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Communication needs at accidents/ disasters. Input to MESA functional specification Prepared by Egil Bovim, M.D, M.Sc. Director National Centre on Emergency Communication in Health.
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Communication needs at accidents/ disasters Input to MESA functional specification Prepared by Egil Bovim, M.D, M.Sc. Director National Centre on Emergency Communication in Health
This presentation is based on the opinions of the author, and should not be taken as the official view of the Norwegian Authorities The presentation is meant as a basis for further discussions, not as a final document. Disclaimer
Based on consideration of the position today Future development difficult to predict Substantial disagreement between professionals on the need of telemedical procedures and equipment The limiting factor is availability of personnel, not technology! Background of presentation
To provide the actors with the necessary information To protect the actors against un-necessary information The Challenge The challenge is partly a technological one, but should also too a very large extent involve the operational professions!
Assistance large accident The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital
The Site Description: • The area of the incident, e.g • The burning building • The crashed cars • The landslide Activities: • Evacuation • First aid F I R S T - L I N E Involved personnel: Rescue workers (fire, police, first aiders, health workers)
Field hospital The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital
Field hospital The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital
Field hospital Field hospital
Field hospital Location: • Safe area next to the accident/disaster Function: • Depending on circumstances (triage only/ first aid/ more advanced treatment). Description • Established as soon as possible • Size and equipment depending on circumstances (open space/ tents) Involved personnel: Health workers, volounteers Field hospital
Ambulance coordination The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital
Ambulance coordination The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital
Ambulance coordination Ambulance. Coord point
Ambulance coordination Location: • Close to field hospital Function: • Registration of patients taken out of disaster area. • OSC and hospitals to be updated on information at any time. Ambulance. Coord point Involved personnel: Health workers, volounteers
Permanent hospital The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital
Permanent hospital The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital
Permanent hospital Hospital
Permanent hospital Location: Normally a fair distance from site Function: - In principle the normal functions of the hospital, scaled to the needs. • Depending on the size of the accident and the facilities at the hospital, several other hospitals may also be involved. Involved personnel: Health workers. Hospital
Communication large accident The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital
Site to Field Hospital The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital
Site to Field Hospital Today: Voice Near Future: Pictures Less near Future: • Video • Bio-dynamic data from rescue-personnel On horizon: • Data from casualties The site Next to site F I R S T - L I N E Field hospital
Field hospital to Amb.C.P. The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital
Field hospital to Amb.C.P. The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital
Field hospital to Amb.C.P Ambulance Coord point Field hospital
Field hospital to Amb.C.P Field hospital Ambulance. Coord point Today: Hardly any, but voice Near Future: Data Less near Future: • Data On horizon: • Data
Field H. to Permanent H. The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital
Field H. to Permanent H. The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital
Field H. to Permanent H. Field hospital Hospital
Field H. to Permanent H. Field hospital Hospital Today: Voice, pictures and data from site to hospital Near Future: Data from site to hospital. Less near Future: Data from hospital to site, (Databases, EPR (EPJ)) Biodynamic data from site to hospital On horizon: Video from site to hospital, procedures carried out via videosurgery from hospital on site(?)
Communication large accident The site Next to site In town Further away F I R S T - L I N E LRCC Others MRCC On-scene commander Police Police department Fire Fire department Ambulance. Coord point Field hospital Hospital