This document discusses an augmented medical dispatch system for critically ill patients, highlighting the role of emergency medical dispatchers in gathering information, providing assistance, and dispatching EMS resources. It includes case studies and feedback from various stakeholders such as emergency physicians and mobile ICU doctors, addressing challenges like transport issues and network reliability. The overall goal is to enhance the efficiency and effectiveness of emergency medical responses through technology and improved communication.

1. A I AUMENTED MEDICAL
DISPATCH FOR CRITICALLY
ILL PATIENTS : A BEST
PRACTICE
VENUGOPALAN P P , DIRECTOR AND LEAD CONSULTANT , ASTER MIMS , CALICUT ,
KERALA

2. WHEN A MEDICAL
EMERGNCY STRIKES !!
Call EMS?
What would be our normal response ?
Call a friend or doctor friend that you know ???
Call 112 ?
Call Hospital that U know ?

3. Medical Dispatch ?
An emergency medical dispatcher is a professional telecommunicator,
tasked with the gathering of information related to medical emergencies,
the provision of assistance and instructions by voice, prior to the arrival of
emergency medical services (EMS), and the dispatching and support of
EMS resources responding to an emergency call

5. DREAM BIG / Technology
to support
AI
VR
5
G

6. ● Assess the patient
● Vitals
● Instructions
● Complications
● Treatment plan
● Procedures
● Outcome
N
E
T
W
O
R
K
I
N
G
S
M
A
R
T
R
E
S
U
S
B
E
D

7. Real RRR Reels / 36 yr/ F
● 37 weeks , ℅ decreased fetal movements-4 hrs
● Old aged parents , No transport facilities
● RRR no: from Aster flyer
● Contacts RRR
● Automatic detection of location and Mobile ICU pickup while Emergency
doctor assess the patient
● Pre information in OBG and Radiology
● Immediate consultation and imaging
Distance - 5km

8. Real RRR Reels / 46 yr old F
● K/C/O CVT, CVA s/p craniectomy
● Unwitnessed fall - Seizure - 1 hr
● Outside hospital Ambulance
● Given instructions through RRR
● Met halfway through
● Managed seizures
● Shifted to Aster MIMS
Distance:20km

9. Real RRR Reels / 4 yr/ F
● Rashes over face &body after medication
● Initial assessment- Child alert, Active
● Nearby clinic consultation
● Given instructions to Doctor at clinic
● Not Anaphylactic reaction
● Pediatric consultation and investigations next day
Distance: 75km

10. What does the
end users feel?
25 Interfacility
Critical Transfers
Critically Analyzed
• RRR control room
Emergency
physician
• Mobile ICU doctor
• EMS
• Patient/ bystander
Four
categories
Google
forms
Interview
based
survey

11. Review : EP/ EMS / Mobile ICU Doctors
perspective
Hemodynamic and
Medical Conditions
Effective medical
directions
Online support with
Mobile ICU team
Transport issues
mainly due to
Network related

12. Review - EP/ EMS / Mobile ICU Doctors perspective
Identification of Life-
threatening issues
Managing Life-
Threatening issues
How confident to
use RRR?
Planning before
patient arrival

13. Review - EP/ EMS / Mobile ICU Doctors perspective
Pt outcome
Problems during
transport
Technical issues
creates mental
stress

14. Patient/ Bystanders – Perspective
Access to RRR
Response time
Less than a
minute
Satisfaction
Emotional status

15. Pitfalls
Network issue
Device issue
Manpower shortage
Travel Sickness
Peripheral centers

17. Thank you so much ….
drvenugopalpp@gmail.com
Acknowledgements
Dr. Yumna P
Dr.Hasna S
Dr.Nadeem S
Dr.Ali M