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IT & Health Care Disaster Management: Training + Delivery = Progress
1. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
IT & Health Care Disaster Management:
Training + Delivery = Progress
Russell J. Andrews
Ames Associate, Smart Systems & Nanotechnology
NASAAmes Research Ctr, Moffett Field (Silicon Valley), CA, USA
rja@russelljandrews.org
2. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
JAMA
(J Am Med
Assn)
7 Aug 2013
3. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
First Young Neurosurgeons Forum
quarterly online symposium 29th January 2011
Muhammad Raji Mahmud, MD, FWACS, Chair, Young Neurosurgeons
Forum of the World Federation of Neurosurgical Societies (WFNS)
Neurosurgical Service for Disasters:
Telemedicine/Telesurgery & the Mobile
Emergency/Neurosurgical Unit (MEU/MNU)
LeĂłnidas Quintana (WFNS 2nd Vice President)
Russell J. Andrews (NASA Ames)
6. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
ï§ Disasters destroy medical facilities â NO HOSPITALS, NO
ORs
ï§ Disasters destroy local infrastructure â NO ELECTRICITY,
NO WATER, NO FOOD, NO HEAT, NO LIGHT, NO
STERILIZATION
ï§ Disasters destroy local supply lines â NO ROADS, NO
AIRPORTS, NO REPLACEMENT EQUIPMENT, NO
RESTOCKING SUPPLIES
ï§ Disasters may destroy personnel â LOCAL MEDICAL
PERSONNEL ARE NOT IMMUNE FROM INJURY or DEATH
Disaster Management: The Problem
7. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
ï§ Disasters destroy medical facilities â SELF-CONTAINED PORTABLE O.R.,
WARD, CLINIC
ï§ Disasters destroy local infrastructure â âIMPORTEDâ FOOD,
ELECTRICITY, HOUSING
ï§ Disasters destroy supply lines â ALL RESOURCES MUST BE
âIMPORTEDâ BY HELICOPTER
ï§ Disasters may destroy personnel â NEUROSURGEON IS USELESS w/o
ANESTHESIOLOGIST, NURSES, SUPPORT STAFF (and TRAUMA
SURGEONS, etc)
ï§ TELESURGERY is essential to provide personnel for immediate full-
service Neurosurgery Disaster Relief
Disaster Management: The Requirements
8. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
ï§ A Combat Support Hospital (CSH ) is a mobile hospital delivered in
standard military-owned Demountable Containers (MILVAN) cargo
containers and assembled by the staff into a tent hospital to treat
wounded soldiers. The hospital is typically between 16 and 256
operational hospital beds.
ï§ The great operational advantage of the DEPMEDS facility is the use of
single or double expanding milvans to create hard sided, air
conditioned, sterile operating rooms and intensive care facilities,
which can produce surgical outcomes similar to that seen in fixed
facility hospitals, and do so in an austere environment.
Wikipedia
Mobile Emergency Unit (MEU)
US Military Combat Support Hospital Model
10. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
Chinook
Helicopter:
Payload 12,000 kg;
Range 1,100 km
11. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
CereTomÂź Portable CT Scanner
12. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
âą CT Angio, Contrast & Xenon Perfusion
âą Mobile â On Rollers
âą Can be powered by a car battery with an inverter!
19. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
CARS Berlin 2011
20. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
ï§ Ceiling mounted remote robotic camera (OR):
ï§ Remotely located assistant âmaster surgeonâ
ï§ Neurosurgery education
ï§ Guide Emergency Physician in Remote Clinic
ï§ Portable (âbriefcaseâ) remote robotic camera:
ï§ Held by EMT at trauma scene â âremote examâ
ï§ Attach to mounting â helicopter, ambulance
ï§ Constant remote pt monitoring (visual, auditory, vital
signs) from injury site to hospital neurosurgeon â
anywhere there is internet access!
Vigilent Telesystems: Quebec, Canada
21. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
Medical Design Briefs, May 2010
22. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
Tech Review 2010 &
MDDI 2013
Medical
Design
Briefs
2011
24. Can become an opportunity!
(Bring together people for a humanitarian response)
25. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
ï§To facilitate the personal association of neurological
surgeons throughout the world.
ï§To aid in the exchange and dissemination of knowledge and
ideas in the field of neurological surgery.
ï§To encourage research in neurological surgery and allied
sciences.
ï§To address issues of neurosurgical demography.
ï§To address issues of Public Health.
ï§To implement, improve and promote the standards of
neurosurgical care and training worldwide.
World Federation of Neurosurgical Societies
(WFNS) Mission Statement
26. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
ï§Portable OR w/ full infrastructure support
ï§Complete medical/surgical & support staff
ï§Mobilization by helicopter to disaster site < 24 hrs
ï§Continuously operating MEU will be ready for
deployment at any time
ï§IT for remote communication & surgery support
ï§Ideally 4 (or more) sites: Latin America, Africa,
Central Asia, Southeast Asia
Mobile Emergency Unit (MEU)
27. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
ï§Competitive application - similar to site selection for
WFNS educational courses & meetings
ï§In conjunction with local neurosurgical/trauma unit
ï§Located where the ongoing service need is great
(underserved region)
ï§Located where tertiary backup available (e.g. by air
transport)
ï§Two years support in a given location/country
MEU Site Selection
28. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
ï§Combination of âhost countryâ and âdeveloped
countryâ staff, residents, and support (e.g. nursing)
ï§One month to one year term for all visiting staff
ï§Standardized training â curriculum developed by
international organizations (e.g. WFNS)
ï§Integrated training of both âhost countryâ and
âdeveloped countryâ residents
ï§Resident experience with IT + remote monitoring &
surgery under challenging conditions by host country
MEU Staffing & Educational Benefits
29. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
ï§An âapoliticalâ way the WFNS can foster universal
neurosurgical standards for training and certification
ï§Extended day-to-day association of staff from
developed and developing countries â camaraderie
ï§Junior host country neurosurgeons will gain
appreciation & respect for the WFNS mission
ï§Research platform for trauma, remotely-guided
surgery & disaster management IT
ï§Improve Public Health & neurosurgery worldwide
MEU Additional Site Benefits
31. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
Or will IT be
misinterpreted
or misused by
future
generations??
32. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
San Jose (Calif) Mercury News 14 Aug 2013
33. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
San Jose (Calif) Mercury News 13 July 2013
âEvery breath you take, every move you make â Euclid Analytics will be watching you!â
With apologies to StingâŠ
34. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
Proteus Digital Health IEM
MDDI Nov 2012
âBecause nothing is more
reassuring to a
schizophrenic than a
corporation inserting
sensors into your body that
beam information to all
those people watching
your every move.â
The Colbert Report
Not entirely a jokeâŠ
Ingestible Event Marker won
FDA approval July 2012.
35. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
Med Design Tech 2013
36. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
Med Design Tech 2013
37. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
BioOpticsWorld &
Lab Chip 2013
Smartphone cradle
+ $200 optics
=
$50,000 lab-based
spectrophotometer
38. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
Conducting polymer-
coated CNF arrays
greatly enhance
biosensitivity for a
âLab On A Chipâ
40. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
Using cell phones to track malariaâŠTech Review Mar 2013
41. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
Tech Review
March 2013
42. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
âYou must be the change
you wish to see in the world.â
IT & Health Care Disaster Management:
Progress is Possible if We Think & Act
Creatively & Responsibly!
Mahatma Gandhi
43. 4th International Conference on Transforming Healthcare with IT 6th â 7th Sep. 2013 Hyderabad, India
Thank
YOU!!
Foreign Affairs
Sep/Oct 2013
PS: Let us not forget the
âfruit walasââŠ