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Designing for EMS
Philips HeartStart Automatic External Defibrillators (AED)




Philips Healthcare Design
2012
Designing for EMS




    Philips Design, September, 2010   2
Know thy user


    Philips Design, September, 2010   3
SCA / AED / CPR?




    Philips Design, September, 2010   4
How do you design for this?




         Philips Design, September, 2010   5
Philips Design, September, 2010
Difficulty – Patient removal     Distraction – O god…                   Difficult – Terrain




  Difficult – AED / CPR           Nurse - Distraction                   Difficulty – shock




Question – Am I doing…         Difficulty – Patient moved             Saying – “You did…”



                                    Philips Design, September, 2010
SCA / AED / CPR




   Philips Design, September, 2010   8
Sudden Cardiac Arrest (SCA) + AED
• Heart stops instantly. (not a heart attack)
• Leading cause of death for people over 40.
  (anyone, anywhere)
• Kills 335,000+ people in US per year. (more than
  Colon cancer, Auto Accidents, Breast Cancer
  Prostate Cancer, Aids and House Fires combined).
• Survival decreases by 7 – 10% for every minute
  that passes without Defibrillation.
• The only way to reverse SCA is with Defibrillation
  (AED) and CPR.
                       Philips Design, September, 2010   9
How do we understand our user?
 (Walking in your users shoes)




           Philips Design, September, 2010   10
Get to know our user
(EMS) Emergency response professionals & non professional
• ALS (Advanced Life Support)
  Trained Paramedics / Nurses.
• BLS (Basic Life Support)
  Emergency Medical Technicians (EMT’s) / Fire fighters.
• MERT / Police (Medical emergency response team)
  Trained civilian response teams, corporate teams. Officers.
• Lay-users
  Un-trained civilians, little or no experience.




                              Philips Design, September, 2010   11
See and hear what’s happening
•   Make them a part of the process and solution
•   Interview the people who use the device and where they use it
•   Observe them during in action (ambulances)
•   Document the workflow




                              Philips Design, September, 2010       12
Map the Interaction touch points




1.9.06                 Philips Design, September, 2010
Design for extremes
•   Lightness/darkness
•   Cold/hot
•   No Experience to fully trained
•   Chaos / Order




                                Philips Design, September, 2010   14
How do we know we meet their needs?
     (Test, test, and test again)




             Philips Design, September, 2010   15
User Testing
• Develop lots of prototypes (low to high)
• Test early and often! (test assumptions)
• Immerse the people who use our devices in ‘real’ scenarios’




                             Philips Design, September, 2010    16
Wrap it up…




 Philips Design, September, 2010   17
Several Insights for Designing for EMS
•   Continuous dialogue
•   Clarify what they say and do
•   Clear and concise information systems
•   High contrast visual – lighting conditions
•   Focus on what’s needed, when it’s needed
•   Make things tangible - prototype - early and often
•   Multi disciplinary approach
•   Remove steps if possible
•   And…                                               Know thy user




                             Philips Design, September, 2010           18
Thank you!




             Philips Design, September, 2010   19
Philips Design, September, 2010

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Christian Richard - Design for Emergency Medical Services

  • 1. Designing for EMS Philips HeartStart Automatic External Defibrillators (AED) Philips Healthcare Design 2012
  • 2. Designing for EMS Philips Design, September, 2010 2
  • 3. Know thy user Philips Design, September, 2010 3
  • 4. SCA / AED / CPR? Philips Design, September, 2010 4
  • 5. How do you design for this? Philips Design, September, 2010 5
  • 7. Difficulty – Patient removal Distraction – O god… Difficult – Terrain Difficult – AED / CPR Nurse - Distraction Difficulty – shock Question – Am I doing… Difficulty – Patient moved Saying – “You did…” Philips Design, September, 2010
  • 8. SCA / AED / CPR Philips Design, September, 2010 8
  • 9. Sudden Cardiac Arrest (SCA) + AED • Heart stops instantly. (not a heart attack) • Leading cause of death for people over 40. (anyone, anywhere) • Kills 335,000+ people in US per year. (more than Colon cancer, Auto Accidents, Breast Cancer Prostate Cancer, Aids and House Fires combined). • Survival decreases by 7 – 10% for every minute that passes without Defibrillation. • The only way to reverse SCA is with Defibrillation (AED) and CPR. Philips Design, September, 2010 9
  • 10. How do we understand our user? (Walking in your users shoes) Philips Design, September, 2010 10
  • 11. Get to know our user (EMS) Emergency response professionals & non professional • ALS (Advanced Life Support) Trained Paramedics / Nurses. • BLS (Basic Life Support) Emergency Medical Technicians (EMT’s) / Fire fighters. • MERT / Police (Medical emergency response team) Trained civilian response teams, corporate teams. Officers. • Lay-users Un-trained civilians, little or no experience. Philips Design, September, 2010 11
  • 12. See and hear what’s happening • Make them a part of the process and solution • Interview the people who use the device and where they use it • Observe them during in action (ambulances) • Document the workflow Philips Design, September, 2010 12
  • 13. Map the Interaction touch points 1.9.06 Philips Design, September, 2010
  • 14. Design for extremes • Lightness/darkness • Cold/hot • No Experience to fully trained • Chaos / Order Philips Design, September, 2010 14
  • 15. How do we know we meet their needs? (Test, test, and test again) Philips Design, September, 2010 15
  • 16. User Testing • Develop lots of prototypes (low to high) • Test early and often! (test assumptions) • Immerse the people who use our devices in ‘real’ scenarios’ Philips Design, September, 2010 16
  • 17. Wrap it up… Philips Design, September, 2010 17
  • 18. Several Insights for Designing for EMS • Continuous dialogue • Clarify what they say and do • Clear and concise information systems • High contrast visual – lighting conditions • Focus on what’s needed, when it’s needed • Make things tangible - prototype - early and often • Multi disciplinary approach • Remove steps if possible • And… Know thy user Philips Design, September, 2010 18
  • 19. Thank you! Philips Design, September, 2010 19

Hinweis der Redaktion

  1. Let me set the context.
  2. What was happening there?SOMEONE IS DYING. Different responders, different protocols, different devices, different training, etc.FAMILYThe family doesn’t know what to do or how to reactThey are screaming, yelling, crying, afraid – want someone to help!.Someone's on the phone with 911 – multiple conversationsPOLICEI NEED TO SAVE THIS PERSON!Police are trying to get things under controlPosition patient for therapyNot thinking about device, pulling pads, yanking the device out, doing what needs to be done.The police officer drags the AED by the pads. It gets ripped out of the case. The patient is out, could be foaming at the mouth, cold, clammy feeling, changing color. The adhesive might not be sticking due to sweet. High temperature, cold temperature, clammy and start sweating. Time keeps ticking (time is everything)FIREWe have a tiered system. Family calling 911, Police, fire… team work is essential, the systems need to work together.Tiered system, (police, fire, 911, family) Everyone is part of the rescue chain(90% quiet, 10% chaos)How do you anticipate these needs when design for EMS? knowing all your users
  3. Survivor story