As medicine is always evolving, it is crucial for disaster medicine to apply technology, not as an exception, but as a necessity, Here is a glimpse of some ideas that might revolutionise disaster medicine in the future
The Future of Medical Education From Dreams to Reality (VR, AR, AI)SeriousGamesAssoc
With three decades of e-learning experience, Dr. Levy will present innovations in technology-enhanced education from the past, present, and into the future. He will highlight some of his medical education inventions and advances including some of the first laser discs, CD-ROMs, online case-based education, 3-D anatomical and procedural animations, robotic-assisted surgery, and virtual reality surgical simulation. He will describe the role of artificial intelligence and machine learning in medical education and clinical decision support and some future work in augmented reality. It is true that what were once dreams are now reality, but there are certainly more dreams to come.
The Future of Medical Education From Dreams to Reality (VR, AR, AI)SeriousGamesAssoc
With three decades of e-learning experience, Dr. Levy will present innovations in technology-enhanced education from the past, present, and into the future. He will highlight some of his medical education inventions and advances including some of the first laser discs, CD-ROMs, online case-based education, 3-D anatomical and procedural animations, robotic-assisted surgery, and virtual reality surgical simulation. He will describe the role of artificial intelligence and machine learning in medical education and clinical decision support and some future work in augmented reality. It is true that what were once dreams are now reality, but there are certainly more dreams to come.
Startupfest 2015: DR. JONATHAN KANEVSKY - "Future of" stageStartupfest
The future of medicine
The future of medicine is bright. In the era of big data, nanotechnology, and advanced robotics, medicine is becoming more advanced than ever. Dr. Kanevsky will outline the most interesting innovations in medicine and surgery that are changing the face of healthcare.
Digital therapeutics and immersive technologies Bournemouth UniversityDavid Wortley
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The presentation includes examples of digital therapeutic applications for neuro- rehabilitation, gamified exercise using consumer VR devices and support for dementia sufferers through digital memories.
The presentation was delivered at the new Faculty for Health and Social Sciences at Bournemouth University.
Susan K. Newbold, PhD, RN-BC, FAAN, FHIMSS
Consultant in Healthcare Informatics working
to advance healthcare information technology
(Friday, 3.45, Keynote)
Harnessing the contribution of the nursing workforce is critical for effective health informatics for present and future endeavors. An overview of the historical efforts of nursing informatics pioneers will lead to a
discussion on how to promote future health informatics to transform healthcare.
Describes Indian Council of Medical Research, ICMR Institutes, importance of IT in health care, Health Information System and Mobile based Surveillance Quest using IT. For more information visit: http://www.transformhealth-it.org/
Nursing informatics: background and applicationjhonee balmeo
Healthcare Information System (HIM)
Electronic Medical Record System (EMR)
Electronic Health Record System (EHR)
Historical Background (Nicholas E. Davis Awards of Excellence Program)
Practice Application (CCIS, ACIS, CHIS)
Startupfest 2015: DR. JONATHAN KANEVSKY - "Future of" stageStartupfest
The future of medicine
The future of medicine is bright. In the era of big data, nanotechnology, and advanced robotics, medicine is becoming more advanced than ever. Dr. Kanevsky will outline the most interesting innovations in medicine and surgery that are changing the face of healthcare.
Digital therapeutics and immersive technologies Bournemouth UniversityDavid Wortley
Digital therapeutics is a fast growing area of digital medicine. In this presentation, Vice President of the International Society of Digital Medicine (ISDM), David Wortley, sets out the current challenges to global health sustainability and the importance of shifting the focus from cure to prevention, especially in the use of digital technologies for personal health management and therapeutics.
The presentation includes examples of digital therapeutic applications for neuro- rehabilitation, gamified exercise using consumer VR devices and support for dementia sufferers through digital memories.
The presentation was delivered at the new Faculty for Health and Social Sciences at Bournemouth University.
Susan K. Newbold, PhD, RN-BC, FAAN, FHIMSS
Consultant in Healthcare Informatics working
to advance healthcare information technology
(Friday, 3.45, Keynote)
Harnessing the contribution of the nursing workforce is critical for effective health informatics for present and future endeavors. An overview of the historical efforts of nursing informatics pioneers will lead to a
discussion on how to promote future health informatics to transform healthcare.
Describes Indian Council of Medical Research, ICMR Institutes, importance of IT in health care, Health Information System and Mobile based Surveillance Quest using IT. For more information visit: http://www.transformhealth-it.org/
Nursing informatics: background and applicationjhonee balmeo
Healthcare Information System (HIM)
Electronic Medical Record System (EMR)
Electronic Health Record System (EHR)
Historical Background (Nicholas E. Davis Awards of Excellence Program)
Practice Application (CCIS, ACIS, CHIS)
National Library of Medicine Resources for Disaster Planning & Responseefnorton
Slides from talk given by Elizabeth Norton at DC/SLA meeting on June 12, 2012. Slides describe resources and programs from the National Library of Medicine related to disaster planning, response and recovery, including information about a new disaster information specialization program.
2Running Head Nursing Informatics on Patient Outcomes 2Nurs.docxlorainedeserre
2
Running Head: Nursing Informatics on Patient Outcomes
2
Nursing Informatics on Patient Outcomes
The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies
Nicole L Rosser
Walden University
NURS 6051
June 16, 2019
The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies
According to Agha (2014) “Information technology has been linked to productivity growth in a wide variety of sectors, and health information technology (HIT) is a leading example of an innovation with the potential to transform industry-wide productivity.” Due to evidence-based practice research with informatics in the healthcare setting has proven to be a well-known, much needed entity. Studies have shown the efficiency of technology in healthcare improved documentation for healthcare providers and nurses. Healthcare technology also provides a means for organizations to communicate with each other without even picking up a phone. Another, aspect of technology in healthcare allows the healthcare team to monitor trends and changes in a patient’s status. For example, a critical patient on a cardiac monitor would alarm to quickly notify the nurse that a critical change has occurred for timely interventions to take place. With stroke being the fifth leading cause of death in the U.S. adopting Stroke Telemedicine into practice would be innovative for any organization. Much research has shown that healthcare facilities remain untrained and unprepared for stroke care and management.
Proposed Project
The project proposed to better equip my organization with treating stroke patients is Telestroke. According to the Mayo Clinic (2019) “In telestroke, also called stroke telemedicine, doctors who have advanced training in treating strokes can use technology to treat people who have had strokes in another location.” The use of this system is said to reduce wait time for an onsite neurologist and to increase one’s chances of receiving prompt treatment for a desirable outcome. This service will also save money by preventing Medicare and Medicaid from having to pay rehabilitation cost due to disabilities and long-term care. Telestroke will also provide efficient time for Tissue Plasminogen Activator (tPA). The drug tPA is an FDA-approved medication also known as a clot buster use in treating strokes to dissolve that which may be causing an ischemic stroke. However, it is contraindicated with a hemorrhagic stroke which may cause an excessive amount of bleeding if given due to the broken vessels that may have caused the stroke. This service has brought together neurologist and emergency physicians that feel using Telestroke will reduce geographical disparities and prevent increased cost from misuse of other medical facilities.
Stakeholder Impacted by This Project
One of the main stakeholdersthat would be affected in this project would be Dr. Buehler who is the regional director of all the Urgent Cares and Clinical Decision- ...
7 Best Points of The Future of Digital Technology in Healthcare | The Entrepr...TheEntrepreneurRevie
Here are 7 Best Points of The Future of Digital Technology in Healthcare; 1. Smartphones and wearable technology, 2. Virtual Machines (VMs), 3. Telecommunications medicine,
Artificial intelligence (AI), machine learning, and data science have started to shape the delivery of health services. We see this in every critical step, from patient scheduling management to physically assisted surgery.
The Future of mHealth - Jay Srini - March 2011LifeWIRE Corp
Jay Srini's presentation of her take on the Future of mHealth, presented at the 3rd mHealth Networking Conference, March 30, 2011. Aside from being one of the preeminent thought leader in the area of innovation and mhealth, she holds a number of positions including Assistant Professor at the University of Pittsburgh and CIO for LifeWIRE Corp.
Making Health Care Universally Accessible Ruchi Dass
The emergence of telemedicine as a core necessity. Can a case of the flu be diagnosed over
Skype? Is it possible to learn the results
of your computed tomography
scan after midnight? Can a young mother
receive care where a trained pediatrician
can’t visit? The answer to all of these questions
is yes. With the latest revolution in
information technology and the availability
of advanced computer systems worldwide,
telemedicine has made all of this possible.
Evolution of virtualized healthcare models.pdfMindfire LLC
New healthcare delivery alternatives were beginning to emerge before the epidemic affected practically every aspect of industry. COVID-19, on the other hand, was the trigger that accelerated those developments, pushing healthcare professionals to make the long-awaited move to a patient-centered approach.
Critical care involves highly complex decision making. It is by nature data-intense. Despite the growth of critical care, however, the basic approach of data collection and management has remained largely unchanged over the past 40 years. Large volumes of data are collected from disparate sources and reviewed usually retrospectively; and even that is difficult.
Understanding the dynamics of critical illness requires precisely time-stamped physiologic data (sampled frequently enough to accurately recreate the detail of physiologic waveforms) integrated with clinical context and processed with a wide array of linear and nonlinear analytical tools.
Evolution of virtualized healthcare models.pdfMindfire LLC
New healthcare delivery alternatives were beginning to emerge before the epidemic affected practically every aspect of industry. COVID-19, on the other hand, was the trigger that accelerated those developments, pushing healthcare professionals to make the long-awaited move to a patient-centered approach.
Emerging Technologies and Advancements in Critical Care Medicine.pptxDigiNerve India
Critical care is a medical domain where the timely admission of patients and access to advanced technologies takes centre stage. It is a domain where patients with life-threatening health conditions such as stroke, kidney failure, multiple organ failure, respiratory failure, sepsis, severe bleeding, second-and third-degree burns, and accidental injuries are treated.
Read more : https://diginerve.medium.com/emerging-technologies-and-advancements-in-critical-care-medicine-5113cc2c7f4d
Nobody can predict the future, however by following trends, we can navigate the direction in which we’re heading. Trends are dictated by a wide range of economic and political factors, and often they are propelled by innovations. The newest technological trends owe themselves to necessary innovations in the healthcare industry, spurred by the Covid-19 pandemic.
With the Covid-19 pandemic revealing the gaps and inefficiencies of healthcare systems around the world, the newest developments in healthcare technologies are suddenly getting a lot more attention. This is useful, because the executives who are often hesitant in changing long-standing healthcare practices must revaluate and evolve in order to provide the most effective treatment plans for their patients.
Technology is revolutionizing every industry, but
health care is especially seeing major
transformations that boost the quality of care,
provider efficiency, and patient convenience. The
impact of these four health care technology
advances is staggering.
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Technology evolutions in disaster medicine - Crisis Response Journal
1. The evolution of disaster medicine
These novel technologies might
revolutionise disaster medicine
in the future
Brent Dibble, MD, MBA; Nadia Elkarra, MD; Megan E Mantaro;
and Ian Portelli, PhD, MSc (Member of Crisis Response Journal’s Editorial Advisory Panel)
www.crisis-response.com
Volume 10:1 September 2014
2. 56Resources, links, pictures, videos and much more are available for subscribers in our digital and online editions www.crisis-response.comDisasters, regardless of their cause, have devastating effects on the ability of healthcare providers to deliver medical care to patients adequately. Recent catastrophic events, such as Hurricane Katrina in 2005 and the Fukushima Daiichi Nuclear Power Plant incident in 2011, make healthcare delivery extremely challenging, even in developed countries. Direct damage to hospital systems or issues with overcapacity can cripple healthcare delivery systems in times of the greatest need. As the frequency of natural and human-caused disasters grows, there is an imperative need to develop and implement novel technologies that can assist medical professionals in these situations. Despite the development of new technology, disaster medicine response teams often rely on relatively antiquated technologies to respond. It is unclear whether this lack of adoption of new technologies is a result of opposition to the effi cacy or ethics of the technology itself, or if it is related to potential fi nancial burdens. However, as electronic devices continue to miniaturise, grow more powerful and become less expensive, it is inevitable that the way disaster medicine is practised will continue to evolve. Through this review, we hope to provide a glimpse of the technology that has the potential to revolutionise the way disaster medicine is practised. Trauma beyond limitsYou are the fi rst responder on the scene following a Category Four Hurricane. The local hospital has signifi cant structural damage and the nearest regional hospital is hours away. You will need to use your basic EMS skills to triage the patients, see that they receive the proper care, and decide which resources will be needed. Initial management in this type of situation requires a solution that is mobile, easily applied, and scalable. Electronic Triage Tags – Traditional response systems are paper-based, which limits the speed at which information can be collected and the level of detailed information that travels with the patient. For instance, some of the patients in the Haiti Earthquake of 2010 were transferred between fi eld hospitals with only the information that could be written on their casts. Digital technologies present a solution for this type of problem. Their rapidly increasing computing power has led to their utilisation in the fi eld of medicine through education and direct patient care. Triaging is a key tenet of any emergency medical response. It involves determining the severity of the injury and the next step of care, and marking the patient according to acuity. Traditionally, this has been completed in the fi eld using paper tags distinguished by colour that are updated as a healthcare worker periodically reassesses the patient. This system, while meeting the basic needs of triage, is ineffi cient, requires additional manpower and does not allow real-time monitoring of patients. Having access to better technology such as the Electronic Triage System would allow fi rst responders to utilise their time better, as well as to monitor casualties more effi ciently. In this system, the patient is connected to a triage tag, that serves as a central hub for patient care. The tag is connected to remote sensors that can measure the patient’s blood oxygen, blood pressure, heart rhythm (ECG), body temperature, end tidal CO2 and even blood glucose. It reports The evolution of disaster medicineAs the frequency of disasters grows, novel technologies to help medical professionals in these situations must be developed. Here is a glimpse of some ideas that might revolutionise disaster medicine in the future57 join the CRJ LinkedIn group follow us on twitter @editorialcrj Crisis Response Journal 10:1electronically to a central system where the data can be accessed in real-time by computer, mobile phone, or even wearable technology like Google Glass. The tag colour will refl ect the severity of the disease (red = highest, blue = lowest). The Electronic Triage Tag could provide additional features in addition to standard triaging functions. Since the tag is connected to the patient’s unique identifi er and is transferred with the patient as he or she moves through the medical system, it can potentially store medical information and avoid the lack of data transfer seen in the Haiti Earthquake response and which is experienced during most disasters. Moreover, the tags can also have geographic information system (GIS) capabilities, allowing patients to be future technologytracked as they move through the system. This provides a more complete picture of the scope of damage and precise localisation of patients as supplies are delivered. First responders can utilise real-time technology to enable better assessment of patients, as well as establishing remote assistance on patient status. This can further provide a more sophisticated system for transferring high-risk patients to the appropriate healthcare facility. Telecommunications and mobile phones – as the triaging process continues, physicians or other healthcare workers may need to visualise a patient’s wounds. This can present a serious problem during situations in which it is too dangerous to bring additional healthcare workers to the scene. Telemedicine, or the use of telecommunication to provide healthcare, has become an important tool for physicians. Whether for astronauts in space or patients at a disaster scene, telemedicine is sometimes the only means for physicians to provide their care and expertise. It allows for medical care to be delivered no matter how remote casualties may be. Some of the aforementioned Electronic Triage Systems can transmit live video or still photographs of patients, but there is a far more ubiquitous technology that can provide this type of care. With over 6.9 billion mobile phone users and 2.3 billion mobile broadband users globally, personal mobile technology is far more widely available than electronic triage tags. Applications such as FaceTime, Google Hangouts, and Skype allow patients and fi rst responders to transmit live video to remote physicians who can help with initial triage, diagnose and assist with treatment. This technology also presents an opportunity for EMS to deliver updates and live video streams to emergency departments as
3. 58Resources, links, pictures, videos and much more are available for subscribers in our digital and online editions www.crisis-response.compatients are being transferred from the fi eld to the hospital. In addition to video conferencing applications, a plethora of decision-support applications that have been developed to assist healthcare workers in every day practice can also help during disaster management. Applications such as PalmEM have built-in scoring systems that can be used to assist with triage and management decisions. Mobile applications can also communicate with devices to help deliver care. For instance, as Electronic Triage Systems become more widely used, one can expect synchronisation programs to be developed that allow healthcare workers to follow the status of patients on their mobile devices. We have also seen the development of portable, handheld ultrasound machines that can be used to check for internal bleeding and assist with diffi cult line placement – these images can be transmitted to a physician via a mobile phone. As these portable systems continue to become more advanced, perhaps we will see the introduction of High Intensity Focused Ultrasound (HIFU), a tool that has been used in hospitals to focus ultrasound beams to vaporise tissue or stop bleeding. This would be an incredible asset that has great potential to save lives in the fi eld. Google Glass – in addition to devices that sync with mobile phones, freestanding wearable technologies such as Google Glass are beginning to have a greater effect upon the way medicine is practised. Google Glass has been integrated into medical education and piloted in a busy Boston emergency department with great success. The potential to use this technology successfully in disaster response is still being explored. As with mobile phones, Glass can use video conferencing to obtain triage and diagnostic support from remote healthcare providers and to document patient care as the patient eventually arrives at the hospital. Since they are ‘glasses,’ the person on the other end sees exactly what the user does and can guide them through procedures in the fi eld or en route to the hospital. Moreover, the Glass’s wearable design allows the user to keep both hands free to treat the patient and keeps the Glass from coming into contact with multiple surfaces like a phone or tablet would. Thus, Glass is a much more sanitary and easily applicable solution when performing procedures than other mobile devices. Google Glass technology still remains in its infancy and is, at the time of publication, only available to Beta users. However, developers have begun to create healthcare applications with potential disaster response uses. For example, the University of California (UCLA) has developed an application that allows Glass to perform instant, wireless diagnostic testing for a wide range of diseases including HIV, malaria, TB, and syphilis in as little as eight seconds using rapid diagnostic testing strip technology. While this technology may seem like more of a non-emergent diagnostic tool, it is possible that strips can be developed to test for chemical poisoning or exposure. In addition to diagnostics, developers have created applications that enable users to treat patients. For instance, an application called CPRGLASS can guide rescuers through step-by- step CPR while contacting emergency medical services. Another complementary application called AED4.US allows Glass users to locate the nearest Automatic External Defi brillator in the event that a patient undergoes cardiac arrest. Trauma care & transportYou have successfully completed the initial triage. You have found that 15 patients are in critical care condition, requiring ICU level care, and one patient requires emergent surgery. The rest of the patients require only basic level fi rst aid care. In addition, volunteer staff on the ground need additional basic medical supplies and everyone needs more food and clean water. The next step in the management of this situation depends on the scope of destruction caused by the disaster. If there is widespread damage, there may not be a hospital within a reasonable distance to which patients could be Using Philips and Accenture’s proof-of-concept demonstration using a Google Glass head- mounted display, a physician could monitor a patient’s vital signs remotely or enlist assistance from doctors in other locationsPhilips | Accenture As medicine is always evolving, it is crucial for disaster medicine to apply technology not as an exception, but as a necessity59 join the CRJ LinkedIn group follow us on twitter @editorialcrj Crisis Response Journal 10:1airlifted. Even if a hospital is nearby, healthcare providers may not be able to bring patients there, as the site may still be too dangerous. Scenarios such as this are commonplace in the military, but could also involve situations such as a nuclear reactor meltdown. Life Support for Trauma and Transport (LSTAT) – one of the biggest challenges in disaster medicine is the treatment of patients who require an intensive level of care. In the 1990s, the Defence Research Projects Agency sponsored a collaborative project between Northrop Grumman and the Walter Reed Army Institute of Research (WRAIR) to develop the LSTAT system. The current version, sold by Integrated Medical Systems (a Northrop Grumman company), is an all-in-one portable solution for trauma treatment. It features a ventilator with on-board oxygen delivery, fl uid/drug infusion, suction, defi brillator, blood chemistry analysis, patient physiologic monitoring, data logging with communications connectivity and power, and system data management. The system provides intensive care from the initial injury through transport to a high acuity medical centre with the potential to reduce morbidity and mortality. ICU in a Can – the LSTAT system is quite useful for initial trauma care and transport, but patients in the fi eld may also require long-term ICU care. If local infrastructure has been destroyed, medical providers will need to build or import additional structures. To this end, a designer named Kukli Han has developed a ‘mobile hospital’ system based on the overwhelming success of the Mobile Army Surgical Hospital (MASH) systems. The hospital comes ‘packaged’ in a shipping crate- like structure that unfolds into a multi unit fi eld hospital equipped with examination rooms, inpatient hospital rooms, an x-ray facility, and even an operating room. Conveniently, the entire hospital can be moved by most common routes of transportation including ship, train, or helicopter, and can be customised with as many units as are needed to develop the capacity necessary for proper response. Currently, the project is still a concept but, if developed further, it has the potential to improve patient care greatly in these types of situations. Drones – fi eld hospitals cannot function without suffi cient resources. Trucks and helicopters typically deliver medical supplies following disasters, but these methods prove problematic if the transportation infrastructure has been damaged. Furthermore, delivery by these methods can be incredibly slow and ineffi cient in large-scale disasters. A tailored approach to resource management may be far more effective in such situations. Non-military use of drone technology is a recent phenomenon that has been used in various ways. In a disaster, drones could provide a portable and cost effective option for short distance use in life threatening situations and can enter dangerous situations without putting additional lives at risk. This could have huge implications for disaster response situations, particularly where traditional infrastructure has been destroyed. Drones could be used to deliver medical supplies, food, lab tests, and other resources. Moreover, with new technology, they can be used to track heat signals to identify survivors, detect chemical levels, measure radiation, and survey the scenes for safety. As is the case with many of these technologies, drones are becoming less expensive to manufacture. In fact, engineers at Sheffi eld University in the UK have built a 3D-printed drone using roughly $9 (€6.70) worth of materials. However, drones do have a major limitation – the amount of supplies that they are able to transport. For instance, the octocopter drones proposed for use by Amazon can only carry just over fi ve kilos of supplies. To overcome this obstacle, companies like Matternet are trying to develop large-scale drone infrastructure that can meet the capacity needs of traditional delivery services. Matternet has already carried out test runs in Haiti and the Dominican Republic, and plans to set up a drone infrastructure in Lesotho. Andreas Raptopoulos, CEO of Matternet, revealed in his TED talk that setting up a network in Lesotho, an area spanning 138km2, will cost $900,000. This money will allow the company to build 150 vehicles and 50 stations. Upon completion of the network, the cost for each drone to carry a two-kilo load over 10km will be nominal. Ideas such as Matternet’s are based on the belief that one can use a large number of drones to deliver the same amount of supplies that a standard helicopter can transport, but with a more personalised and effi cient approach. Furthermore, the utility of these products will improve continuously as the weight-bearing capacity of drone technology continues to increase. Political views aside, drones have the potential to truly affect the allocation and management of resources during disaster response. As state-of-the-art technology is widely adopted in many fi elds of medicine, the time has come to integrate such technologies into disaster medicine further. Innovative measures on how to apply easily accessible technology can lead not only to sophisticated and highly effi cient services that can enhance healthcare delivery, but may also further improve survival outcomes. As medicine is always evolving, it is crucial for disaster medicine to apply technology not as an exception, but as a necessity. GIS, mobiles, tablets, and other such devices are widely utilised in many medical specialities. Disaster medicine should be at the forefront of this utilisation as space and information technology is now so readily available that not applying it to healthcare services in a disaster situation is defi nitely a disadvantage to both healthcare providers and patients. CRJAuthorsBrent Dibble, MD, MBA; Nadia Elkarra, MD; Megan E Mantaro; and Ian Portelli, PhD, MSc (Member of CRJ’s Editorial Advisory Panel) future technologyDr David Feinstein, Assistant Professor of Anaesthesia at Harvard Medical School, tests out Google Glass before entering the Philips and Accenture OR simulator labPhilips | Accenture
4. ¡ The international resource for resilience, response and security planningprint • online • digitalNow in its tenth yearRead Crisis Response Journal in print, on iPad, Android or onlineIndividual, institutional (including unlimited digital downloads), digital only and student rates availableSubscribe now: Contact us on +44 (0)20816691690 or email: subs@fire.org.uk CRISIS | RESPONSE V O L : 10 | I S S U E : 1 | SEPTEMBER 2014 CRISIS | RESPONSE VOL:10 | ISSUE:1 | SEPTEMBER 2014 WWW.CRISIS-RESPONSE.COM J O U R N A LCRJ IS TEN YEARS OLDA decade of exploring crisis response lifelinesPLUS India building collapse Search Rescue in Iran Queensland climate adaptation Terrorism in Pakistan Bioweapons bacterial resistance Training Syria’s rescuers Interview: Sir David King Smart, resilient cities Future technology Tenth anniversary edition | India building collapse | Climate change in Australia | Smart, resilient cities feature | Future technology feature | Syria’s rescuers L LRESILIENCEVisionary crisis leadershipEVOLUTIONFuture disaster medicineSENTIENCECities empowering people
5. CRISIS | RESPONSEWE ARE ENTERING our tenth volume of CRJ, which was launched a decade ago. The nature of the publication means celebration is inappropriate; too many incidents have occurred over this time, too many lives lost. But it is, nonetheless, a gratifying milestone. Our founding ethos still holds true: to bridge any institutional, organisational and national gaps, to share information, enhance partnership working and improve communication. It has been good to see how dialogue between various disciplines and organisations has evolved, as shown by the increasing diversity of actors and stakeholders who have become involved in the conversation through our pages. Despite this, in many ways the world feels no safer. The Hydra of wicked problems sometimes appears invincible, the same incidents repeating themselves, locked in a dispiritingly familiar cycle. Each time we absorb the horror of a disaster or terrorist attack, a bigger, more destructive one seems to surpass it. The risk landscape has shifted in a decade: climate change has been added to the list of threats, exacerbating existing hazards. But the response, resilience and emergency planning community has developed accordingly in terms of leadership acuity, interagency co-operation, mutual assistance and business continuity. And it is fascinating to observe the proliferation of emerging technology – ten years ago we hadn’t heard of Twitter, YouTube, the Internet of Things, smart cities… Of course, these bring their own vulnerabilities and can be exploited to cause harm, but their potential for improving safety and resilience should not be overlooked. So is with gratitude that we thank our sponsors, many of whom helped to launch CRJ ten years ago. Thanks also to our Editorial Advisory Panel – those who have been with us since the start and those who joined us along the way – and to the writers who have generously shared their thoughts, knowledge and experience. And an immense thank you to our subscribers. To paraphrase Camus, most people are good rather than bad; it is usually ignorance that causes harm, despite good intentions. And this is why sharing experience and information is so vital: you are all working to eradicate ignorance and make the world a safer place. It is a privilege to observe and report on this. Emily Houghcomment@SyriaCivilDefKeryn van der Walt | National Sea Rescue Institute Rescue in conditions of war p70Bhopal 30 years on p81contentsCover story: CRJ’s Tenth anniversaryMain artwork: Neil Webb Inset images: Eureka Entertainment | Shutterstock A look at Johannesburg.................................46Is Johannesburg a world-class African city? Yes, and no, according to Hilary PhillipsA living laboratory.........................................50The campus of Lille University in Northern France has been turned into an experiment to demonstrate smart city concepts, write Isam Shahrour and his teamFuture technologyEmpowering people ......................................52The day when cities become smarter than their citizens are approaching, according to Robert OuelletteSpatial services ............................................55Dr Hervé Borrion says spatialised social networks might protect people and provide help in emergencies Evolution of disaster medicine ......................56There is an increased imperative to develop and implement novel technologies to help medical professionals in disaster situations. Here’s a glimpse of the futureEmerging technologies .................................61J P Vielleux describes real-time innovations in disastersHuman-agent collectives ..............................62David Jones describes a project that looks at forming symbiotic relationships between increasingly independent computer systems and user communitiesUnleashing the power of UAVs ......................64Glenn Smith joins the debate, exploring the positive potential of drones in emergency situationsEarth observation ......................................... 66The potential contribution of space-based information to disaster risk management is not being fully exploited, say Antje Hecheltjen and Anne PustinaIn depthBusiness excellence and new technology .....68Mike Hall says it is time to embrace the business benefi ts that emerging technology can bringUSAR in an active war zone ..........................70James Le Mesurier looks at how community responders in Syria are being trained in urban search and rescueBeyond the resilience apex ...........................72Brett Lovegrove refl ects on how leaders need to think more differently today than ever before when approaching business resilience and continuityFacing biological risk ....................................74Nicolae Steiner looks at the twin threats of biological attacks and of increasing bacterial resistance to antibiotics, and the prospect of an interaction between the twoCivil protection in Georgia ............................76The Republic of Georgia is the fi rst country to be profi led by this new series on the International Civil Defence Organisation and its membersRegularsEvents ...........................................................78EU response to Balkan floods .......................80Looking back: Bhopal ....................................81Frontline ........................................................823 Crisis Response Journal 10:1Editor in ChiefEmily Houghemily@crisis-response.comSales ManagerSacha Cunninghamsacha@crisis-response.comDesign and ProductionTim Baggaleywww.graphicviolence.co.uk Subscriptions and administration Emma Waytemma.wayt@crisis-response.comDirector Colin Simpsoncolin.simpson@crisis-response.comDirectorPeter Stephensonpeter.stephenson@crisis-response.com SubscriptionsCrisis Response Journal is published quarterly; it is available by subscription in hard copy, digital format and online. Association discounts, institutional and multiple rates are available; visit our website or contact us for more detailsTel: +44 (0) 208 1661690subs@fi re.org.ukBack issuesExisting subscribers: £25 (US$45; €36) per issueNon subscribers: £40 (US$72; €58) per issueTel: +44 (0) 208 1661690backissues@fi re.org.ukPublished by FireNet International LtdPOB 6269, Thatcham, RG19 9JXUnited KingdomTel: +44 (0) 208 1661690mail@fi re.org.uk www.crisis-response.comwww.fi re.org.uk COPYRIGHT FireNet International Ltd 2014 Articles published in Crisis Response Journal may not be reproduced in any form without the prior written permission of the Editor in ChiefPrinted in England by Buxton PressISSN 1745-8633 Resources, links, pictures, videos and much more are available for subscribers in our digital and online editions www.crisis-response.com join the CRJ LinkedIn group follow us on twitter @editorialcrjSeptember 2014 | vol:10 | issue:1 Earth observation p66Search Rescue in Iran p24ISAR NASACRJ’s Sponsoring Partners are leading specialists in the crisis, security and emergency response disciplinescontentsNews ...............................................................4News extra ......................................................8Comment ......................................................10Tony Moore takes a comprehensive look at the incidents that occurred in the year of CRJ’s launch – 2004AnalysisCompulsive un-safety ...................................16Satish Kumar Dogra examines why safety limits are being stretched in India‘Green’ rescue kit ..........................................19One of our sponsoring partners, Holmatro, introduces its latest rescue toolsClimate change and the Fire Service ............20Shan Raffel describes a co-ordinated approach to manage the effects of climate change on emergency response provision in Queensland, AustraliaResilience peer review .................................22Helen Braithwaite leads us through a journey of discovery into the world of resilience partnership peer reviewNGOsSearch and rescue in Iran .............................24Emily Hough speaks to Behrouz Moghaddasi, Head of Iranian SAR, about how he has helped to establish volunteer teams across the countryVolunteer searchers ......................................26Rachel Good and Andy Marshall take a closer look at the work of the Staffordshire Search and Rescue team in the UKNew team helps after disasters ....................28Alois Hirschmugl describes a new European team formed to help citizens when they are stranded in large-scale emergencies abroad Exercise Angel Thunder ................................30In May 2014, Rescue Global took part in Exercise Angel Thunder, the world’s largest interagency search and rescue exercise, writes David JonesTerrorism securityGender-based violence .................................32Lina Kolesnikova reports on an increasing trend whereby some militant organisations are using gender-based violence as a terrorist tacticMapping out terrorism in Pakistan ................34Pakistan is home to many more terrorist organisations than the Taliban, says Luavut ZahidChemical potential ........................................38The perceived threat from terrorists using chemical weapons had declined in recent years. Dave Sloggett questions whether that is still the caseSmart, resilient cities Propelling us into the future ..........................40Emily Hough speaks to Sir David King to fi nd out more about the Future Cities Catapult initiative in the UKBuilding city resilience ..................................45Applications closed for the next candidate cities in the 100 Resilient Cities Challenge in September 2014, writes Emily Hough. Which cities will make it onto the list? 2