The Pennsylvania Rural Highway Trauma Program Overview

Transcription

1 The Pennsylvania Rural Highway Trauma Program Overview Summer 98

2 Injury and Loss of Life on Highways Bigger than Natural Disasters, War and Disease In fatalities; injured daily Total in ,000 dead; 5 million injured; $150 Billion in economic loss Leading cause of death for age 45 and under Greater loss than Northridge, Andrew, Midwest Floods and Gulf War combined

3 Situation exacerbated in rural regions, why? PennState Geisinger Reason One: Response time Reason Two: Lower level of medical care available 30% die within minutes of crash 50% die prior to arrival at hospital 70% die within two hours following crash

4 Emergency Response Times Urban versus rural fatal crashes PennState Geisinger Crash to Notif Arrive Crash Arrive Hospital Urban Rural Crash Location Total Time Average Response Time (minutes) UNIVERSITY OF MINNESOTA Motor vehicle crash data from USDOT 1994 FARS and GES data files

5 Key elements of trauma response are two-fold Better crash response accident identification notification verification location response evacuation Increased level of medical intervention

6 Technology can play a role, but how and with what benefit? Technologies crash notification,communication,decision making, data/information exchange, navigation, medical assessment and treatment A data driven decision process is required to determine how limited dollars can be spent to maximize benefit in EMS overall

7 Study of PA Incident Reports Analyze & Evaluate Data from EMS Incident Reports (n=450,000) Look for where time is being spent on what aspects of EMS response Assess how / if technology (or other low end solutions) can impact patient outcome and with what benefit Look at both aggregate data and specific crash response incidents

8 Notification 1 minute Dispatch 1 minute Response 2 minutes Travel Time to Scene 6 minutes 11:25 11:30 11:35 11:40 11:25 TIME OF CRASH 11:26 PSAP Notification 11:27 EMS Dispatch 11:29 EMS Response 11:35 EMS on Scene Triage and Treatment on Scene 35 minutes 11:45 11:50 11:55 12:00 The Golden Hour 12:05 Travel Time to Medical Facility Moderate Injuries 22 minutes 12:10 12:15 12:20 12:25 12:30 12:10 EMS Departure to Medical Facility 12:32 EMS Arrival at Medical Facility Continued Triage and Treatment on Scene 16 minutes Travel to the Trauma Center Life Threatening Injuries 12:35 12:40 12:45 12:50 12:55 13:00 13:05 12:48 Life Flight Departure to Trauma Center 17 minutes 13:05 Life Flight Arrival at Trauma Center PennState Geisinger

9 ISSUE: Response Times are Double in Rural Areas ( 94 FARS Data) CHALLENGE: Decrease Total Time and Effectively Use Golden Hour How Can Technology Help in the Solution? Effective Use of Data, Information and Communication is Key to Solution PENN STATE/GEISINGER STUDY: Pennsylvania Rural Highway Trauma Project

10 Technical Program Strategy

11 TDOA Proof of Concept

12 Crash-Response Demo PennState Geisinger

13 Physician s Desktop Interface

14 Telemedicine Field Equipment

15 Systems Architecture PennState Geisinger

16 Telemedicine Interface PennState Geisinger

17 Electronic Wireless Aids for HAZMAT Response

18 Selected Demonstrations in Progress Geolocation of incoming cellular calls using unique method of TDOA Handheld wireless electronic aids for Emergency Personnel patient health status information protocols for patient assessment administrative processes and reporting Handheld wireless electronic aides for HAZMAT incident management access to critical data like MSDS incident command, control and management routine laboratory inspections