Well-trained doctor paramedic teams, utilising standardised operating procedures, can safely perform rapid sequence induction and ETI in the prehospital and emergency environment. However, prehospital doctors are not always able to anticipate a difficult airway. The complication rate was similar to that in hospital emergency departments and to that of other physician-led HEMS.
The paper examines some issues relating to an open architecture for holon cooperation and uutonomy. We identifi the requirements of a holonic system architecture and discuss the merits of our approach in comparison with classic agent-based models. A suitable architecture to satisfi these requirements is also presented, together with a discussion of the holonic kernel needed to support distributed holonic control. The material presented here is based on results from the international programme on Holonic Manufacturing Systems (HMS).
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