This document discusses the use of technology and virtual reality for teaching disaster medicine and response. It describes the Toulouse University Hospital's emergency services that respond to over 600,000 calls per year. It also details their 2-year disaster medicine diploma program that trains 30 medical students and nurses each year. The document outlines how a virtual world is used as an emergency training environment, including virtual buildings, disasters, equipment, and interactive patient simulations. It proposes creating an immersive sensory simulation center and discusses how drone and communication technologies can help with disaster response and reduce risks to response teams.

1. Technology and Disaster Medicine :
Teaching and practice
Pr BOUNES V. PhD, Dr GOUT L. MD,
SAMU 31,
Toulouse, France.

2. Conflicts of interest statement
• None.
• bounes.v@chu-toulouse.fr
• gout.l@chu-toulouse.fr

3. Toulouse
TOULOUSE

4. Toulouse University Hospital
• 1 pre-hospital emergency service
– 600,000 calls/year for dispatching
– 15000 medicalized interventions
• 2 adult EDs: 115 000 patients/year
• 1 medical school established 1220.

5. SAMU 31

6. Disaster Response Unit

7. Teaching
Disaster medicine diploma
2 years course for MD and nurses
30 students per year
Both theorical and practical

8. Chiniara G. Simulation médicale pour acquisition des compétences en anesthésie. In: Société française d'anesthésie et de
réanimation,ed. Congrès national d'anesthésie et de réanimation 2007. Conférences d'actualisation. Paris: Masson; 2007. p. 41-
Technology for teaching.

9. Used as an emergency and disaster-response training environment
in a virtual world...

10. • Rent a server, get an island
• A community
• A Market place
• Oculus Rift compatibility

11. Rescue organisation
• A virtual location with some buildings:
• Hospital
• EMS
• Call center
• Fire station
• Government building

12. Disasters strike anywhere...
• On-demand creations:
• Subway
• Motorway
• Movie theater
• Stadium
• …

13. … and anyhow.
• On-demand creations:
• Floods
• Tornadoes
• Landslides

14. Control
• Weather
• Time / lights

15. Realistic equipments
• Cars
• Ambulances
• Helicopters
• CT-scan
• Walkie-Talkies

16. Student-controled avatars
• Easy to learn, easy to use
• Realistic uniforms (or scrub suit!) and individual equipments
• Optional poses and sounds

17. Interaction, cooperation, real-time role-play.
Written (chat) or vocal interactions
Local
Long-distance (one-to-one)
Long-distance (one-to-group)
Area-wide broadcasting

18. VIDEO

19. Virtual patients
• A standard avatar
• With an individual scenario
• An the ability to answer questions in real time
• Act in a realistic way
• With a specific sensitivity

20. Or virtual dummys ?
• Because you sometimes need many victims !
• Sometimes basic with a simple written description of the victim’s symptoms
• May be more complex to examine each body’s part in search of injuries
• Or even with real-time evolutive vital-signs ?

21. Now with a brand new Physio-HUD©
• A piece of script, integrated in a prim
• Hiden in a dummy
• Or worn by an avatar as a head-up display

22. Define your own parameters
Define vital signs, biological tests and set their units, limits and standard values
Define diseases, treatments and their effects on the previous.

23. Patients history
• Individual medical files

24. ED management
• Click-to-patient
• A bed-side laptop gives access to
medical files
• Anonther computer gives acces to
ED management
• With real-time bed occupation

26. Drills limitations:
• Different settings
• No real injuries
• No family/relatives
• No responsibility
• Different sensory
perceptions..

28. Creating a sensory simulating center :
• Creating a real life
sensory environment.
– Measuring it first...
• In the hospital ER.
• In ambulances.
• During disasters.
– Ongoing research project.

29. The future ?
• Building a realistic sensory environment for
training.

30. The Toulouse simulation dome...
The Climatron greenhouse at Missouri
Botanical Gardens (Source : Wikipedia)
Source : Domeprojection.com

31. Technology for communication

32. Wifi
5km
Répéteu
r 1
Répéteur 4
Serpentair
e
Répéteur 2
+
Pont Wi-Fi
Répéteu
r 3
+
Pont
Wi-Fi
SAMU 31 - Les nouvelles technologies dans la médecine de
catastrophe - URGENCES 2017

33. Images utilization.
• Diminution of team exposure.
– Drones
– Video monitoring (City/Airport)
– Google Glasses

35. VIDEO

36. UAM Partners

37. UAM Partners
+ Air regulation authorities !

38. UAM Project

Is not a « drone-project » but a global
solution including
 Infrastructures
 Regulation
 Public acceptance

39. UAM Project

Semi autonomous drone to be launched by
a pre-hospital team to inspect their
intervention zone

Network of drones on dedicated bases
across our territory ready to be remotely
launched from our crisis center and sent
anywhere on a single click to inspect a zone

40. UAM Project

Semi autonomous drone or UAV able
to bring small payloads (around 5kg,
10 pounds) between pre-defined spots
(blood, emergency treatments,
antidotes)

Semi autonomous drone or UAV able
to do the same to any point of a map.

41. UAM Project

Autonomous solar drones flying high
altitude, 24H, 7/7 above the town for
early detection of incidents (fire,
explosion, trafic congestion due to car
crash, mobs)

Taxi-drones for patients and fly-teams

42. 2019 International Conference on Disaster Response
Toulouse, France, September, 24, 25.
Terrorism Response

43. Thank
you !
Any
Question ?