that, there are several weaknesses:
Difficulty in implantation of the structure and coordination with organizations on site (complex organizational collaborations between stakeholders, Logistics issues for updating the location, loading and unloading crates
Difficulty of good management of training
Lack of telemedicine
Proposal of solutions
This project targets improved deployment field hospitals by providing: • Organizational solutions by modeling of heterogeneous organizations (define new concepts to characterize the emergency and maintain collaborative process models involved. This part will develop an Information System) used during the crisis orchestrate the collaborative process among stakeholders) • Technological solutions (implementation of a geographic software platform, collaborative and scalable independently over large areas with no area limit, accuracy and volume of data. They allow, through a single, easy interface for taking hand, interact in 3D, integrate information, real-time information flow, monitor connected objects and have the particularly useful augmented reality for training) • Innovative technological solutions for tracing elements of the field hospital (chip via smart packaging and by introducing the latest technological developments) • Innovative technological solutions to improve and ensure the safety of personnel and minimize the environmental impact of hospital activity (metrology, air treatment, water and waste (in including in particular viral problematic) • Relevant educational solutions for the training activities but also for training and learning retention, for a full implementation of structures and coordination occurs only very rarely. A virtual reality training solution allows accessibility and cost to address three critical aspects in terms of training: The project aims to ensure interoperability of equipment, procedures, and doctrinal approaches among stakeholders at all levels. In the preparatory phase and pre-deployment, it targets to prepare and improve projection capabilities. Moreover, it will be implemented specific educational courses in a dedicated Master of Science Results This project aims to improve existing solutions by providing innovative tools and services (which goes beyond the state of the art):
The development of a model for organizations to orchestrate a collaborative process among stakeholders
Relevant educational solutions for training based on innovative tools. A dedicated training solution allows accessibility and low cost to address two critical aspects in terms of training:
In the preparatory phase and pre-deployment: to train, prepare and maintain projection capabilities, and deployment teams
In the phase of pre-deployment, deployment and operation:
The development of innovative and integrated solutions for telemedicine. It will be designed for health personal (and patients): It will encompass many domains : emergency medicine , the quality of air, water and surfaces facing a biological risk (virus) and or chemical (toxin)
Conclusion & Recommendations The main aims of this project are the design of key elements for the improvements of field hospital in case of several crises. As a conclusion, the main recommendations are :
Integration of a method (based on system engineering) to study interoperability of complex organizations. implementation to software engineering point for the integration and orchestration of an innovative technology solution
Integration of innovative solutions that can be projected on a theater of crisis (provision of map information, information to people in situation of disaster, improving logistics in the provision of boxes in airplanes) and personal training dormant situation.
Integration of dynamic RFID solutions (by merging the barcode and communication technologies, RFID tags are used to identify and meter to dynamically update the various field hospital components). A technological leap will be achieved through mainstreaming of new sensors, associated with the miniaturization of antennas and geolocation, and
Integration of innovative health security solution (water, air, surface, waste) in emergency situations, usually low powered and energy by non-trained personnel. Need for simple and effective methodologies.
Bibliography [Rongier, 2012] RONGIER Carine - “Gestion de la réponse à une crise par la performance : vers un outil d’aide à la decision – Application à l’humanitaire » - Thèse de doctorat Université de Toulouse, 2012 [Dautun, 2007] DAUTUN Carole, Aurelia BONY-DANDRIEUX, Jerome TIXIER, Anne JOHANNET, Gilles DUSSERRE – « Contribution à l’étude des crises de grande ampleur : Connaissance et aide à la décision pour la Sécurité Civile » - Thèse Ecole nationale Supérieure des Mines de ST Etienne, 2007 [Bastable, 2002] Bastable, Andy. Emergency response manual, Oxfam GB humanitarian department, 2002. [Van Wassenhove, 2006] Van Wassenhove, L.N., « Humanitarian aid logistics: supply chain management in high gear », Journal of the Operational Research Society, 57, pp. 475-489, 2006.