Pre-Hospital ECG E-Transmission for Patients with Suspected Myocardial Infarction in the Highlands of Scotland

Rushworth, Gordon F.; Bloe, Charles; Diack, Lesley; Reilly, Rachel; Murray, Calum; Stewart, Derek; Leslie, Stephen J

doi:10.3390/ijerph110202346

Cited by 11 publications

(9 citation statements)

References 18 publications

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“…One of the most important activities in the protection of human life is the intervention of emergency responders, for which an important issue in the unpredictable urban road networks is the time required for an emergency vehicle to reach an event scene. Congestion and the various obstacles that may appear during the journey on the chosen path can increase travel time and therefore reduce the chances of ensuring the safety of human life (Blackwell et al, 2002;Pons et al 2005;Sladjana et al 2011;Rushworth et al 2014).…”

Section: Introductionmentioning

confidence: 99%

Controlling Emergency Vehicles in Urban Traffic with Genetic Algorithms

Pătraşcu¹,

Constantinescu²,

Ion³

2018

Linköping Electronic Conference Proceedings

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Emergency officers could often benefit from a route planning system that is based on constant traffic monitoring and complex decision making, seeking to give victims another breath of hope by assisting emergency units with reaching them on time. The main challenge is providing responses in a continuously evolving environment within a prescribed time frame, while using limited resources and information that is often incomplete or uncertain. This paper presents a route control concept for emergency vehicles through urban traffic. The proposed genetic controller is designed to dynamically reassess the route while the vehicle passes through the road network, continuously generating new routes based on current traffic. The algorithm is tested in an agent based simulation model that includes both traffic participants and a distributed traffic control system.

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Section: Introductionmentioning

confidence: 99%

Controlling Emergency Vehicles in Urban Traffic with Genetic Algorithms

Pătraşcu¹,

Constantinescu²,

Ion³

2018

Linköping Electronic Conference Proceedings

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“…The functions of emergency medical service (EMS) teams, which are often the first care givers at accident scenes, include: (a) on-site medical treatment for patients with serious or emergency injuries; (b) emergency aid en route to a hospital; and (c) referrals for patients with major injuries living on outlying islands and in remote areas [ 5 ]. A large number of studies have shown that the rapid arrival of emergency vehicles (EVs) and the provision of emergency treatment at accident scenes are critical to reducing incidents of death and disability for acute and critically ill patients [ 6 , 7 , 8 , 9 , 10 , 11 ]. For cardiac arrest patients, survival rates are approximately 43% when basic life support is implemented within 4 minutes, and when advanced cardiac life support is provided within 8 minutes [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of Vehicular Networks on Emergency Medical Services in Urban Areas

Lee

Huang

Hsiao

et al. 2014

IJERPH

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The speed with which emergency personnel can provide emergency treatment is crucial to reducing death and disability among acute and critically ill patients. Unfortunately, the rapid development of cities and increased numbers of vehicles are preventing emergency vehicles from easily reaching locations where they are needed. A significant number of researchers are experimenting with vehicular networks to address this issue, but in most studies the focus has been on communication technologies and protocols, with few efforts to assess how network applications actually support emergency medical care. Our motivation was to search the literature for suggested methods for assisting emergency vehicles, and to use simulations to evaluate them. Our results and evidence-based studies were cross-referenced to assess each method in terms of cumulative survival ratio (CSR) gains for acute and critically ill patients. Simulation results indicate that traffic light preemption resulted in significant CSR increases of between 32.4% and 90.2%. Route guidance was found to increase CSRs from 14.1% to 57.8%, while path clearing increased CSRs by 15.5% or less. It is our hope that this data will support the efforts of emergency medical technicians, traffic managers, and policy makers.

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“…There is a precedent from another condition: the Scottish Ambulance Service and general practitioners administer thrombolysis for acute myocardial infarction following advice from coronary care staff assessing ECGs transmitted from ambulances or primary care settings 26 . As such, similar treatment pathways and protocols are already in place for other conditions in potentially life-saving emergencies.…”

Section: Ultrasound Operatorsmentioning

confidence: 99%

“…Poor connectivity in rural areas of the Scottish Highlands has been shown to be a barrier for electrocardiogram (ECG) transmission from ambulances 26 . The size of an ECG data file is vastly smaller than the size of file, or data stream that would be required for ultrasound imagery.…”

Section: Technology To Access Remote Expert Advice In Pre-hospital Stmentioning

confidence: 99%

Combining transcranial ultrasound with intelligent communication methods to enhance the remote assessment and management of stroke patients: Framework for a technology demonstrator

Mort

Eadie

Regan

et al. 2016

Health Informatics J

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With over 150,000 strokes in the UK every year, and more than 1 million living survivors, stroke is the third most common cause of death and the leading cause of severe physical disability among adults. A major challenge in administering timely treatment is determining whether the stroke is due to vascular blockage (ischaemic) or haemorrhage. For patients with ischemic stroke, thrombolysis (i.e. pharmacological 'clot-busting') can improve outcomes when delivered swiftly after onset and current NHS Quality Improvement Scotland guidelines are for thrombolytic therapy to be provided to at least 80% of eligible patients within 60 minutes of arrival at hospital. Thrombolysis in haemorrhagic stroke could severely compound the brain damage so administration of thrombolytic therapy currently requires near immediate care in a hospital, rapid consultation with a physician and access to imaging services (X-ray computed tomography (CT) or magnetic resonance imaging) and intensive care services. This is near impossible in remote and rural areas, and stroke mortality rates in Scotland are 50% higher than in London. We here describe our current project developing a technology demonstrator with ultrasound imaging linked to an intelligent, multi-channel communications device − connecting to multiple 2G/3G/4G networks and/or satellites − in order to stream live ultrasound images, video and two-way audio streams to hospital-based specialists who can guide and advise ambulance clinicians regarding diagnosis. With portable ultrasound machines located in ambulances or general practices, use of such technology is not confined to stroke, although this is our current focus. Ultrasound assessment is useful in many other immediate care situations, suggesting potential wider applicability for this remote support system. Although our research programme is driven by rural need, the ideas are potentially applicable to urban areas where access to imaging and definitive treatment can be restricted by a range of operational factors.

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Pre-Hospital ECG E-Transmission for Patients with Suspected Myocardial Infarction in the Highlands of Scotland

Cited by 11 publications

References 18 publications

Controlling Emergency Vehicles in Urban Traffic with Genetic Algorithms

Controlling Emergency Vehicles in Urban Traffic with Genetic Algorithms

Impact of Vehicular Networks on Emergency Medical Services in Urban Areas

Combining transcranial ultrasound with intelligent communication methods to enhance the remote assessment and management of stroke patients: Framework for a technology demonstrator

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