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4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
IT & Health Care Disa...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
JAMA
(J Am Med
Assn)
...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
First Young Neurosurg...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
 Disasters destroy m...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
 Disasters destroy m...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
 A Combat Support Ho...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Chinook
Helicopter:
P...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
CereTom® Portable CT ...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
• CT Angio, Contrast ...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
CARS Berlin 2011
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
 Ceiling mounted rem...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Medical Design Briefs...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Tech Review 2010 &
MD...
Sometimes a disaster…
Can become an opportunity!
(Bring together people for a humanitarian response)
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
To facilitate the pe...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Portable OR w/ full ...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Competitive applicat...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Combination of ‘host...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
An ‘apolitical’ way ...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Or will IT be
misinte...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
San Jose (Calif) Merc...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
San Jose (Calif) Merc...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Proteus Digital Healt...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Med Design Tech 2013
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Med Design Tech 2013
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
BioOpticsWorld &
Lab ...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Conducting polymer-
c...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Using cell phones to ...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Tech Review
March 2013
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
“You must be the chan...
4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
Thank
YOU!!
Foreign A...
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IT & Health Care Disaster Management: Training + Delivery = Progress

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Transcript of "IT & Health Care Disaster Management: Training + Delivery = Progress"

  1. 1. 4th International Conference on Transforming Healthcare with IT 6th – 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. 2. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India JAMA (J Am Med Assn) 7 Aug 2013
  3. 3. 4th International Conference on Transforming Healthcare with IT 6th – 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) Leónidas Quintana (WFNS 2nd Vice President) Russell J. Andrews (NASA Ames)
  4. 4. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
  5. 5. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
  6. 6. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India  Disasters destroy medical facilities – NO HOSPITALS, NO ORs  Disasters destroy local infrastructure – NO ELECTRICITY, NO WATER, NO FOOD, NO HEAT, NO LIGHT, NO STERILIZATION  Disasters destroy local supply lines – NO ROADS, NO AIRPORTS, NO REPLACEMENT EQUIPMENT, NO RESTOCKING SUPPLIES  Disasters may destroy personnel – LOCAL MEDICAL PERSONNEL ARE NOT IMMUNE FROM INJURY or DEATH Disaster Management: The Problem
  7. 7. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India  Disasters destroy medical facilities – SELF-CONTAINED PORTABLE O.R., WARD, CLINIC  Disasters destroy local infrastructure – “IMPORTED” FOOD, ELECTRICITY, HOUSING  Disasters destroy supply lines – ALL RESOURCES MUST BE “IMPORTED” BY HELICOPTER  Disasters may destroy personnel – NEUROSURGEON IS USELESS w/o ANESTHESIOLOGIST, NURSES, SUPPORT STAFF (and TRAUMA SURGEONS, etc)  TELESURGERY is essential to provide personnel for immediate full- service Neurosurgery Disaster Relief Disaster Management: The Requirements
  8. 8. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India  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.  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
  9. 9. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
  10. 10. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Chinook Helicopter: Payload 12,000 kg; Range 1,100 km
  11. 11. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India CereTom® Portable CT Scanner
  12. 12. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India • CT Angio, Contrast & Xenon Perfusion • Mobile – On Rollers • Can be powered by a car battery with an inverter!
  13. 13. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
  14. 14. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
  15. 15. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
  16. 16. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
  17. 17. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
  18. 18. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
  19. 19. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India CARS Berlin 2011
  20. 20. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India  Ceiling mounted remote robotic camera (OR):  Remotely located assistant “master surgeon”  Neurosurgery education  Guide Emergency Physician in Remote Clinic  Portable (“briefcase”) remote robotic camera:  Held by EMT at trauma scene – “remote exam”  Attach to mounting – helicopter, ambulance  Constant remote pt monitoring (visual, auditory, vital signs) from injury site to hospital neurosurgeon – anywhere there is internet access! Vigilent Telesystems: Quebec, Canada
  21. 21. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Medical Design Briefs, May 2010
  22. 22. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Tech Review 2010 & MDDI 2013 Medical Design Briefs 2011
  23. 23. Sometimes a disaster…
  24. 24. Can become an opportunity! (Bring together people for a humanitarian response)
  25. 25. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India To facilitate the personal association of neurological surgeons throughout the world. To aid in the exchange and dissemination of knowledge and ideas in the field of neurological surgery. To encourage research in neurological surgery and allied sciences. To address issues of neurosurgical demography. To address issues of Public Health. To implement, improve and promote the standards of neurosurgical care and training worldwide. World Federation of Neurosurgical Societies (WFNS) Mission Statement
  26. 26. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Portable OR w/ full infrastructure support Complete medical/surgical & support staff Mobilization by helicopter to disaster site < 24 hrs Continuously operating MEU will be ready for deployment at any time IT for remote communication & surgery support Ideally 4 (or more) sites: Latin America, Africa, Central Asia, Southeast Asia Mobile Emergency Unit (MEU)
  27. 27. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Competitive application - similar to site selection for WFNS educational courses & meetings In conjunction with local neurosurgical/trauma unit Located where the ongoing service need is great (underserved region) Located where tertiary backup available (e.g. by air transport) Two years support in a given location/country MEU Site Selection
  28. 28. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Combination of ‘host country’ and ‘developed country’ staff, residents, and support (e.g. nursing) One month to one year term for all visiting staff Standardized training – curriculum developed by international organizations (e.g. WFNS) Integrated training of both ‘host country’ and ‘developed country’ residents Resident experience with IT + remote monitoring & surgery under challenging conditions by host country MEU Staffing & Educational Benefits
  29. 29. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India An ‘apolitical’ way the WFNS can foster universal neurosurgical standards for training and certification Extended day-to-day association of staff from developed and developing countries – camaraderie Junior host country neurosurgeons will gain appreciation & respect for the WFNS mission Research platform for trauma, remotely-guided surgery & disaster management IT Improve Public Health & neurosurgery worldwide MEU Additional Site Benefits
  30. 30. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
  31. 31. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Or will IT be misinterpreted or misused by future generations??
  32. 32. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India San Jose (Calif) Mercury News 14 Aug 2013
  33. 33. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India San Jose (Calif) Mercury News 13 July 2013 “Every breath you take, every move you make – Euclid Analytics will be watching you!” With apologies to Sting…
  34. 34. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Proteus Digital Health IEM MDDI Nov 2012 “Because 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.” The Colbert Report Not entirely a joke… Ingestible Event Marker won FDA approval July 2012.
  35. 35. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Med Design Tech 2013
  36. 36. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Med Design Tech 2013
  37. 37. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India BioOpticsWorld & Lab Chip 2013 Smartphone cradle + $200 optics = $50,000 lab-based spectrophotometer
  38. 38. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Conducting polymer- coated CNF arrays greatly enhance biosensitivity for a “Lab On A Chip”
  39. 39. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India
  40. 40. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Using cell phones to track malaria…Tech Review Mar 2013
  41. 41. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Tech Review March 2013
  42. 42. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India “You must be the change you wish to see in the world.” IT & Health Care Disaster Management: Progress is Possible if We Think & Act Creatively & Responsibly! Mahatma Gandhi
  43. 43. 4th International Conference on Transforming Healthcare with IT 6th – 7th Sep. 2013 Hyderabad, India Thank YOU!! Foreign Affairs Sep/Oct 2013 PS: Let us not forget the “fruit walas”…
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